5 Stone Church

8VAC20-770-40-D-2

“Systemic Deficiency For employees hired prior to 07/01/2024, VDOE allowed providers 30 days from the date of employment to request a search of the central registry. Staff #14, who has been employed for over 4 years, did not have a central registry search requested.”

22.1-289.035-B-4

“Systemic Deficiency The center is required to request background checks prior to employment from any state in which the individual has resided in the preceding five years. For employees hired prior to 07/01/2024, VDOE allowed providers 30 days from the date of employment to submit out-of-state child abuse and neglect. 1. Staff #1, employed for more than 8 months, did not have documentation of requesting a central registry check or criminal history check from one state. 2. Staff #6, employed for 4 months, did not have documentation of requesting a central registry check from one state. 3. Staff #10, employed for over 8 months, did not have documentation of requesting a central registry from one state. 4. Staff #12, employed for 21 months, did not have documentation of requesting a central registry check from one state. 5. Staff #13, employed for 3 years, did not have documentation of requesting a central registry check from one state. 6. Staff #14, employed for over 4 years, did not have documentation of requesting a central registry check from one state.”

22.1-289.031-A-4

“Systemic Deficiency Each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision. 1. Staff # 5, employed for 2 days, did not have a staff health form present at the time of the inspection. Staff #5 was observed working in a classroom with children. 2. Staff #10, employed for 8 months, did not have a staff health form present at the time of the inspection. Staff #10 drives the children to and from school and is alone with the children while on the van. 3. Staff # 12, employed for 21 months, did not have a staff health form present at the time of the inspection. Staff #12 drives the children to and from school and is alone with the children while on the van. 4. Staff #14, employed for over 4 years, did not have a staff health form present at the time of the inspection. Staff #14 is the substitute van driver assigned to drive the children when the permanent driver is out.”

22.1-289.031-A-8

“A person trained and certified in first aid and cardiopulmonary resuscitation (CPR) is required to be present at any other location in which children attending the child day center are present. 1. Staff #10, employed for 8 months, and who transports the children alone in a van to and from school, is not trained or certified in first aid or CPR. 2. Staff #12, employed for 3 years, and who transports the children alone in a van to and from school, is not trained or certified in first aid or CPR. 3. Staff #14, employed for over 4 years, and is the substitute driver assigned to transport the children alone in a van to and from school, is not trained or certified in first aid or CPR.”

22.1-289.031-B-1

“The center is required to establish and implement procedures to ensure that staff and children wash their hands after toileting and diapering. Staff #2 was observed changing 2 children's diapers. Staff #2 did not wash the children's hands after diapering. Staff #2 wiped the children's hands with a baby wipe.”

22.1-289.031-B-4

“The center is required to establish and implement procedures to ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. The record for child #3, age 4 months and enrolled for 2 months, did not contain documentation regarding the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.”

22.1-289.035-B-1

“Systemic Deficiency The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The center did not obtain a completed sworn statement from staff #14. Staff #14 has been employed for over 4 years.”

22.1-289.035-B-2

“Systemic Deficiency The center is required to obtain a completed national criminal background check prior to the employee's first day of employment. Staff #5, who has been employed for 2 days, did not have a completed national criminal background check. Staff #5 was working alone with children.”

22.1-289.035-B-3

“Systemic Deficiency The center must request a search of the central registry prior to the employee's first day of employment. Staff #5, who has been employed for 2 days, did not have a central registry search requested. Staff #5 was alone with children.”

22.1-289.049-A

“Systemic Deficiency Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. 5 out of 5 children's records reviewed did not contain information from the person enrolling the child regarding previous child day care and schools attended by the child.”

22.1-289.031-B-5

“The facility is required to ensure that all areas of the premises accessible to children are free of obvious injury hazards. C1 pulled up on a mini refrigerator located in the Infant II classroom that had a crockpot containing hot water used to warm bottles. C1 grabbed the accessible power cord of the crockpot causing it to spill onto him resulting in 2nd degree burns on the left side of C1?s body.”

22.1-289.031-B-2

“The facility shall establish and implement a procedure for appropriate supervision of all children in care to ensure safety of children . S1 while placing a child into a highchair in the Infant II classroom, C1, an infant pulled himself up on the mini refrigerator in the same classroom, and ??grabbed the crockpot cord and yanked it down causing hot water to fall onto him?. C1 received 2nd degree burns to his face, neck, and shoulder requiring hospitalization. The crock pot was located on top of a mini refrigerator and the power cord was accessible to the child.”

