Advent Christian Childcare Center

22.1-289.036-A

“Based on a review of board member records, the center did not ensure that current board members had the required repeat background checks every 5 years. Evidence: 1. The record of board member #1 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/10/2023. The last fingerprint-based national criminal background check result in record is dated 6/29/18. 2. The record of board member #2 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/18/2023 The last fingerprint-based national criminal background check result in record is dated 7/02/18.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: 1. In the cafeteria children finished lunch and transitioned to another room. Staff did not sanitize the cafeteria tables after use.”

8VAC20-780-580-B

“Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children. Evidence: Van #1 had an expired inspection sticker dated 11/23. The administrator acknowledged that the van has been used since the inspection sticker expired.”

22.1-289.035-A Complaint related: No

“Based on a review of staff records, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: 1. The record for staff #1 contained a fingerprint based criminal history record information check dated 9/12/18 and 10/04/23. 2. The record for staff #1 contained central registry results dated 10/09/17 and 12/23/22.”

8VAC20-780-40-E Complaint related: Yes

“Based on review of documentation, the licensee failed to ensure operational responsibilities that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. The center's playground policy states: Teachers open doors and gates. If gate is closed children are not to enter that gated area. A teacher must be present in the gated area in order for that area to be accessible to children. Proper licensing ratios must apply while the playground is in use. 2. Child A (4 years old) and child B (4 years old) were unsupervised on the playground, staff responsible for supervising child A and child B were unaware the children were on the playground.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews and documentation, the care, protection, and guidance of two children were not ensured by supervising staff. Evidence: 1. On November 2, 2023, at approximately 12:50 PM, staff #1 took a group of preschool children inside from the playground. Staff #1 was unaware that child A (4 years old) was left outside on the playground and that child B (4 years old) went back outside through a door that was left propped open in the classroom. 2. At approximately 12:55 PM, Staff #1 observed child A and child B outside unsupervised from a window in the classroom and went to retrieve both children. 3. Staff #1 documented that child A ?hid from teachers when they lined up to go inside after lunch?. 4. Staff #1 documented that child B ?ran back outside and was found hiding with a friend on the afterschool playground sneaking around the tire and tubes?.”

8VAC20-780-340-F Complaint related: Yes

“Based on interview and review of documentation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Two incident reports, dated November 2, 2023, were reviewed. The reports indicated that child A and child B were found on the playground at 12:55 PM. 2. In an interview with administrator #1, she acknowledged this incident occurred as documented, leaving child A (4 years old) and child B (4 years old) unsupervised on the playground.”

8VAC20-780-160-C Complaint related: No

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1 had TB screenings dated 11/23/21 and 11/30/23. 2. The record for staff #3 had TB screenings dated 02/18/20 and 02/28/22. 3. The record for staff #5 had TB screenings dated 9/12/20 and 9/28/22. 4. The record for staff #6 had TB screenings dated 12/18/20 and 12/30/22.”

22.1-289.036-A

“Based on a review of board member records, the center did not ensure that current board members had the required repeat background checks every 5 years. Evidence: 1. The record of board member #1 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/10/2023. The last fingerprint-based national criminal background check result in record is dated 6/29/18. 2. The record of board member #2 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/18/2023 The last fingerprint-based national criminal background check result in record is dated 7/02/18.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: 1. In the cafeteria children finished lunch and transitioned to another room. Staff did not sanitize the cafeteria tables after use.”

8VAC20-780-580-B

“Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children. Evidence: Van #1 had an expired inspection sticker dated 11/23. The administrator acknowledged that the van has been used since the inspection sticker expired.”

22.1-289.035-A Complaint related: No

“Based on a review of staff records, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: 1. The record for staff #1 contained a fingerprint based criminal history record information check dated 9/12/18 and 10/04/23. 2. The record for staff #1 contained central registry results dated 10/09/17 and 12/23/22.”

8VAC20-780-40-E Complaint related: Yes

“Based on review of documentation, the licensee failed to ensure operational responsibilities that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. The center's playground policy states: Teachers open doors and gates. If gate is closed children are not to enter that gated area. A teacher must be present in the gated area in order for that area to be accessible to children. Proper licensing ratios must apply while the playground is in use. 2. Child A (4 years old) and child B (4 years old) were unsupervised on the playground, staff responsible for supervising child A and child B were unaware the children were on the playground.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews and documentation, the care, protection, and guidance of two children were not ensured by supervising staff. Evidence: 1. On November 2, 2023, at approximately 12:50 PM, staff #1 took a group of preschool children inside from the playground. Staff #1 was unaware that child A (4 years old) was left outside on the playground and that child B (4 years old) went back outside through a door that was left propped open in the classroom. 2. At approximately 12:55 PM, Staff #1 observed child A and child B outside unsupervised from a window in the classroom and went to retrieve both children. 3. Staff #1 documented that child A ?hid from teachers when they lined up to go inside after lunch?. 4. Staff #1 documented that child B ?ran back outside and was found hiding with a friend on the afterschool playground sneaking around the tire and tubes?.”

