Fellowship Baptist Church

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry prior to the employee’s first day of employment. Staff # 4, who had been employed for 18 months, before obtaining the central registry. Staff # 5, who had been employed for 10 months, before obtaining the central registry. Staff # 9, who had been employed for 19 months, before obtaining the central registry. Staff # 12, who had been employed for 10 months, before obtaining the central registry. Staff # 13, who had been employed for 19 months, before obtaining the central registry.”

22.1-289.031-A-3-a

“REPEAT VIOLATION The required ratio for children ages zero-16 months is one staff per four children. Staff #14 was observed supervising five infants.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff # 4, who had been employed for 18 months, before obtaining the national criminal background check. Staff # 5, who had been employed for 10 months, before obtaining the national criminal background check. Staff # 9, who had been employed for 19 months, before obtaining the national criminal background check. Staff # 12, who had been employed for 10 months, before obtaining the national criminal background check. Staff # 13, who had been employed for 19 months, before obtaining the national criminal background check.”

8VAC20-790-530-B

“For each group of children, the center shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The written attendance did not indicate as it occurred when the children departed the program.”

8VAC20-790-820-C

“Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Four infants had bottles propped while in their sleeping areas.”

8VAC20-790-630-B

“The center’s inside areas occupied by children shall be maintained no lower than 68?F and shall not exceed 80?F unless fans or other cooling systems are in use. The infant’s classroom thermostat was set at 60? degrees.”

8VAC20-790-540-B

“The center shall maintain and keep at the center a record for each enrolled child that includes the following: Child # 1 enrolled for 6 months was missing allergies, to include food allergies, intolerances to food, medication or other substances, and actions to be taken in an emergency situation. Child # 3 enrolled for 2 months was missing allergies, to include food allergies, intolerances to foo, medication or other substances, and actions to be taken in an emergency situation; physical problems, pertinent development information and any special accommodations needed.”

8VAC20-790-760-B-3-c

“Repeat Violation A nonabsorbent surface for diapering or changing shall be used. The diaper changing pad in the toddler room was not nonabsorbent.”

8VAC20-790-760-B-3-c

“A nonabsorbent surface for diapering or changing shall be used. The diaper changing pad was not nonabsorbent in the infant room.”

8VAC20-790-760-A-1

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Three classes of children did not have their hands washed with soap and running water or disposable wipes before lunch.”

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. A can of disinfectant and a container of disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the infant room not within reach of children.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff # 3, who had been employed for 3 months did not have the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-560-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 10 days after their first day of employment. Staff #3 is currently working and has a TB screening that was dated 4 months prior to their first day of employment.”

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. Staff #1, who had been employed for six weeks, did not have a central registry search requested. Staff #1 was working alone with children. Staff #2, who had been employed for 2 weeks, did not have a central registry search requested. Staff #2 was working alone with children. Staff #3, who had been employed for 3 months, did not have a central registry search requested. Staff #3 was working alone with children.”

22.1-289.031-A-3-a

“The required ratio for children ages zero-16 months is one staff per four children. Staff #5 and 6 were observed supervising nine children (youngest child was 11 months old).”

8VAC20-790-760-B-3-c

“A nonabsorbent surface for diapering or changing shall be used. The diaper changing pad was not nonabsorbent in the infant room.”

8VAC20-790-760-A-1

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Three classes of children did not have their hands washed with soap and running water or disposable wipes before lunch.”

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. A can of disinfectant and a container of disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the infant room not within reach of children.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff # 3, who had been employed for 3 months did not have the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-560-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 10 days after their first day of employment. Staff #3 is currently working and has a TB screening that was dated 4 months prior to their first day of employment.”

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. Staff #1, who had been employed for six weeks, did not have a central registry search requested. Staff #1 was working alone with children. Staff #2, who had been employed for 2 weeks, did not have a central registry search requested. Staff #2 was working alone with children. Staff #3, who had been employed for 3 months, did not have a central registry search requested. Staff #3 was working alone with children.”

22.1-289.031-A-3-a

“The required ratio for children ages zero-16 months is one staff per four children. Staff #5 and 6 were observed supervising nine children (youngest child was 11 months old).”

8VAC20-770-40-D-2

“Based on record review the facility failed to have documentation of a sworn statement for one staff member. Evidence: 1. Nine staff records were reviewed. 2. Staff #6 did not have documentation of a sworn statement. Date of hire was documented 06/2022. 3. Administration confirmed a sworn statement could not be found for Staff #6.”

