First Baptist Church of Ashland

22.1-289.031-B-3

“The center shall establish and implement procedures for a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Staff discussed procedures over daily health screenings, but no one at the center has been formally trained.”

22.1-289.031-B-2

“The center shall establish and implement procedures for appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. It was reported that the center uses a staff placement agency that provides individuals to work at the center. The center stated they do not have any required documentation for the individuals that work with children. The center stated that up to seven people have come to work at the center that were counted in ratio, which started approximately one month ago.”

22.1-289.031-A-4

“Each person in a supervisory position has 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. Staff #1 had a staff health form that expired three months ago. Staff #2, employed for six days, did not have a staff health form present at the time of the inspection. Staff #8 had a staff health form that expired one month ago. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a staff health form at the time of the inspection.”

8VAC20-790-560-A

“Staff shall 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. Staff #6, employed for six days, did not have documentation of a screening at the time of the inspection. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a TB screening at the time of the inspection.”

8VAC20-790-710-1

“The following actions or threats thereof are forbidden: roughly handling a child. On 09/01/2026, staff #1 was observed holding child #4, age two years, by the upper arms to keep the child from leaving the staff’s grasp. The child was crying and wanted to leave the room. Child #4 fell to the ground and staff #1 picked up the child from the ground by the upper arms to prevent the child from attempting to leave.”

8VAC20-790-780-C-2

“The following nonmedical emergency supplies shall be required: One working, battery-operated radio. The center did not have a battery-operated radio at the time of the inspection.”

8VAC20-790-600-C

“Orientation training for staff shall be completed on the required facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Staff #2, who was alone working with a group of children, did not have documentation of completed orientation training. Staff #4, employed for three weeks and was alone working with a group of children, did not have documentation of completed orientation training.”

8VAC20-790-550-1

“The following records shall be kept for each staff person: Name, address, verification of age, and date of employment or volunteering. Staff #5, employed for one month, and staff #6, employed for eight days, did not have verification of age in their record. Staff #9, identified as staff and was counted in ratio at the time of the inspection, did not have documentation of name, address, verification of age or the date of employment or volunteering.”

8VAC20-790-540-B

“The child's record shall include all required information. The record for child #2 was missing a work phone number for a parent. The records for child #4 and child #5 were missing a work phone number and work address for a parent.”

22.1-289.049-A

“Systemic Deficiency: Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. The records for child #1, child #2, child #3, child #4 and child #5, who were all present at the time of the inspection, did not contain previous child day care and schools attended by the child.”

22.1-289.035-B-3

“Systemic Deficiency: The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, employed for six days, did not have a central registry search requested. Staff #2 was working alone with a group of children. Staff #4, employed for three weeks, did not have a central registry search requested. Staff #4 was working alone with a group of children. Staff #5, employed for one month, did not have a central registry search requested. Staff #6, employed for eight days, did not have a central registry search requested. Staff #9, identified as staff and was counted in ratio at the time of the inspection, did not have a central registry search requested.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #1?s health and safety update course was due five months ago. Staff #7?s health and safety update course was due six months ago.”

8VAC20-790-800-A-1

“Systemic Deficiency: Evacuation procedures shall be practiced at least monthly. Evacuation drills were not conducted for May 2026, June 2026 or July 2026.”

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. Prepared bottles in the infant room for two children were observed without dates.”

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 #2, employed for six days, did not have a criminal background check available to view at the time of inspection. Staff #2 was working alone with a group of children. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a criminal background check available to view at the time of inspection.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #2, employed for six days, did not have a completed sworn statement available to view at the time of inspection. Staff #2 was working alone with a group of children. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a completed sworn statement available to view at the time of inspection.”

8VAC20-790-580-B

“The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age. The record for child #3, 23 months old, did not have documentation of updated immunization records. Updated immunization records were due three months ago.”

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. In classroom #2, a cabinet with cleaning materials was observed unlocked.”

8VAC20-790-520-F

“The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergy lists present in each room were not dated and not kept confidential.”

8VAC20-790-630-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. In classroom #1, the windowsill had chipped paint. In classroom #2, there was an electric wire accessible to children and was sharp to the touch.”

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. In classroom #2, a cabinet with cleaning materials was observed unlocked.”

8VAC20-790-520-F

“The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergy lists present in each room were not dated and not kept confidential.”

8VAC20-790-630-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. In classroom #1, the windowsill had chipped paint. In classroom #2, there was an electric wire accessible to children and was sharp to the touch.”

22.1-289.031-A-3-a Complaint related: Yes

“The child day center employs supervisory personnel according to one staff member to four children from ages zero to 16 months. On 11/15/2024 at approximately 8:22am, 13 children were observed ages 6 months through 18 months under the care of three staff. The center did not maintain ratios of 1 staff for every 4 children. At approximately 8:30am, a 4th staff arrived.”

