Enoch Baptist Church

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. On the day of the inspection, three of 13 lunchboxes belonging to children were unlabeled.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The record for Staff #1 (employed for over three months) did not contain CPR certification.”

8VAC20-790-560-A

“Tuberculosis (TB) documentation shall be submitted at the time of employment and prior to coming into contact with children and shall have been completed within the last 30 calendar days of the date of employment. There was no TB documentation in the record of Volunteer #1. The TB test for Staff #1 was not completed within 30 days of employment; the TB test was completed four months before employment.”

22.1-289.036-A

“Centers are required to obtain a five-year repeat check for all required background checks. The record for Staff #2 did not contain a repeat sworn statement, which is required every five years.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. There was no documentation of a central registry search in the record of Staff #2.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The record of Staff #1 (employed for three months) and Volunteer #1 did not contain a criminal background check. Both the staff member and the volunteer were observed working with children on the day of the inspection.”

22.1-289.031-B-5

“Ensuring that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. There was little to no cushioning material under equipment on the center's playground.”

22.1-289.031-A-5-d

“The center's vehicle shall meet all vehicle requirements regarding vehicle inspections. The center's bus, used for transportation of children, had an expired inspection on the day of the inspection.”

22.1-289.031-A-3

“At least one staff member shall be physically present in the same space as the children under supervision at all times. Volunteer #2 was observed supervising a napping child alone. There was not at least one staff member present in the room.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. The record for Staff #1 (employed for over three months) did not contain first aid certification.”

8VAC20-790-560-B

“Subsequent TB screenings for staff are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Staff 3 has not had a tuberculosis screening in the last two years.”

8VAC20-790-790-D

“A 911 or local dial number for police, fire, and emergency medical services and the number of the regional poison control center shall be posted in a visible and conspicuous place. 911 was not posted in a visible and conspicuous place.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of sanitizing wipes and 2 containers of hand sanitizer with warning labels on desks in classrooms.”

22.1-289.031-A-3-f

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. There shall be one staff member to 10 children from ages 36 months to five years. During lunch time there were two staff members on duty with 26 children, ages three years through school age for 12 minutes, after which there was one staff member with the 26 children for the remaining 30 minutes of lunch time”

22.1-289.031-B-2

“There shall be appropriate supervision of all children in care. Children were observed being sent into the building from the side grassy play area without communication between staff to transfer supervision. There were two school aged children alone together in the library without supervision.”

22.1-289.036-E

“No person shall be involved in the day-to-day operations of the child day center, or shall be alone with, in control of, or supervising one or more children, without first having completed a search of the child protective services central registry. Results of a child protective services central registry search were not in the record provided for staff 3, employed for over 1 year, and who was on duty alone with children during the inspection.”

8VAC20-790-560-B

“Subsequent TB screenings for staff are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Staff 3 has not had a tuberculosis screening in the last two years.”

8VAC20-790-790-D

“A 911 or local dial number for police, fire, and emergency medical services and the number of the regional poison control center shall be posted in a visible and conspicuous place. 911 was not posted in a visible and conspicuous place.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of sanitizing wipes and 2 containers of hand sanitizer with warning labels on desks in classrooms.”

22.1-289.031-A-3-f

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. There shall be one staff member to 10 children from ages 36 months to five years. During lunch time there were two staff members on duty with 26 children, ages three years through school age for 12 minutes, after which there was one staff member with the 26 children for the remaining 30 minutes of lunch time”

22.1-289.031-B-2

“There shall be appropriate supervision of all children in care. Children were observed being sent into the building from the side grassy play area without communication between staff to transfer supervision. There were two school aged children alone together in the library without supervision.”

22.1-289.036-E

“No person shall be involved in the day-to-day operations of the child day center, or shall be alone with, in control of, or supervising one or more children, without first having completed a search of the child protective services central registry. Results of a child protective services central registry search were not in the record provided for staff 3, employed for over 1 year, and who was on duty alone with children during the inspection.”

8VAC20-790-540-B

“Based upon review of children's records and staff interview, the vendor has not ensured that children's records include all required information. Evidence: 1. The record provided for child 1 did not have indicated the last date of attendance (termination date). 2. The record provided for child 2 did not include the first date of attendance and did not have the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. 3. The record provided for child 3 did not include the first date of attendance. 4. The record provided for child 4 did not include the first date of attendance, the last date of attendance (termination dat) and did not have the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached. 5. Staff 1 verified that the above information was not in the children's records as stated above.”

