Christian Way Ministries

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Several cleaning materials with the warning label, ?Keep out of reach of children,? were unlocked in two different cabinets in the infant room.”

8VAC20-790-630-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe, and operable condition. Two bookshelves in the toddler room had cracks to the wood in which children in care could reach. This poses as an injury and splinter hazard.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child's name if more than one infant is in care. All six of the infants in care did not have dates to their bottles.”

8VAC20-790-770-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The center has a prescription of a child that was loosely placed in the child’s cubby that was not locked and accessible to children.”

8VAC20-790-780-C-2

“The following nonmedical emergency supplies shall be required: one working, battery-operated radio. The childcare center did not have a working battery-operated radio in the building.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation Training, annually attend at least 16 hours of training and staff development. Childcare staff presently working with children at the center did not complete the 3-hour Virginia Preservice Training for 2024.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The childcare building did not have a carbon monoxide detector and children were in care.”

8VAC20-790-630-A

“Areas and equipment of the center shall be maintained in a safe and operable condition. The portable speaker in the toddler room is placed on a plastic shelf that is unstable. Children were observed playing very close to the speaker during the time of the inspection. The speaker poses as a tipping and injury hazard to the children in care.”

8VAC20-790-810-C-1

“When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. 9 of the 10 lunch boxes did not label the child’s name on them.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. The infant room had three bottles of disinfectant unlocked and the children’s bathroom had a bottle of air freshener on the counter all with the warning label ?Keep out of reach of children.?”

8VAC20-790-630-A

“Areas and equipment of the center shall be maintained in a safe and operable condition. The portable speaker in the toddler room is placed on a plastic shelf that is unstable. Children were observed playing very close to the speaker during the time of the inspection. The speaker poses as a tipping and injury hazard to the children in care.”

8VAC20-790-810-C-1

“When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. 9 of the 10 lunch boxes did not label the child’s name on them.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. The infant room had three bottles of disinfectant unlocked and the children’s bathroom had a bottle of air freshener on the counter all with the warning label ?Keep out of reach of children.?”

8VAC20-790-770-A-1

“Based on record review and interview, it was determined that the vendor did not ensure that the administration of prescription medication is administered by a staff member that meets the requirements of 8VAC20-790-600 I and J. Evidence: 1. On 8/29/2023, Child #1 was administered emergency medication by Staff #3 who is not Medication Administration Training (MAT) trained and does not meet the requirement of 8VAC20-790-600 I and J. 2. Staff #1, Director, confirmed that Staff #3 is not MAT trained and administered Child #1 emergency medication. 3. Staff #1 confirmed that there are no staff members in the center that meet the requirements to administer prescription emergency medication.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the vendor did not ensure that all caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: 1. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #1 confirmed that Staff #2 does not have a certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-770-B

“8VAC20-790-770. B. Based on record review and interview, it was determined that the vendor did not ensure that when the vendor administer over-the-counter medication to a child there is with written permission from the parent. Evidence: 1) Child #1 did not have written authorization by a parent for the vendor to administer over-the-counter medication. 2) The daycare provided Child #1 over-the-counter teething medication without written authorization by a parent. 3) Staff #1 confirmed that Child #1 was administer teething medication at the center without written consent by a parent.”

8VAC20-790-540-B

“8VAC20-790-540. B. 9. Based on record review and interview, it was determined that the vendor did not ensure that written authorization to administer prescription or nonprescription medications if the vendor administers medication was present in the child’s record. Evidence: 1) Child #1 did not have written authorization by a parents for the facility to administer over-the-counter medication. 2) The daycare administrative form that is part of the parent handbook, ?Non-Prescription Topical Medication Form? was not signed by a parent for Child #1. 3) Staff #1 confirmed the there was no written authorization signed by a parent to administer medication for Child #1.”

8VAC20-770-40-D-2

“Based on record review and interview, it was determined that the center did not obtain the child abuse and neglect ( CPS ) check for staff in the appropriate timeframe of employment. Evidence: 1. Staff #1 (date of hire: 04/04/2022) does not have the required central registry checks completed for the State of Virginia. Staff #2 (date of hire: 04/04/22) does not have the required central registry checks completed for the State of Virginia.”

8VAC20-790-600-I

“Based on record review and observation, it was determined that the vendor did not ensure that there be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: 1. There are no staff members that have instruction in performing a daily health observation of children. 2. Staff #1 confirmed the training has not been provided nor do the staff members at the center have the daily health observation training.”

8VAC20-790-640-A

“Based on observation and interview, it was determined that the vendor did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of ant and roach insecticide was found on the kitchen counter with the warning label, "Hazard to humans" while children were in care. 2. Staff #1 confirmed the bottle being on the kitchen counter.”

8VAC20-770-40-D-2

“Based on record review and interview, it was determined that the center did not obtain the child abuse and neglect ( CPS ) check for staff in the appropriate timeframe of employment. Evidence: 1. Staff #1 (date of hire: 04/04/2022) does not have the required central registry checks completed for the State of Virginia. Staff #2 (date of hire: 04/04/22) does not have the required central registry checks completed for the State of Virginia.”

8VAC20-790-600-I

“Based on record review and observation, it was determined that the vendor did not ensure that there be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: 1. There are no staff members that have instruction in performing a daily health observation of children. 2. Staff #1 confirmed the training has not been provided nor do the staff members at the center have the daily health observation training.”

8VAC20-790-640-A

“Based on observation and interview, it was determined that the vendor did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of ant and roach insecticide was found on the kitchen counter with the warning label, "Hazard to humans" while children were in care. 2. Staff #1 confirmed the bottle being on the kitchen counter.”

