Deliverance Church of Christ #2

8VAC20-790-600-I

“There shall be at least 1 staff on duty who can perform daily health observation of children. No staff were trained to perform daily health observation of children.”

8VAC20-790-600-C

“Orientation training must have all the specific topics required. Orientation training for staff was missing the following required topics: playground safety, continuality, child arrival/dismissal, loss/missing, ill, injured, emergencies, SIDS and safe sleep, and cross contamination.”

8VAC20-790-740-B

“Pillows when used shall be covered with pillow cases. During nap time in the preschool room, a pillow was not covered with a pillow case.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to hire. A provisionally hired staff shall be supervised at all times by a staff person who has a complete and satisfactory background check. Staff #1(employed 2 months), Staff #4 (employed 3 months), and Staff #5 (employed months) central registry check was not submitted prior to hire. The results of the central registry search for Staff 4 (provisional hire) had not been obtained on 04/08/2026. Staff #4 was working alone with children.”

8VAC20-790-760-A-3

“Staff’s hands shall be washed before and after diaper changes or helping with toileting. Staff did not wash hands before and after changing diaper.”

8VAC20-790-790-D

“911 and Poison control center number shall be posted in a visible and conspicuous place. 911 and the number for poison control were not posted in the center.”

8VAC20-790-820-E

“Prepared infant formula shall be dated and labeled with the child’s name. Three bottles were not dated with the current date.”

8VAC20-790-760-A-2

“Children’s hands shall be washing with soap and running water after toileting. Children did not wash hands after diapering.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to employment. Staff #4?s sworn disclosure was completed over a month after working with children.”

8VAC20-790-520-F

“A current written list of all children’s allergies, sensitives, and dietary restrictions shall be accessible to staff who work with children. This list shall be dated and kept confidential in each room or area where children are present. A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child #4 has a documented food allergy.”

8VAC20-790-540-B

“A record for each child enrolled that contains all of the required information. The records for Child #3 (enrolled over 1 month), Child #4 (enrolled over 8 months), and Child #5 (enrolled over 2 months), were each missing several of the required components.”

8VAC20-790-560-A

“Documentation of a negative TB screening must be submitted prior to employment and completed in the last 30 calendar days. Staff #1, Staff #4, and Staff #5 TB screenings were completed over 30 days prior to hire. Staff #3 completed the TB screening 3 months after employment and Staff #7 completed the TB screening 2 months after employment.”

8VAC20-790-560-A

“TB screenings are required at least every two years from the date of the initial screening. Staff #2 TB screening was overdue by 7 months.”

8VAC20-790-600-I

“There shall be at least 1 staff on duty who can perform daily health observation of children. No staff were trained to perform daily health observation of children.”

8VAC20-790-600-C

“Orientation training must have all the specific topics required. Orientation training for staff was missing the following required topics: playground safety, continuality, child arrival/dismissal, loss/missing, ill, injured, emergencies, SIDS and safe sleep, and cross contamination.”

8VAC20-790-740-B

“Pillows when used shall be covered with pillow cases. During nap time in the preschool room, a pillow was not covered with a pillow case.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to hire. A provisionally hired staff shall be supervised at all times by a staff person who has a complete and satisfactory background check. Staff #1(employed 2 months), Staff #4 (employed 3 months), and Staff #5 (employed months) central registry check was not submitted prior to hire. The results of the central registry search for Staff 4 (provisional hire) had not been obtained on 04/08/2026. Staff #4 was working alone with children.”

8VAC20-790-760-A-3

“Staff’s hands shall be washed before and after diaper changes or helping with toileting. Staff did not wash hands before and after changing diaper.”

8VAC20-790-790-D

“911 and Poison control center number shall be posted in a visible and conspicuous place. 911 and the number for poison control were not posted in the center.”

8VAC20-790-820-E

“Prepared infant formula shall be dated and labeled with the child’s name. Three bottles were not dated with the current date.”

8VAC20-790-760-A-2

“Children’s hands shall be washing with soap and running water after toileting. Children did not wash hands after diapering.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to employment. Staff #4?s sworn disclosure was completed over a month after working with children.”

8VAC20-790-520-F

“A current written list of all children’s allergies, sensitives, and dietary restrictions shall be accessible to staff who work with children. This list shall be dated and kept confidential in each room or area where children are present. A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child #4 has a documented food allergy.”

8VAC20-790-540-B

“A record for each child enrolled that contains all of the required information. The records for Child #3 (enrolled over 1 month), Child #4 (enrolled over 8 months), and Child #5 (enrolled over 2 months), were each missing several of the required components.”