8VAC20-790-540-B-8

“Based upon review of children's records and staff interview, the vendor has not ensured that there is written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: 1. The records provided for child 1, 2, 3, 4 and 5 did not include written parent authorization for emergency medical treatment should an emergency occur and the parent cannot be located immediately. 2. Staff 1 verified that the agreement for emergency medical care is not the children's files as indicated above.”

8VAC20-790-800-A-2

“Based upon review of documentation and staff interview, the vendor has not ensured that shelter-in-place drills are practiced twice per year. Evidence: 1. The documentation of emergency drills provided did not include any documentation of shelter-in-place drills within the past year. 2. Staff 1 confirmed that there was no documentation of shelter-in-place drills being conducted.”

8VAC20-790-720-C

“Based upon review of written injury records and staff interview, the vendor has not ensured that written records of children's injuries include all required documentation. Evidence: 1. An injury record for child 2 was not dated and did not include the date, time and how the parent was notified of the injury. The injury record was signed by only one person. 2. An injury record dated 5/19/2021 for child 2 did not have the date, time and how the parent was notified of the injury. #. staff 1 reviewed the injury records with the inspector and acknowledged the missing information.”

8VAC20-790-770-A

“Based upon review of children's medication documentation and staff interview, the vendor has not ensured that the written parent authorization for the medication to be administered includes the length of time the authorization is being given. Evidence: 1. There was prescription albuterol for the emergency administration to child 5. The parent authorization did not indicate the dates for which the authorization was being given. 2. There was prescription albuterol for the emergency administration to child 2. The parent authorization for the administration of the medication expired 4/30/2022. 3. Staff 1 acknowledged the above information.”

8VAC20-790-560-A

“Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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: The records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.”

8VAC20-790-550-1

“Based upon review of staff records and staff interview, the vendor has not ensured that staff records include the date of employment. Evidence: 1. The record provided for staff 3 did not include the date of employment. 2. Staff 1 acknowledged that the date of employment was not indicated in the record provided for staff 3.”

8VAC20-790-540-B-16

“Based upon review of five children's records and staff interview, the vendor has not ensured that they have a written statement that the vendor will notify the parent when a child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Evidence: 1. The record provided for child 4 did not include an agreement that the parent will pick up the ill child if requested by the vendor. 2. Staff 1 verified that the agreement (parent handbook agreement) was not in child 4's file.”

8VAC20-790-640-A

“d upon inspector and staff observation, the vendor has not ensured that hazardous substances such as cleaning materials are kept in locked places using a safe locking methods that prevent access by children. Evidence: 1. There were containers of Lysol disinfecting wipes with warning labels in all three classrooms on shelves within reach of children. 2. There was a container of disinfecting spray with a warning label on a shelf within reach of children in the 3 - 5 year old classroom. 3. The was a container of spray paint and a container shaving cream on shelves in the 6-9 year old classroom. Both containers had warning labels. 4. A child was observed wringing out a cloth from an open container of bleach water on a table in the lunch room. 5. Staff 1 observed the above with the inspector.”

8VAC20-790-600-C

“Based upon review of staff records and staff interview, the vendor has not ensured that orientation training of staff is completed prior to staff working alone with the children and within seven days of the date of employment. Evidence: 1. The records provided for staff 1, 2, 3 and 4 did not include documentation of the required orientation training prior to working with the children. 2. Staff 1 acknowledged that the staff records did not include documentation of the required orientation training.”

8VAC20-790-580-A

“Based upon review of children's records, the vendor has not ensured that children's records include documentation that the child has received the immunizations required by the State Board of Health before the child attends the center. Evidence: The record provided for child 5 did not include documentation of immunizations.”

8VAC20-790-560-A

“Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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: The records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.”

8VAC20-770-40-D-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained for all staff the results of a Child Protective Services ( CPS ) Central Registry Search within 30 days of employment. Evidence: 1. The record provided for staff 4 indicated a hire date of 9/7/2021. The record did not include the results of a CPS Central Registry Search. 2. Staff 1 confirmed that the results of a CPS Central Registry Search were not in the record for staff 4.”