8VAC20-780-340-F Complaint related: Yes

“Based on interview and review of documentation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Two incident reports, dated November 2, 2023, were reviewed. The reports indicated that child A and child B were found on the playground at 12:55 PM. 2. In an interview with administrator #1, she acknowledged this incident occurred as documented, leaving child A (4 years old) and child B (4 years old) unsupervised on the playground.”

8VAC20-780-160-C Complaint related: No

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1 had TB screenings dated 11/23/21 and 11/30/23. 2. The record for staff #3 had TB screenings dated 02/18/20 and 02/28/22. 3. The record for staff #5 had TB screenings dated 9/12/20 and 9/28/22. 4. The record for staff #6 had TB screenings dated 12/18/20 and 12/30/22.”

22.1-289.036-A

“Based on a review of board member records, the center did not ensure that current board members had the required repeat background checks every 5 years. Evidence: 1. The record of board member #1 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/10/2023. The last fingerprint-based national criminal background check result in record is dated 6/29/18. 2. The record of board member #2 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/18/2023 The last fingerprint-based national criminal background check result in record is dated 7/02/18.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: 1. In the cafeteria children finished lunch and transitioned to another room. Staff did not sanitize the cafeteria tables after use.”

8VAC20-780-580-B

“Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children. Evidence: Van #1 had an expired inspection sticker dated 11/23. The administrator acknowledged that the van has been used since the inspection sticker expired.”

22.1-289.035-A Complaint related: No

“Based on a review of staff records, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: 1. The record for staff #1 contained a fingerprint based criminal history record information check dated 9/12/18 and 10/04/23. 2. The record for staff #1 contained central registry results dated 10/09/17 and 12/23/22.”

8VAC20-780-40-E Complaint related: Yes

“Based on review of documentation, the licensee failed to ensure operational responsibilities that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. The center's playground policy states: Teachers open doors and gates. If gate is closed children are not to enter that gated area. A teacher must be present in the gated area in order for that area to be accessible to children. Proper licensing ratios must apply while the playground is in use. 2. Child A (4 years old) and child B (4 years old) were unsupervised on the playground, staff responsible for supervising child A and child B were unaware the children were on the playground.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews and documentation, the care, protection, and guidance of two children were not ensured by supervising staff. Evidence: 1. On November 2, 2023, at approximately 12:50 PM, staff #1 took a group of preschool children inside from the playground. Staff #1 was unaware that child A (4 years old) was left outside on the playground and that child B (4 years old) went back outside through a door that was left propped open in the classroom. 2. At approximately 12:55 PM, Staff #1 observed child A and child B outside unsupervised from a window in the classroom and went to retrieve both children. 3. Staff #1 documented that child A ?hid from teachers when they lined up to go inside after lunch?. 4. Staff #1 documented that child B ?ran back outside and was found hiding with a friend on the afterschool playground sneaking around the tire and tubes?.”

8VAC20-780-340-F Complaint related: Yes

“Based on interview and review of documentation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Two incident reports, dated November 2, 2023, were reviewed. The reports indicated that child A and child B were found on the playground at 12:55 PM. 2. In an interview with administrator #1, she acknowledged this incident occurred as documented, leaving child A (4 years old) and child B (4 years old) unsupervised on the playground.”

8VAC20-780-160-C Complaint related: No

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1 had TB screenings dated 11/23/21 and 11/30/23. 2. The record for staff #3 had TB screenings dated 02/18/20 and 02/28/22. 3. The record for staff #5 had TB screenings dated 9/12/20 and 9/28/22. 4. The record for staff #6 had TB screenings dated 12/18/20 and 12/30/22.”

8VAC20-780-160-A

“Based on observations, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

8VAC20-780-270-A

“Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

8VAC20-780-160-A

“Based on observations, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

8VAC20-780-270-A

“Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

8VAC20-780-70

“Based on a review of six staff records and interview, the center did not maintain a complete record for two staff person. Evidence: 1) The record for Staff #1, employed 08/18/22, did not contain a signed sworn statement. 2) During interview, a member of management reported the sworn statement for Staff #1 was signed on 08/18/22, but the original document was misplaced and not maintained as required. A sworn statement or affirmation is a background check required by the regulation entitled Background Checks for Licensed Child Day Centers and required to be in each staff record. 3) The references in the record for Staff #3, employed 06/06/22, were dated 06/10/22 and 06/20/22. Each staff record should contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 4) During interview, a member of management reported references were obtained prior to employment, but they were not documented as required.”