54.1-3408-O

“Based on record review the center failed to have a staff member with medication administration training (MAT) administer medication to one child. Evidence: 1. On 10/4/2023, Staff #7 administered prescription medication to Child #1. 2. Staff record review revealed Staff #7 did not have MAT certification. 3. Review of 9 staff records revealed no staffhad obtained MAT certification. 4. Administration confirmed Staff #7 administered medication and had not obtained MAT certification.”

8VAC20-790-600-G

“Based on record review the center failed to have a staff member with medication administration training (MAT) administer medication to one child. Evidence: 1. On 10/4/2023, Staff #7 administered prescription medication to Child #1. 2. Staff record review revealed Staff #7 did not have MAT certification. 3. Review of 9 staff records revealed no staff had obtained MAT certification. 4. Administration confirmed Staff #7 administered medication and had not obtained MAT certification.”

8VAC20-790-600-F

“Based on record review the facility failed to have one staff member complete the department's annual 3 hour health and safety update course. Evidence: 1. Nine staff records were reviewed. 2. Staff # 4 did not have documentation of taking the department's health and safety update course. Last documented training update was 8/3/2021. 3. Administration confirmed training documentation could not be found for Staff #4.”

8VAC20-790-540-B

“Based on record review the facility failed to include written authorization to administer medication in one child's record. Evidence: 1. Five children's records were reviewed. 2. Child #1 did not have documentation written authorization to administer prescription medication. 3. Administration confirmed authorization had not been obtained.”

8VAC20-790-550-2-d

“Based on record review the facility failed to have documentation of a sworn statement for one staff member. Evidence: 1. Nine staff records were reviewed. 2. Staff #6 did not have documentation of a sworn statement. Date of hire was documented 06/2022. 3. Administration confirmed a sworn statement could not be found for Staff #6.”

8VAC20-790-600-B

“Based on record review the facility failed to have two staff members complete the Virginia Preservice Training for Child Care staff within 90 days of hire. Evidence: 1. Nine staff records were reviewed. 2. Staff # 2 and Staff #7 did not have documentation of obtaining Virginia Preservice Training for Child Care Staff within 90 days of employment. 3. Staff #2's date of hire was documented 10/4/2022. Staff #7's date of hire was documented 10/3/2022. 4. Administration confirmed documentation of Virginia Preservice Training could not be found.”

8VAC20-790-770-E

“Based on observation and record review, the facility failed to keep a record of a prescription medication given to children. Evidence: 1. One child was given medication on 10/4/2023. Interview with staff revealed a record of the medication given to the child was not documented. 2. Administration confirmed a record of prescription medication given to the child was not kept.”

8VAC20-770-40-D-2

“Based on record review the facility failed to have documentation of a sworn statement for one staff member. Evidence: 1. Nine staff records were reviewed. 2. Staff #6 did not have documentation of a sworn statement. Date of hire was documented 06/2022. 3. Administration confirmed a sworn statement could not be found for Staff #6.”

54.1-3408-O

“Based on record review the center failed to have a staff member with medication administration training (MAT) administer medication to one child. Evidence: 1. On 10/4/2023, Staff #7 administered prescription medication to Child #1. 2. Staff record review revealed Staff #7 did not have MAT certification. 3. Review of 9 staff records revealed no staffhad obtained MAT certification. 4. Administration confirmed Staff #7 administered medication and had not obtained MAT certification.”

8VAC20-790-600-G

“Based on record review the center failed to have a staff member with medication administration training (MAT) administer medication to one child. Evidence: 1. On 10/4/2023, Staff #7 administered prescription medication to Child #1. 2. Staff record review revealed Staff #7 did not have MAT certification. 3. Review of 9 staff records revealed no staff had obtained MAT certification. 4. Administration confirmed Staff #7 administered medication and had not obtained MAT certification.”

8VAC20-790-600-F

“Based on record review the facility failed to have one staff member complete the department's annual 3 hour health and safety update course. Evidence: 1. Nine staff records were reviewed. 2. Staff # 4 did not have documentation of taking the department's health and safety update course. Last documented training update was 8/3/2021. 3. Administration confirmed training documentation could not be found for Staff #4.”

8VAC20-790-540-B

“Based on record review the facility failed to include written authorization to administer medication in one child's record. Evidence: 1. Five children's records were reviewed. 2. Child #1 did not have documentation written authorization to administer prescription medication. 3. Administration confirmed authorization had not been obtained.”