8VAC20-790-540-B

“Based upon review of children's records and staff interview, the vendor has not ensured that children's records include all required information. Evidence: 1. The record provided for child 1 did not have indicated the last date of attendance (termination date). 2. The record provided for child 2 did not include the first date of attendance and did not have the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. 3. The record provided for child 3 did not include the first date of attendance. 4. The record provided for child 4 did not include the first date of attendance, the last date of attendance (termination dat) and did not have the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached. 5. Staff 1 verified that the above information was not in the children's records as stated above.”

8VAC20-790-540-B-8

“Based upon review of children's records and staff interview, the vendor has not ensured that there is written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: 1. The records provided for child 1, 2, 3, 4 and 5 did not include written parent authorization for emergency medical treatment should an emergency occur and the parent cannot be located immediately. 2. Staff 1 verified that the agreement for emergency medical care is not the children's files as indicated above.”

8VAC20-790-800-A-2

“Based upon review of documentation and staff interview, the vendor has not ensured that shelter-in-place drills are practiced twice per year. Evidence: 1. The documentation of emergency drills provided did not include any documentation of shelter-in-place drills within the past year. 2. Staff 1 confirmed that there was no documentation of shelter-in-place drills being conducted.”

8VAC20-790-720-C

“Based upon review of written injury records and staff interview, the vendor has not ensured that written records of children's injuries include all required documentation. Evidence: 1. An injury record for child 2 was not dated and did not include the date, time and how the parent was notified of the injury. The injury record was signed by only one person. 2. An injury record dated 5/19/2021 for child 2 did not have the date, time and how the parent was notified of the injury. #. staff 1 reviewed the injury records with the inspector and acknowledged the missing information.”

8VAC20-790-770-A

“Based upon review of children's medication documentation and staff interview, the vendor has not ensured that the written parent authorization for the medication to be administered includes the length of time the authorization is being given. Evidence: 1. There was prescription albuterol for the emergency administration to child 5. The parent authorization did not indicate the dates for which the authorization was being given. 2. There was prescription albuterol for the emergency administration to child 2. The parent authorization for the administration of the medication expired 4/30/2022. 3. Staff 1 acknowledged the above information.”

8VAC20-790-560-A

“Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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: The records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.”

8VAC20-790-550-1

“Based upon review of staff records and staff interview, the vendor has not ensured that staff records include the date of employment. Evidence: 1. The record provided for staff 3 did not include the date of employment. 2. Staff 1 acknowledged that the date of employment was not indicated in the record provided for staff 3.”

8VAC20-790-540-B-16

“Based upon review of five children's records and staff interview, the vendor has not ensured that they have a written statement that the vendor will notify the parent when a child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Evidence: 1. The record provided for child 4 did not include an agreement that the parent will pick up the ill child if requested by the vendor. 2. Staff 1 verified that the agreement (parent handbook agreement) was not in child 4's file.”

8VAC20-790-640-A

“d upon inspector and staff observation, the vendor has not ensured that hazardous substances such as cleaning materials are kept in locked places using a safe locking methods that prevent access by children. Evidence: 1. There were containers of Lysol disinfecting wipes with warning labels in all three classrooms on shelves within reach of children. 2. There was a container of disinfecting spray with a warning label on a shelf within reach of children in the 3 - 5 year old classroom. 3. The was a container of spray paint and a container shaving cream on shelves in the 6-9 year old classroom. Both containers had warning labels. 4. A child was observed wringing out a cloth from an open container of bleach water on a table in the lunch room. 5. Staff 1 observed the above with the inspector.”

8VAC20-790-600-C

“Based upon review of staff records and staff interview, the vendor has not ensured that orientation training of staff is completed prior to staff working alone with the children and within seven days of the date of employment. Evidence: 1. The records provided for staff 1, 2, 3 and 4 did not include documentation of the required orientation training prior to working with the children. 2. Staff 1 acknowledged that the staff records did not include documentation of the required orientation training.”

8VAC20-790-580-A

“Based upon review of children's records, the vendor has not ensured that children's records include documentation that the child has received the immunizations required by the State Board of Health before the child attends the center. Evidence: The record provided for child 5 did not include documentation of immunizations.”

8VAC20-790-560-A

“Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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: The records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.”

8VAC20-770-40-D-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained for all staff the results of a Child Protective Services ( CPS ) Central Registry Search within 30 days of employment. Evidence: 1. The record provided for staff 4 indicated a hire date of 9/7/2021. The record did not include the results of a CPS Central Registry Search. 2. Staff 1 confirmed that the results of a CPS Central Registry Search were not in the record for staff 4.”