8VAC20-790-560-A

“Documentation of a negative TB screening must be submitted prior to employment and completed in the last 30 calendar days. Staff #1, Staff #4, and Staff #5 TB screenings were completed over 30 days prior to hire. Staff #3 completed the TB screening 3 months after employment and Staff #7 completed the TB screening 2 months after employment.”

8VAC20-790-560-A

“TB screenings are required at least every two years from the date of the initial screening. Staff #2 TB screening was overdue by 7 months.”

8VAC20-790-630-A

“Areas and equipment of the center inside and outside, shall be maintained in a clean, safe and operable condition. The electrical plate was missing from one of the outlets in the preschool room.”

8VAC20-790-800-A-2

“Shelter in place procedures shall be practiced twice a year. There was no documentation of two shelter in place drills in 2024.”

8VAC20-790-800-A-3

“The Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill for 2024.”

8VAC20-790-540-B-11

“Written allergy care plan for each child with a diagnosed food allergy. Child # 1 has a diagnosed food allergy and did not have a written allergy care plan.”

8VAC20-790-770-D

“Medications including staff’s personal medications, shall be kept in a locked place using a safe locking method that prevents access by children. Sitting on the widow seal in the infant room was an unlocked bottle of staff’s medication.”

8VAC20-790-710-1

“The following actions or threats thereof are forbidden, restricting movement through binding or tying. Child # 1 (16 months) was restrained by placing the child’s shirt over the back of the chair. The child was unable to freely exit the chair.”

8VAC20-790-630-A

“Areas and equipment of the center inside and outside, shall be maintained in a clean, safe and operable condition. The electrical plate was missing from one of the outlets in the preschool room.”

8VAC20-790-800-A-2

“Shelter in place procedures shall be practiced twice a year. There was no documentation of two shelter in place drills in 2024.”

8VAC20-790-800-A-3

“The Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill for 2024.”

8VAC20-790-540-B-11

“Written allergy care plan for each child with a diagnosed food allergy. Child # 1 has a diagnosed food allergy and did not have a written allergy care plan.”

8VAC20-790-770-D

“Medications including staff’s personal medications, shall be kept in a locked place using a safe locking method that prevents access by children. Sitting on the widow seal in the infant room was an unlocked bottle of staff’s medication.”

8VAC20-790-710-1

“The following actions or threats thereof are forbidden, restricting movement through binding or tying. Child # 1 (16 months) was restrained by placing the child’s shirt over the back of the chair. The child was unable to freely exit the chair.”

8VAC20-790-630-A

“Areas and equipment of the center inside and outside, shall be maintained in a clean, safe and operable condition. The electrical plate was missing from one of the outlets in the preschool room.”

8VAC20-790-800-A-2

“Shelter in place procedures shall be practiced twice a year. There was no documentation of two shelter in place drills in 2024.”

8VAC20-790-800-A-3

“The Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill for 2024.”

8VAC20-790-540-B-11

“Written allergy care plan for each child with a diagnosed food allergy. Child # 1 has a diagnosed food allergy and did not have a written allergy care plan.”

8VAC20-790-770-D

“Medications including staff’s personal medications, shall be kept in a locked place using a safe locking method that prevents access by children. Sitting on the widow seal in the infant room was an unlocked bottle of staff’s medication.”

8VAC20-790-710-1

“The following actions or threats thereof are forbidden, restricting movement through binding or tying. Child # 1 (16 months) was restrained by placing the child’s shirt over the back of the chair. The child was unable to freely exit the chair.”

22.1-289.031-B-2

“Based on record review, the Center failed to ensure each staff member completed required Fingerprint Background Check before date of employment. EVIDENCE: 1. Record for Staff #1 did not include a fingerprint background check. Director stated the date of hire was in July 2022 for Staff #1. 2. Record for Staff #4 did not include a fingerprint background check. Director stated the date of hire was in August 2023 for Staff #4.”

22.1-289.031-A-8

“Based on record review, the Center did not have at least one staff person certified in first aid and cardiopulmonary resuscitation present at the center whenever children are present. EVIDENCE: There was not at least 1 staff person present who has current CPR and First Aid certification. Staff #2 first aid and CPR certification expired 11/2022.”

22.1-289.031-A-4

“Based on record review, the Center failed to ensure every person in a supervisory position has been 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. EVIDENCE: 1. The annual health exam for Staff #1 was dated 3/28/2022 and has expired. Staff #1 was observed working with the children during the inspection. 2. The annual health exam for Staff #2 was dated 4/8/2022 and has expired. Staff #2 was observed working with the children during the inspection. 3. The annual health exam for Staff #3 was dated 3/4/2022 and has expired. Staff #3 was observed working with the children during the inspection. 4. Staff #5 did not have a completed health exam in the record. Staff #5 was observed working with the children during the inspection.”