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. In the infant room, two separate infant bottles were observed without a date.”

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. In the toddler room, a bottle of bleach water was next to the changing station unlocked and within reach of children.”

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. In the infant room, two separate infant bottles were observed without a date.”

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. In the toddler room, a bottle of bleach water was next to the changing station unlocked and within reach of children.”

22.1-289.031-A-3-d Complaint related: Yes

“Based on interview, and documentation review, the center failed to follow staff to child ratio of one staff member to 10 children from ages 36 months to five years. Evidence: Review of daily attendance for the months of September and October 2023 revealed that there were multiple days where there were up to 15 children, age 4 years, that attended. Interview with staff #1 and administration confirmed that classroom #1 frequently has 1 staff member with up to 15 children, age 4 years, at a time.”

8VAC20-790-560-B

“Based on record review, and interview, the center failed to ensure that staff submit subsequent TB screenings at least every two years from the date of the initial screening. Evidence: 1. The record for staff #2, date of employment 04/16/12, contained a TB screening dated 09/21/2021. A subsequent TB screening was due on or before 09/21/2023. 2. The record for staff #3, date of employment 09/02/2014, contained a TB screening dated 08/21/2021. A subsequent TB screening was due on or before 08/21/2023. 3. The record for staff #4, date of employment 11/23/2020, contained a TB screening dated 11/17/2020. A subsequent TB screening was due on or before 11/17/2022.”

22.1-289.031-B-3

“Based on interview, the center failed to ensure to implement a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Evidence: Administration confirmed that there are not any staff trained to perform a daily simple health screening.”

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to child ratios of one staff member to 10 children from ages 36 months to five years. Evidence: Classroom #1 contained 1 staff with 13 children ages four to five years. Staff #1 and staff #2 confirmed that there were 13 children with 1 staff member.”

22.1-289.031-A-3-d Complaint related: Yes

“Based on interview, and documentation review, the center failed to follow staff to child ratio of one staff member to 10 children from ages 36 months to five years. Evidence: Review of daily attendance for the months of September and October 2023 revealed that there were multiple days where there were up to 15 children, age 4 years, that attended. Interview with staff #1 and administration confirmed that classroom #1 frequently has 1 staff member with up to 15 children, age 4 years, at a time.”

8VAC20-790-560-B

“Based on record review, and interview, the center failed to ensure that staff submit subsequent TB screenings at least every two years from the date of the initial screening. Evidence: 1. The record for staff #2, date of employment 04/16/12, contained a TB screening dated 09/21/2021. A subsequent TB screening was due on or before 09/21/2023. 2. The record for staff #3, date of employment 09/02/2014, contained a TB screening dated 08/21/2021. A subsequent TB screening was due on or before 08/21/2023. 3. The record for staff #4, date of employment 11/23/2020, contained a TB screening dated 11/17/2020. A subsequent TB screening was due on or before 11/17/2022.”

22.1-289.031-B-3

“Based on interview, the center failed to ensure to implement a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Evidence: Administration confirmed that there are not any staff trained to perform a daily simple health screening.”

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to child ratios of one staff member to 10 children from ages 36 months to five years. Evidence: Classroom #1 contained 1 staff with 13 children ages four to five years. Staff #1 and staff #2 confirmed that there were 13 children with 1 staff member.”

22.1-289.031-A-3-d Complaint related: Yes

“Based on interview, and documentation review, the center failed to follow staff to child ratio of one staff member to 10 children from ages 36 months to five years. Evidence: Review of daily attendance for the months of September and October 2023 revealed that there were multiple days where there were up to 15 children, age 4 years, that attended. Interview with staff #1 and administration confirmed that classroom #1 frequently has 1 staff member with up to 15 children, age 4 years, at a time.”

8VAC20-790-560-B

“Based on record review, and interview, the center failed to ensure that staff submit subsequent TB screenings at least every two years from the date of the initial screening. Evidence: 1. The record for staff #2, date of employment 04/16/12, contained a TB screening dated 09/21/2021. A subsequent TB screening was due on or before 09/21/2023. 2. The record for staff #3, date of employment 09/02/2014, contained a TB screening dated 08/21/2021. A subsequent TB screening was due on or before 08/21/2023. 3. The record for staff #4, date of employment 11/23/2020, contained a TB screening dated 11/17/2020. A subsequent TB screening was due on or before 11/17/2022.”

22.1-289.031-B-3

“Based on interview, the center failed to ensure to implement a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Evidence: Administration confirmed that there are not any staff trained to perform a daily simple health screening.”

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to child ratios of one staff member to 10 children from ages 36 months to five years. Evidence: Classroom #1 contained 1 staff with 13 children ages four to five years. Staff #1 and staff #2 confirmed that there were 13 children with 1 staff member.”