Effort Baptist Church

8VAC20-790-790-B-3

“Based on a review of the emergency plan, the center failed to ensure the lockdown procedures contained all the required information. Evidence: The lockdown procedures did not contain the following: - Methods of communication with parents and emergency responders. - Accommodations or special requirements for children with special needs to ensure their safety during lockdown.”

8VAC20-790-790-B-4

“Based on a review of the emergency plan, the center failed to document the centers plan to review and update the emergency plan. Evidence: The emergency plan did not contain a plan to review and update the emergency plan.”

8VAC20-790-790-B-5

“Based on a review of the emergency plan, the center failed to include a plan for continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: The emergency plan did not contain a continuity of operations procedure.”

8VAC20-790-760-B-3

“Based on observation, the center failed to have all the items required in the diapering area. Evidence: 1. In the Family Center girls restroom the diaper pad was covered with a nonabsorbent surface. 2. In the Family Center girls restroom the diapering area did not have a disposal container that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-790-650-C-3

“Based on observation, the center failed to ensure the sinks located near the toilets are supplied with running warm water that does not exceed 120?F. Evidence: In the Family Center boys restroom the water temperature was 125?F.”

8VAC20-790-640-A

“Based on observation, the center failed to ensure all hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the art room, on a low shelf accessible by children, was Lysol wipes, Febreze room deodorizer and Disinfectant Wipes. 2. In theFamily Center art room was a spray bottle of Shout on a high shelf. 3. In the Family Center chapel under the sink in an unlocked cabinet was bleach and disinfectant wipes. 4. In the Eagles Nest girls bathroom was bleach in an unlocked cabinet above the changing table.”

8VAC20-790-790-B-2

“Based on a review of the emergency plan, the center failed to ensure the shelter-in-place procedures included all the required information. Evidence: The shelter-in-place plan did not contain the following: - Method of communication after the shelter-in-place. - Accommodations or special requirements for children with special needs to ensure their safety during shelter-in-place. - Method to ensure special health supplies are carried into the designated assembly points”

8VAC20-790-790-B-1

“Based on a review of the emergency plan, the evacuation plan did not contain all the required information. Evidence: The evacuation plan did not contain the following: - Methods to alert staff and emergency responders. - Method to move to a relocation site. - Method of communication with parents after the evacuation or relocation. - Method to ensure medications is taken to the assembly point and relocation site.”

8VAC20-770-40-D-2

“Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment. Evidence: 1. The record of staff 1, start date 3/10/21, has a sworn statement dated 11/16/22. 2. The director verified the sworn statement dated 11/16/22 is the only sworn statement they have on record.”

22.1-289.031-A-6

“Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the physical facilities, enrollment capacity, health requirements of staff and public liability insurance. Evidence: 1. The information provided to parents was reviewed. The physical facilities, enrollment capacity, health requirements of staff and public liability insurance was not documented in the information provided to parents. 2. The director verified the required information was not provided to parents.”

22.1-289.031-A

“Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the fact the center is exempt from licensure, the qualifications of personnel and failed to post the fact that the center is exempt from licensure in a visible location on the premises. Evidence: 1. The director provided the documentation given to parents. The information did not contain the fact the center is exempt from licensure or the qualifications of the personnel. 2. The director verified the documentation given to parents does not contain information regarding the center's exemption status or the personnel's qualifications. 3. During the tour of the facility a posting of the center's exemption status was not found. 4. The director stated the exemption letter is posted in the director's office which is not in the same building as the preschool classes.”

22.1-289.031-B-3

“Based on record review and interview, the center failed to establish and implement a procedure to ensure a daily simple health screening and exclusion of sick children completed by a trained person. Evidence: The director stated a procedure is in place to check children as they arrive each day. However, the director was not aware the check was to be completed by trained person.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff supervising children 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 prior to working with children and yearly there after. Evidence: 1. Staff 1's start date was 7/14/21. The staff health report is dated 8/3/21. 2. Staff 2's start date was 8/23/21. Staff 2 does not have a staff health report. 3. Staff 4's start date was 8/2/19. The most current staff health report is dated 8/7/19.”

22.1-289.031-B-3

“Based on record review and interview, the center failed to establish and implement a procedure to ensure a daily simple health screening and exclusion of sick children completed by a trained person. Evidence: The director stated a procedure is in place to check children as they arrive each day. However, the director was not aware the check was to be completed by trained person.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff supervising children 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 prior to working with children and yearly there after. Evidence: 1. Staff 1's start date was 7/14/21. The staff health report is dated 8/3/21. 2. Staff 2's start date was 8/23/21. Staff 2 does not have a staff health report. 3. Staff 4's start date was 8/2/19. The most current staff health report is dated 8/7/19.”