22.1-289.049-A

“REPEAT VIOLATION Based on record review, the Center, upon enrollment of a child, failed to require information regarding proof of the child’s age and identity. EVIDENCE: Record for Child #1 (enrollment date was not documented), Child #2 (enrollment date 9/5/2023) and Child #3 (enrollment date 8/9/2022) did not include evidence of the child’s proof of age and identity.”

8VAC20-770-40-D-2

“Based on record review, the Center failed to have Sworn Disclosure Background Check completed for each staff person before date of employment; Center failed to have Central Registry Background Check completed for each staff person by the end of the 30th day of employment. EVIDENCE: 1. Record for Staff #5 did not include a sworn disclosure background check. Date of hire for Staff #4 was 7/7/2022. 2. Record for Staff #4 did not include a central registry background check. Director stated the date of hire was in August 2023.”

22.1-289.058

“Based on inspection, the Center failed to have a carbon monoxide detector in each building built before 2015 and houses a child day program that serves preschool children. EVIDENCE: A Carbon Monoxide detector has not been installed.”

8VAC20-790-600-F

“Based on record review, the Vendor failed to ensure staff who work directly with children annually attend at least 16 hours of training. EVIDENCE: Staff #1, Staff #2, Staff #3 and Staff #4 have not completed16 hours of annual training.”

8VAC20-790-600-D-2

“Based on record review, the Vendor failed to ensure staff who work with children is First Aid certified within the first 90 days of employment. EVIDENCE: Staff #1, Staff #3, Staff #4 and Staff #5 did not have First Aid certification and were hired for over a year.”

8VAC20-790-560-A

“REPEAT VIOLATION Based on record review, the Vendor failed to ensure each staff person is evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). EVIDENCE: Records for Staff #1 and Staff #5 did not have documentation of a completed TB skin test or screening.”

8VAC20-790-600-B

“Based on record review, the Vendor failed to ensure within the first 90 days of employment staff who work directly with children complete the Virginia Preservice Training for Child Care Staff. EVIDENCE: Staff #1 did not complete the 10 Virginia Preservice Training. Director stated the hire date was in July 2022.”

8VAC20-790-600-D-1

“Based on record review, the Vendor failed to ensure staff who work with children is CPR certified within the first 90 days of employment. EVIDENCE: Staff #1, #3, #4 and #5 did not have CPR certification. Date of hire for Staff #1 is July 2022, Staff #3 5/25/2022, Staff #4 March 2022 and Staff #5 2022.”

8VAC20-790-600-I

“Based on inspection, the Vendor failed to ensure at there is least 1 staff on duty who has obtained within the last 3 years instructions in performing a daily health observation of children. EVIDENCE: There was not at least one staff present during the inspection who has received daily health observation training.”

22.1-289.031-B-2

“Based on record review, the Center failed to ensure each staff member completed required Fingerprint Background Check before date of employment. EVIDENCE: 1. Record for Staff #1 did not include a fingerprint background check. Director stated the date of hire was in July 2022 for Staff #1. 2. Record for Staff #4 did not include a fingerprint background check. Director stated the date of hire was in August 2023 for Staff #4.”

22.1-289.031-A-8

“Based on record review, the Center did not have at least one staff person certified in first aid and cardiopulmonary resuscitation present at the center whenever children are present. EVIDENCE: There was not at least 1 staff person present who has current CPR and First Aid certification. Staff #2 first aid and CPR certification expired 11/2022.”

22.1-289.031-A-4

“Based on record review, the Center failed to ensure every person in a supervisory position has been 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. EVIDENCE: 1. The annual health exam for Staff #1 was dated 3/28/2022 and has expired. Staff #1 was observed working with the children during the inspection. 2. The annual health exam for Staff #2 was dated 4/8/2022 and has expired. Staff #2 was observed working with the children during the inspection. 3. The annual health exam for Staff #3 was dated 3/4/2022 and has expired. Staff #3 was observed working with the children during the inspection. 4. Staff #5 did not have a completed health exam in the record. Staff #5 was observed working with the children during the inspection.”

22.1-289.049-A

“REPEAT VIOLATION Based on record review, the Center, upon enrollment of a child, failed to require information regarding proof of the child’s age and identity. EVIDENCE: Record for Child #1 (enrollment date was not documented), Child #2 (enrollment date 9/5/2023) and Child #3 (enrollment date 8/9/2022) did not include evidence of the child’s proof of age and identity.”