8VAC20-780-160-A

“Based on a review of six staff records, the center did not obtain documentation of a negative tuberculosis (TB) screening for two staff within the required timeframe. Evidence: 1) The TB screening in the record for Staff #3, employed 06/06/22, was dated 06/16/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #5, employed 02/23/22, was dated 10/08/21. The documentation should have been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-70

“Based on a review of six staff records and interview, the center did not maintain a complete record for two staff person. Evidence: 1) The record for Staff #1, employed 08/18/22, did not contain a signed sworn statement. 2) During interview, a member of management reported the sworn statement for Staff #1 was signed on 08/18/22, but the original document was misplaced and not maintained as required. A sworn statement or affirmation is a background check required by the regulation entitled Background Checks for Licensed Child Day Centers and required to be in each staff record. 3) The references in the record for Staff #3, employed 06/06/22, were dated 06/10/22 and 06/20/22. Each staff record should contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 4) During interview, a member of management reported references were obtained prior to employment, but they were not documented as required.”

8VAC20-780-160-A

“Based on a review of six staff records, the center did not obtain documentation of a negative tuberculosis (TB) screening for two staff within the required timeframe. Evidence: 1) The TB screening in the record for Staff #3, employed 06/06/22, was dated 06/16/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #5, employed 02/23/22, was dated 10/08/21. The documentation should have been completed within the last 30 calendar days of the date of employment.”

22.1-289.036-A

“Based on a review of officers' background checks, the center did not obtain the required repeat background checks for two officers every five years. Evidence: 1) The most recent sworn statement in the record for Officer #1 was dated 12/10/21. The previous sworn statement was dated 10/25/16 and expired on 10/25/21. 2) The most recent central registry finding in the record for Officer #1 was dated 01/25/22. The previous central registry finding was dated 11/30/16 and expired on 11/30/21. 3) The most recent sworn statement in the record for Officer #2 was dated 12/02/21. The previous sworn statement was dated 11/15/16 and expired on 11/15/21. 4) The most recent central registry finding in the record for Officer #2 was dated 01/24/22. The previous central registry finding was dated 11/22/16 and expired on 11/22/21.”

8VAC20-780-510-F

“Based on a review of records, medications and interview, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of three children. Evidence: 1) A non-prescription medication was observed at the center for Child #2. The center had written authorization from the child's physician to administer the medication, but no written parental authorization was present for this medication. 2) During interview, a member of management confirmed the written parental authorization for this medication was not present.”

8VAC20-770-60-C-2

“Based on a review of four staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1) The results of the central registry finding in the record for Staff #3, hired on 12/08/21, were dated 01/14/22. 2) During interviews, a member of management confirmed the results of the central registry finding for Staff #3 were not received within 30 days of employment. The record did not contain documentation of any further contact and the staff member had been continuously employed.”

22.1-289.036-A

“Based on a review of officers' background checks, the center did not obtain the required repeat background checks for two officers every five years. Evidence: 1) The most recent sworn statement in the record for Officer #1 was dated 12/10/21. The previous sworn statement was dated 10/25/16 and expired on 10/25/21. 2) The most recent central registry finding in the record for Officer #1 was dated 01/25/22. The previous central registry finding was dated 11/30/16 and expired on 11/30/21. 3) The most recent sworn statement in the record for Officer #2 was dated 12/02/21. The previous sworn statement was dated 11/15/16 and expired on 11/15/21. 4) The most recent central registry finding in the record for Officer #2 was dated 01/24/22. The previous central registry finding was dated 11/22/16 and expired on 11/22/21.”

8VAC20-780-510-F

“Based on a review of records, medications and interview, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of three children. Evidence: 1) A non-prescription medication was observed at the center for Child #2. The center had written authorization from the child's physician to administer the medication, but no written parental authorization was present for this medication. 2) During interview, a member of management confirmed the written parental authorization for this medication was not present.”

8VAC20-770-60-C-2

“Based on a review of four staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1) The results of the central registry finding in the record for Staff #3, hired on 12/08/21, were dated 01/14/22. 2) During interviews, a member of management confirmed the results of the central registry finding for Staff #3 were not received within 30 days of employment. The record did not contain documentation of any further contact and the staff member had been continuously employed.”