Calvary United Methodist Church

22.1-289.057-B

“The plan established and the results of each potable drinking water test conducted pursuant to such plan shall be submitted to and reviewed by the Commissioner and the Department of Health's Office of Drinking Water (VDH). The testing was not completed until November 11, 2025 and as of the date of this inspection, January 14, 2026, the test results had not been submitted to VDH.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by a year and ten months.”

22.1-289.031-A-4

“Prior to providing supervision to children and annually thereafter, each staff member shall be certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his supervision. Staff #1 and staff #3 were five months late getting a staff health report.”

22.1-289.035-A

“Based on record review and interview, the center failed to obtain repeat background checks every 5 years. Evidence: The record for staff 1's fingerprints are dated 5/4/18 and the fingerprints for staff 2 are dated 5/3/18. The director stated they are the most current fingerprints for staff 1 and staff 2.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. The record for staff 3 documents the hire date as 8/2/21. The fingerprint-based criminal history check determination letter is dated 8/11/21. 2. The record for staff 4 documents the hire date as 9/1/21. The fingerprint-based criminal history check determination letter is dated 9/16/21.”

22.1-289.031-B-5

“Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: 1. The director provided the center's written policy on storage of hazardous materials. Within the policy under the heading Items to keep out of reach of children the following item is listed: Non-aerosol sanitizers, disinfectants, and detergents that are labeled as sanitizing, disinfecting or detergents (including disinfecting wipes). 2. A container of Clorox disinfecting wipes were in the boys bathroom on the counter beside the sink. Children were seen using the restroom throughout the inspection unsupervised.”

22.1-289.031-B-6

“Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1. The record of staff 3 documents the start date as 8/17/21. Documentation of completing training in recognize the signs of child abuse and neglect is dated 1/20/22. 2. The record of staff 4 documents the start date as 9/6/21. Documentation of completing training in recognize the signs of child abuse and neglect is dated 11/15/22.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date and updated every year. Evidence: 1. The record for staff 4 documents the start date as 9/6/22. The staff health report is dated 9/8/22. 2. The director verified the start date.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her by the end of 30th day of employment. Evidence: 1. The record for staff 3 documented the hire date as 8/2/21. The sworn statement documents staff 3 lived in NY within the last five years. There was no documentation of a search of central registry being completed in New York in staff 3's record. 2. The director verified a central registry search for New York had not been requested.”