St. Mark's United Methodist Church

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 #3 was overdue by over one month. The most recent national criminal background check for staff #3 was overdue by over two months.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who had been employed for five months, did not have a completed national criminal background check. Staff #2, who had been employed for over a year, did not have a completed national background check.”

22.1-289.035-B-2

“Based on record review, the center failed to obtain the results of a fingerprint based criminal background check prior to employment. Evidence: The record for staff #3, date of employment 01/25/2023, did not contain the results of a fingerprint based criminal record check.”

22.1-289.031-B-5

“Based on observation, the center did not ensure that all areas of the premises accessible to children are free from obvious injury hazards, including providing and maintaining cushioning material under playground equipment. Evidence: 1. There was a climbing dome located in the playground area that did not have cushioning material underneath it. 2. There was a picnic table in the playground area that had broken plastic exposing sharp rusted nails.”

22.1-289.035-B-2

“Based on record review, the center did not ensure 4 of 5 staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (employment date: 8/30/2021) had documentation of fingerprint based national criminal history search results dated 9/8/2021. 2. The record of staff #3 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results. 3. The record of staff #4 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results. 4. The record of staff #5 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #4 (employment date:1/23/2023) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request. 2. The record of staff #4 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #4 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-770-40-D-2

“Based on record review, the provider did not ensure 4 of 5 staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #2 (employment date: 8/30/2021) had documentation of central registry results dated 10/06/2021. 2. The record of staff #3 (employment date: 1/23/2023) had documentation of a completed sworn statement or affirmation dated 1/29/2023. 3. The record of staff #4 (employment date: 1/23/2023) had documentation of a completed sworn statement or affirmation dated 1/25/2023. 4. The record of staff #5 (employment date: 1/23/2023) did not have documentation of central registry results and a completed sworn statement or affirmation dated 1/31/2023.”

22.1-289.031-A-4

“Based on record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record of staff #3 (employment date: 1/23/2023) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. 2. The record of staff #4 (employment date: 1/23/2023) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. 3. The record of staff #5 (employment date: 1/23/2023) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.”