Woodlake United Methodist Church

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. 1. Staff #2, who has been employed for more than three years, did not have a completed national criminal background check. 2. Staff #4 who has been employed for more than eight years did not have a completed national criminal background check in their file.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #6, who is currently working, was not found in the file. The sworn statement was overdue by more than 17 months.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. 1. The most recent central registry findings were overdue by the following: Staff #1, Staff #7, and Staff #8 more than one month, Staff #3 more than two months. 2. Staff #1, Staff #3, Staff #7, and Staff #8 had fingerprint checks overdue by more than six months.”

22.1-289.035-B-2

“Based on record review, the vendor did not ensure seven of eight staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (employment date: 2/1/2022) had documentation of fingerprint based national criminal history search results dated 7/18/2022. 2. The record of staff #3 (employment date: 8/8/2022) had documentation of fingerprint based national criminal history search results dated 9/20/2022. 3. The record of staff #4 (employment date: 7/1/2022) had documentation of fingerprint based national criminal history search results dated 7/6/2022. 4. The record of staff #5 (employment date: 7/1/2022) had documentation of fingerprint based national criminal history search results dated 8/17/2022. 5. The record of staff #6 (employment date: 7/16/2022) had documentation of fingerprint based national criminal history search results dated 8/10/2022. 6. The record of staff #7 (employment date: 7/29/2022) had documentation of fingerprint based national criminal history search results dated 8/16/2022. 7. The record of staff #8 (employment date: 8/24/2021) had documentation of fingerprint based national criminal history search results dated 9/10/2021.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure two of eight 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 #3 (employment date:8/8/2022) 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 #6 (employment date:7/16/2022) 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. 3. The record of staff #3 and staff #6 indicated that the staff members have lived outside of Virginia within the last 5 years.”

8VAC20-770-40-D-2

“Based on record review, the provider did not ensure eight of eight 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: 2/1/2022) had documentation of central registry results dated 11/02/2022 and a completed sworn statement or affirmation dated 6/23/2022. 2. The record of staff #3 (employment date: 8/8/2022) had documentation of central registry results dated 11/2/2022. 3. The record of staff #4 (employment date: 7/1/2022) had documentation of central registry results dated 11/02/2022. 4. The record of staff #5 (employment date: 7/1/2022) had documentation of central registry results dated 3/02/2023 and a completed sworn statement or affirmation dated 8/10/2022. 5. The record of staff #6 (employment date: 7/16/2022) had documentation of central registry results dated 11/02/2022. 6. The record of staff #7 (employment date: 7/29/2022) had documentation of central registry results dated 11/02/2022 and a completed sworn statement or affirmation dated 7/31/2022. 7. The record of staff #8 (employment date: 8/24/2021) had documentation of central registry results dated 11/04/2021 and a completed sworn statement or affirmation dated 6/23/2022.”

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: 8/8/2022) 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 #6 (employment date: 7/16/2022) 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.”