8VAC20-790-550-2-d

“Based on record review the facility failed to have documentation of a sworn statement for one staff member. Evidence: 1. Nine staff records were reviewed. 2. Staff #6 did not have documentation of a sworn statement. Date of hire was documented 06/2022. 3. Administration confirmed a sworn statement could not be found for Staff #6.”

8VAC20-790-600-B

“Based on record review the facility failed to have two staff members complete the Virginia Preservice Training for Child Care staff within 90 days of hire. Evidence: 1. Nine staff records were reviewed. 2. Staff # 2 and Staff #7 did not have documentation of obtaining Virginia Preservice Training for Child Care Staff within 90 days of employment. 3. Staff #2's date of hire was documented 10/4/2022. Staff #7's date of hire was documented 10/3/2022. 4. Administration confirmed documentation of Virginia Preservice Training could not be found.”

8VAC20-790-770-E

“Based on observation and record review, the facility failed to keep a record of a prescription medication given to children. Evidence: 1. One child was given medication on 10/4/2023. Interview with staff revealed a record of the medication given to the child was not documented. 2. Administration confirmed a record of prescription medication given to the child was not kept.”

22.1-289.031-B-5

“Based on observation, the center failed to have resilient surfacing under the outside playground equipment. Evidence: 1. The outside playground was inspected. 2. There was no resilient surfacing under the playground equipment. 3. Staff confirmed no resilient surfacing was on the playground.”

22.1-289.035-B-2

“Based on record review the center failed to obtain fingerprints before the date of hire for one staff member. Evidence: 1. Ten staff records were reviewed. 2. Staff #8 did not have documentation of obtaining fingerprints before beginning employment. 3. Staff #8's date of hire was documented on 10/10/2022. 4. The director confirmed Staff #8 had not obtained fingerprints before beginning employment.”

8VAC20-790-800-A-2

“Based on record review, the center failed to conduct annually two shelter-in-place drills. Evidence: 1. Based on record review there was no documentation of the center conducting two shelter in place drills for the 2021-2022 year. 3. The director confirmed these drills had not been conducted.”

8VAC20-790-800-A-3

“Based on record review, the center failed to conduct an annual lockdown drill. Evidence: 1. There was no documentation of conducting an annual lockdown drill. 2. The director confirmed the drill had not been conducted.”

8VAC20-790-550-2-a

“Based on record review, the center failed to obtain fingerprints for one staff before date of hire. Evidence: 1. Ten staff records were reviewed and updated. 2. Staff #8 did not have documentation of obtaining fingerprints before prior to start date. 3. Staff #8's date of hire was documented on 10/10/2022. 4. The director confirmed fingerprints for Staff #8 had not been obtained prior to start date.”

8VAC20-790-560-A

“Based on staff review, the center failed to obtain a tuberculosis screening for four staff within 30 calendar days of the date of employment. Evidence: 1. Ten staff records were reviewed. 2. Staff #3, #7,#8 and #9 did not have documentation of obtaining a tuberculosis screening within 30 calendar days of the date of employment. 3. Staff #3's date of hire was documented 10/04/2022,Staff #7 documented date of hire was 10/03/2022, Staff #8 documented date of hire was 10/10/2022 and Staff # 9's date of hire was documented on 10/17/2022. 4. The director confirmed a tuberculosis screening had not been obtained with 30 calendar days of employment.”

8VAC20-790-600-F

“Based on record review, the center failed to obtain 16 hours of annual training to include the departments health and safety update. Evidence: 1. Ten staff records were reviewed. 2. Staff #1, #2, #4, and #10 did not have documentation of completing 16 hours of annual training which include the health and safety update course. 3. The director confirmed the hours had not been taken.”

8VAC20-790-620-A

“Based on record review the center failed to obtain an annual fire inspection. Evidence: 1. There was no documentation on 10/24/2022 of an annual fire inspection being conducted. 2. Last documented fire inspection was dated 06/15/2021. 3. The director confirmed an annual fire inspection had not been conducted.”

8VAC20-790-620-B

“Based on record review the center failed to obtain an annual health inspection. Evidence: 1. There was no documentation 0n 10/24/2022 of obtaining an updated annual health inspection. 2. Last documented health inspection was dated 06/16/2021/ 3. The director confirmed the annual health inspection had not been obtained.”