22.1-289.049-A

“Based on child record review, the center did not ensure that a record contained the required information. Evidence: The record for C1 did not document proof of the child’s identity and age within 7 business days of attendance.”

22.1-289.031-B-4

“Based on child record review the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. Evidence: The records for C2 and C5 did not contain immunizations records.”

8VAC20-770-40-D-2

“Based on staff record review, the center did not ensure that staff had documentation of central registry results within 30 days of employment and the Sworn Disclosure Statement on the first day of employment. Evidence: 1. The record for S1, employed 09/28/2023 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S1 are dated 11/06/2023. 2. The record for S2, employed 04/04/2022 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S2 are dated 07/17/2023. 3. The record for S5, employed 09/15 /2022 did not contain findings of a central registry search. 4. The record for S3, employed 08/05/2024 did not contain a signed Sworn Disclosure Statement.”

22.1-289.031-B-1

“Based on observation, the center did not establish and implement procedures for hand washing by staff and children after diapering. Evidence: A staff member in the Infant I room was observed changing two children’s diapers. After the diaper change the staff member failed to wash the children’s hands.”

22.1-289.031-A-9

“Based on observation the center failed to be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: Safe sleep guidelines state to keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and nonfitted sheets, away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation. Two infants in the Infant I room were observed propped in their cribs in Boppy Pillows.”

22.1-289.031-A-5-d

“Based on observation, the center did not ensure that all vehicles must have current vehicle inspections. Evidence: Licensing inspector observed an expired inspection sticker on the center’s small bus. The inspection sticker expired 07/2024.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision. Evidence: The record for S5, employed 09/15/2022 did not contain a Staff Health Record certified by a physician, physician assistant, or nurse practitioner to stating S5 is free from any disability which would prevent him from caring for children under his/her supervision.”

22.1-289.031-B-5

“Based on observation, the center failed to ensure all areas of the premises accessible to children were free of obvious injury hazards. Evidence: 1. Several areas under the swing sets and teeter totter had exposed bare compacted dirt creating a risk if a child were to fall off the play equipment onto hard dirt without other cushioning material. 2. Multiple electrical outlets in the rooms used by the children were missing the child proof outlet covers creating a shock risk to children. 3. A PVC drainage pipe located in the younger children playground was broken exposing sharp edges creating a skin snag risk.”

22.1-289.049-A

“Based on child record review, the center did not ensure that a record contained the required information. Evidence: The record for C1 did not document proof of the child’s identity and age within 7 business days of attendance.”

22.1-289.031-B-4

“Based on child record review the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. Evidence: The records for C2 and C5 did not contain immunizations records.”

8VAC20-770-40-D-2

“Based on staff record review, the center did not ensure that staff had documentation of central registry results within 30 days of employment and the Sworn Disclosure Statement on the first day of employment. Evidence: 1. The record for S1, employed 09/28/2023 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S1 are dated 11/06/2023. 2. The record for S2, employed 04/04/2022 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S2 are dated 07/17/2023. 3. The record for S5, employed 09/15 /2022 did not contain findings of a central registry search. 4. The record for S3, employed 08/05/2024 did not contain a signed Sworn Disclosure Statement.”

22.1-289.031-B-1

“Based on observation, the center did not establish and implement procedures for hand washing by staff and children after diapering. Evidence: A staff member in the Infant I room was observed changing two children’s diapers. After the diaper change the staff member failed to wash the children’s hands.”

22.1-289.031-A-9

“Based on observation the center failed to be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: Safe sleep guidelines state to keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and nonfitted sheets, away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation. Two infants in the Infant I room were observed propped in their cribs in Boppy Pillows.”

22.1-289.031-A-5-d

“Based on observation, the center did not ensure that all vehicles must have current vehicle inspections. Evidence: Licensing inspector observed an expired inspection sticker on the center’s small bus. The inspection sticker expired 07/2024.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision. Evidence: The record for S5, employed 09/15/2022 did not contain a Staff Health Record certified by a physician, physician assistant, or nurse practitioner to stating S5 is free from any disability which would prevent him from caring for children under his/her supervision.”

22.1-289.031-B-5

“Based on observation, the center failed to ensure all areas of the premises accessible to children were free of obvious injury hazards. Evidence: 1. Several areas under the swing sets and teeter totter had exposed bare compacted dirt creating a risk if a child were to fall off the play equipment onto hard dirt without other cushioning material. 2. Multiple electrical outlets in the rooms used by the children were missing the child proof outlet covers creating a shock risk to children. 3. A PVC drainage pipe located in the younger children playground was broken exposing sharp edges creating a skin snag risk.”