8VAC20-770-40-D-2

“Based on record review, the Center failed to have Sworn Disclosure Background Check completed for each staff person before date of employment; Center failed to have Central Registry Background Check completed for each staff person by the end of the 30th day of employment. EVIDENCE: 1. Record for Staff #5 did not include a sworn disclosure background check. Date of hire for Staff #4 was 7/7/2022. 2. Record for Staff #4 did not include a central registry background check. Director stated the date of hire was in August 2023.”

22.1-289.058

“Based on inspection, the Center failed to have a carbon monoxide detector in each building built before 2015 and houses a child day program that serves preschool children. EVIDENCE: A Carbon Monoxide detector has not been installed.”

8VAC20-790-600-F

“Based on record review, the Vendor failed to ensure staff who work directly with children annually attend at least 16 hours of training. EVIDENCE: Staff #1, Staff #2, Staff #3 and Staff #4 have not completed16 hours of annual training.”

8VAC20-790-600-D-2

“Based on record review, the Vendor failed to ensure staff who work with children is First Aid certified within the first 90 days of employment. EVIDENCE: Staff #1, Staff #3, Staff #4 and Staff #5 did not have First Aid certification and were hired for over a year.”

8VAC20-790-560-A

“REPEAT VIOLATION Based on record review, the Vendor failed to ensure each staff person is evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). EVIDENCE: Records for Staff #1 and Staff #5 did not have documentation of a completed TB skin test or screening.”

8VAC20-790-600-B

“Based on record review, the Vendor failed to ensure within the first 90 days of employment staff who work directly with children complete the Virginia Preservice Training for Child Care Staff. EVIDENCE: Staff #1 did not complete the 10 Virginia Preservice Training. Director stated the hire date was in July 2022.”

8VAC20-790-600-D-1

“Based on record review, the Vendor failed to ensure staff who work with children is CPR certified within the first 90 days of employment. EVIDENCE: Staff #1, #3, #4 and #5 did not have CPR certification. Date of hire for Staff #1 is July 2022, Staff #3 5/25/2022, Staff #4 March 2022 and Staff #5 2022.”

8VAC20-790-600-I

“Based on inspection, the Vendor failed to ensure at there is least 1 staff on duty who has obtained within the last 3 years instructions in performing a daily health observation of children. EVIDENCE: There was not at least one staff present during the inspection who has received daily health observation training.”

8VAC20-790-560-A

“Based on record review, the Vendor failed to have documentation of a tuberculosis skin test/screening submitted at the time of employment for each staff. EVIDENCE: Licensing Inspector reviewed 3 staff records. 1 Documentation of a negative tuberculosis screening for Staff #3 was not completed on/before the date of hire. Staff #3 hire date is 5/31/2022; tuberculosis screening completed on 9/16/2022. 2 Documentation of a negative tuberculosis screening for Staff #1 was unavailable.”

8VAC20-790-650-C-3

“Based on inspection, the Vendor failed to ensure sinks located near the toilets and that are supplied with running warm water does not exceed 120 degrees F. EVIDENCE: The warm water located in the sinks that are used for handwashing registered as 125 degrees F. The warm water temperature exceeded maximum allowable temperature.”

8VAC20-790-540-B-12

“Based on record review, the Vendor failed to have proof of identity and age for each child. EVIDENCE: Licensing Inspector reviewed 3 children records. All 3 records did not include documentation of proof of identity.”

8VAC20-790-640-A

“Based on inspection, the Vendor failed to keep hazardous substance in a locked place using a safe locking method that prevents access by children. EVIDENCE: Unlocked hazardous cleaning agents were observed in the infant/toddler classroom.”

8VAC20-790-560-A

“Based on record review, the Vendor failed to have documentation of a tuberculosis skin test/screening submitted at the time of employment for each staff. EVIDENCE: Licensing Inspector reviewed 3 staff records. 1 Documentation of a negative tuberculosis screening for Staff #3 was not completed on/before the date of hire. Staff #3 hire date is 5/31/2022; tuberculosis screening completed on 9/16/2022. 2 Documentation of a negative tuberculosis screening for Staff #1 was unavailable.”

8VAC20-790-650-C-3

“Based on inspection, the Vendor failed to ensure sinks located near the toilets and that are supplied with running warm water does not exceed 120 degrees F. EVIDENCE: The warm water located in the sinks that are used for handwashing registered as 125 degrees F. The warm water temperature exceeded maximum allowable temperature.”

8VAC20-790-540-B-12

“Based on record review, the Vendor failed to have proof of identity and age for each child. EVIDENCE: Licensing Inspector reviewed 3 children records. All 3 records did not include documentation of proof of identity.”

8VAC20-790-640-A

“Based on inspection, the Vendor failed to keep hazardous substance in a locked place using a safe locking method that prevents access by children. EVIDENCE: Unlocked hazardous cleaning agents were observed in the infant/toddler classroom.”