8VAC20-790-670-C-1

“Based on observation, the center failed to have one staff member to four children ages zero to 16 months. Evidence: 1. At approximately 11:45 a.m. one staff member was observed to be supervising 6 infants. 2. Staff confirmed she was the only person scheduled for the day to work in the infant room.”

22.1-289.031-B-5

“Based on observation, the center failed to have resilient surfacing under the outside playground equipment. Evidence: 1. The outside playground was inspected. 2. There was no resilient surfacing under the playground equipment. 3. Staff confirmed no resilient surfacing was on the playground.”

22.1-289.035-B-2

“Based on record review the center failed to obtain fingerprints before the date of hire for one staff member. Evidence: 1. Ten staff records were reviewed. 2. Staff #8 did not have documentation of obtaining fingerprints before beginning employment. 3. Staff #8's date of hire was documented on 10/10/2022. 4. The director confirmed Staff #8 had not obtained fingerprints before beginning employment.”

8VAC20-790-800-A-2

“Based on record review, the center failed to conduct annually two shelter-in-place drills. Evidence: 1. Based on record review there was no documentation of the center conducting two shelter in place drills for the 2021-2022 year. 3. The director confirmed these drills had not been conducted.”

8VAC20-790-800-A-3

“Based on record review, the center failed to conduct an annual lockdown drill. Evidence: 1. There was no documentation of conducting an annual lockdown drill. 2. The director confirmed the drill had not been conducted.”

8VAC20-790-550-2-a

“Based on record review, the center failed to obtain fingerprints for one staff before date of hire. Evidence: 1. Ten staff records were reviewed and updated. 2. Staff #8 did not have documentation of obtaining fingerprints before prior to start date. 3. Staff #8's date of hire was documented on 10/10/2022. 4. The director confirmed fingerprints for Staff #8 had not been obtained prior to start date.”

8VAC20-790-560-A

“Based on staff review, the center failed to obtain a tuberculosis screening for four staff within 30 calendar days of the date of employment. Evidence: 1. Ten staff records were reviewed. 2. Staff #3, #7,#8 and #9 did not have documentation of obtaining a tuberculosis screening within 30 calendar days of the date of employment. 3. Staff #3's date of hire was documented 10/04/2022,Staff #7 documented date of hire was 10/03/2022, Staff #8 documented date of hire was 10/10/2022 and Staff # 9's date of hire was documented on 10/17/2022. 4. The director confirmed a tuberculosis screening had not been obtained with 30 calendar days of employment.”

8VAC20-790-600-F

“Based on record review, the center failed to obtain 16 hours of annual training to include the departments health and safety update. Evidence: 1. Ten staff records were reviewed. 2. Staff #1, #2, #4, and #10 did not have documentation of completing 16 hours of annual training which include the health and safety update course. 3. The director confirmed the hours had not been taken.”

8VAC20-790-620-A

“Based on record review the center failed to obtain an annual fire inspection. Evidence: 1. There was no documentation on 10/24/2022 of an annual fire inspection being conducted. 2. Last documented fire inspection was dated 06/15/2021. 3. The director confirmed an annual fire inspection had not been conducted.”

8VAC20-790-620-B

“Based on record review the center failed to obtain an annual health inspection. Evidence: 1. There was no documentation 0n 10/24/2022 of obtaining an updated annual health inspection. 2. Last documented health inspection was dated 06/16/2021/ 3. The director confirmed the annual health inspection had not been obtained.”

8VAC20-790-670-C-1

“Based on observation, the center failed to have one staff member to four children ages zero to 16 months. Evidence: 1. At approximately 11:45 a.m. one staff member was observed to be supervising 6 infants. 2. Staff confirmed she was the only person scheduled for the day to work in the infant room.”

22VAC40-665-520-B-7

“Based on record review, the center failed to obtain documentation of immunization for one child. Evidence: 1. Three children's records were reviewed. 2. Child B did not have documentation of obtaining immunizations before the first date of attendance. Start date was documented as 09/18/2021. 3. The director confirmed no proof of documentation of immunization was obtained.”

22VAC40-665-520-B-7

“Based on record review, the center failed to obtain documentation of immunization for one child. Evidence: 1. Three children's records were reviewed. 2. Child B did not have documentation of obtaining immunizations before the first date of attendance. Start date was documented as 09/18/2021. 3. The director confirmed no proof of documentation of immunization was obtained.”