8VAC20-790-710-1

“Based on observation and interview, it was determined that the center did not ensure that staff did not use physical punishment on children. Evidence: 1. There is video footage of Staff #1 throwing a ball at Child #1 as punishment. 2. Staff #1 was immediately terminated. 3. Staff #2 confirmed that Staff #1 was terminated immediately.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the fingerprint-based criminal history ( CRC ) was not completed prior to the first day of employment. Evidence: 1. In review of 5 staff records, all 5 records did not have the required criminal checks completed in the required timeframe. a. Staff #1 (date of hire: 04/04/22) has the CRC completed 04/08/2022. b. Staff #2(date of hire: 04/20/2022) has the CRC completed 04/26/2022. c. Staff #3 (date of hire: 04/04/2022) has the CRC completed 04/08/2022. d. Staff #4 (date of hire: 04/04/2022) has the CRC completed 04/18/2022. e. Staff #5 (date of hire: 05/16/2022) has the CRC completed 05/17/2022. 2. Staff #1 confirmed the required CRC dates were completed and dated after the first day of employment.”

8VAC20-770-40-D-2

“Based on record review and interview, it was determined that the center did not ensure that staff signed sworn disclosure statement form is completed prior to the first day of employment and that central registry ( CPS ) record checks are completed by the end of the 30th day of employment. Evidence: 1. The signed sworn statement for 3 of 5 records reviewed were not signed prior to the first day of employment. a. Staff #1 (date of hire: 04/04/2022) has a sworn statement signed on 04/18/2022. b. Staff #3 (date of hire: 04/04/2022) has a sworn statement signed on 04/06/2022. c. Staff #4 (date of hire: 04/04/2022) has a sworn statement signed on 04/06/2022. 2. The central registry record check for 2 of 5 records reviewed did not have the required checks completed by the end of the 30th day of employment. a. Staff #1 (date of hire: 04/04/2022) does not have the required CPS check completed. b. Staff #3 (date of hire: 04/04/2022) does not have the required CPS check completed. 3. Staff #1, the director, confirmed that the signed sworn statements were not completed in the required time frame prior to the first day of employment. 4. The director, confirmed that the required CPS checks for Staff #1 and Staff #3 have not been completed.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the criminal record check and child abuse and neglect ( CPS ) check for staff that lived out of state, in the past five years, were requested in the appropriate timeframe of employment. Evidence: 1. Two staff members disclosed that they lived outside of the state of Virginia in the past five years and no out of state criminal check and CPS check were completed. a. Staff #2 (date of hire: 04/20/2022) confirmed on the sworn statement disclosure signed 04/20/2022, that they lived in two states outside of Virginia in the past five years. b. Staff #5 (date of hire: 05/16/2022) confirmed on the sworn statement disclosure signed 05/17/2022, that they lived in a state outside of Virginia in the past five years. 2. Staff #1 confirmed that no out of state background checks and CPS checks were completed for Staff #2 and Staff #5.”

8VAC20-790-820-B

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in an infant seat, high chair, or feeding table, the protective belt shall be fastened securely. Evidence: 1. In the infant room, Child #1, was not securely fastened with a protective belt when sitting in an activity chair. 2. Staff #2 confirmed that Child #1 was not securely fastened in the activity chair.”

8VAC20-790-810-C-1

“Based on observation and interview, it was determined that the vendor did not ensure that when food is brought from home that food containers be clearly labeled in a way that identifies the owner. Evidence: 1. There were three baby bottles in the infant room that were unlabeled with no name and date. 2. In the toddler room, with four children present, there were two sippy cups unlabeled with no name and date. 3. The director of the center, Staff #1, confirmed that there were no names and dates to the bottles and cups at the center.”

8VAC20-790-770-B

“Based on observation and interview, it was determined that the vendor did not ensure that the over-the-counter or nonprescription medication to a child has written permission from the parent. Evidence: 1. In the infant room, there was a tube of diaper cream that did not have written permission from a parent to use at the center. 2. Staff #1 confirmed that there was no written consent for the use of over-the-counter diaper cream.”

8VAC20-790-640-A

“Based on observation and interview, it was determined that the vendor did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, with three infants present, there were sanitizing wipes next to the changing table with a warning label stating, ?Hazards to humans.? 2. In the children’s bathroom, there were two disinfectant spray bottles as well as sanitizing wipes with warning labels stating, ?Keep out of reach of children? unlocked and accessible to children. 3. In the toddler room, with children presently in care, there were two aerosol spray cans with warning labels stating, "Keep out of reach of children? that were unlocked. 4. Staff #1 confirmed that the spray bottles and sanitizing wipes were unlocked and accessible to children.”

8VAC20-790-620-B

“Based on observation and interview, it was determine that the vendor was unable to provide the department representative an annual certification from the Health Department. Evidence: 1. The last Health Department annual inspection was completed on May 18, 2020. 2. The director of the center, Staff #1, confirmed that there was no annual Health Department inspection completed since May 18, 2020.”

8VAC20-790-560-A

“Based on record review and interview, it was determined that the vendor did not ensure that staff be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department. Evidence: 1. In review of five staff records, 4 of the 5 records did not have a required TB screening. a. Staff #1, the director (date of hire: 04/04/22) does not have the required TB screening completed. b. Staff #2 (date of hire: 04/20/22) does not have the required TB screening completed. c. Staff #4 (date of hire: 04/04/22) does not have the required TB screening completed. d. Staff #5 (date of hire:05/16/22) does not have the required TB screening completed. 2. The vendor acknowledged that TB screenings were required and that 4 of the 5 staff members did not have it completed prior to the date of employment.”

8VAC20-790-800-A-1

“Based on interview, it was determined that the vendor did not ensure that emergency response drills be practiced at the center. Evidence: 1. Staff #1 confirmed that no evacuation procedures have been practiced at the center.”