22.1-289.031-B-1 Complaint related: Yes

“Based on observation and interview, the center did not establish and implement procedures for handwashing by staff and children after diapering. Evidence: 1. The licensing inspector observed a staff in the Older Infant room change children’s diapers without washing the staff or children’s hands. 2. The staff member stated hand sanitizer and wipes are used to clean staff and children’s hands after diapering.”

22.1-289.031-A-3-c Complaint related: Yes

“Based on observation and interview, the center did not ensure when a group of children receiving care included children from different age brackets, the age of the youngest child in the group was used to determine the staff-to-children ratio that applies to that group. Evidence: 1. At approximately 10:00am, the licensing inspector observed 17 children with two staff members in one room. The children’s ages ranged from two years to four years of age. 2. Approximately five minutes later, eight children and one staff member went to the Two’s classroom. Nine children remained in the classroom with one staff member. Child #1 remained with the nine children. Child #1 was two years of age. The other eight children were three years or older. 3. A member of management confirmed Child #1 was two years old. 4. The required staff-to -child ratio is one staff member for every eight children present.”

22.1-289.031-B-4 Complaint related: No

“Based on the review of five children's records, documentation review and interview, the center did not establish and implement procedures to ensuring that two children in the center were in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. The records for Child #1 and Child #2 did not have documentation of immunizations. 2. Child #1 and Child #2 were present during the inspection. 3. A member of management confirmed this information while the inspector was on site. 4. The parent handbook states a copy of immunization records is required to be obtained prior to attending the center.”

22.1-289.031-B-4 Complaint related: No

“Based on review of five children’s records, the center did not ensure that one child attending the center was in compliance with the provisions of ?32.1-46 regarding the immunization of children against certain diseases. Evidence: The record for Child #4 (start date 06/06/2022) did not contain documentation of immunizations. Members of management stated before children begin attending the center, a registration record, proof of ID, and a copy of the child’s immunization record is required to be obtained.”

22.1-289.031-B-3 Complaint related: No

“Based on the review of five staff records and interview, the center did not ensure there were staff present that have been trained to conduct daily simple health screenings of children. Evidence: Five staff records were reviewed and did not contain documentation of training for daily health screenings. Members of managements stated they typically look of the children that arrive at the center but staff had not been formally training in conducting a daily health screening.”

22.1-289.031-A-3-a Complaint related: No

“Based on observation and interview, the center did not ensure the required staff-to-child ratio of one staff member to every four children (zero to 16 months of age) was maintained. Evidence: 1. At 8:15 the licensing inspector observed five infants with one staff member in the far left classroom. 2. A member of management stated the Infant and Toddler teachers should be combined in the mornings to maintain the required staff-to-child ratio for infants.”

22.1-289.035-B-2 Complaint related: No

“Based on review of five staff records and interview, the center did not ensure a fingerprint-based criminal history determination letter was obtained prior to 1st day of employment for four staff members. Evidence: 1. The record for Staff #1 (hire date 07/18/22) and results from a fingerprint-based criminal history has not been obtained. Staff #1 was observed supervising children during the inspection. A member of management stated Staff #1 completed the search but the results have not been received as of 07/26/2022. 2. The record for Staff #2 (hire date 07/05/2022) contained satisfactory letter based off of a fingerprint-based criminal history dated 07/18/2022. 3. The record for Staff #3 (hire date 04/04/2022) contained satisfactory letter based off of a fingerprint-based criminal history dated 04/15/2022. 4. The record for Staff #4 (hire date 04/18/2022) contained satisfactory letter based off of a fingerprint-based criminal history dated 04/15/2022.”

8VAC20-770-40-D-2 Complaint related: No

“Based on review of staff records, the center did not obtain a central registry check by the end of the 30th day of employment for one staff member. Evidence: The record for Staff #3 (hire date 04/04/2022) did not contain findings of central registry check.”

22.1-289.031-A-4 Complaint related: No

“Based on review of five staff records and interview, the center did not ensure three staff in supervisory position were certified by practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision. Evidence: The record for Staff #1 (hire date 07/18/2022), Staff #2 (hire date 07/05/2022) and Staff #5 (hire date 04/04/2022) did not contain documentation from a practicing physician or physician assistant was free from any disability that would prevent them from caring for children under their supervision.”