First Baptist Church of Martinsville

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs. Over a period of several months, Child 1 had been checked into the center on multiple dates when the child was not actually in care. Attendance was not documented as it occurred.”

8VAC20-790-670-H

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. Over a period of several months, Staff 1 would intermittently leave the classroom of children (ages 8-10 years) alone and out of actual sight and sound supervision for up to approximately 5 minutes.”

8VAC20-790-770-D

“Medication, including staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was located in a basket on a table in Classroom 2 that was accessible by children.”

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

“A nonabsorbent surface for diapering or changing shall be used. The diapering surface in Classroom 3 was an absorbent cloth cover.”

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 were unlocked cleaning materials in Classroom 2 and Classroom 4.”

8VAC20-790-530-B

“For each group of children, the vendor 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 attendance records for Classrooms 1, 2, 3, 4, 5, 6, and 7 did not document the arrival and departure of each child in care as it occurred on 08/15/2025.”

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. The record for Staff 4, employed for one week, did not contain documentation of a negative TB screening.”

8VAC20-790-630-C-2

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were uncovered electrical outlets in Classroom 2 and Classroom 9.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff 4, employed for one week, did not have documentation of requesting the child abuse and neglect registry check, criminal history check and a sex offender registry check from all states in which the individual has resided in the preceding five years.”

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. The sworn statement for Staff 2 was dated 24 days after their first day of employment. The sworn statement for Staff 4 was dated 3 days after their first day of employment. The sworn statement for Staff 5 was dated 1 day after their first day of employment.”

22.1-289.031-A-4

“REPEAT VIOLATION 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 them from caring for children under their supervision. The health exam for Staff 2 was 2 months overdue. The health exam for Staff 3 was 2 months overdue. There was not a record of a health exam on file for Staff 4.”

8VAC20-790-770-D

“Medication, including staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was located in a basket on a table in Classroom 2 that was accessible by children.”

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

“A nonabsorbent surface for diapering or changing shall be used. The diapering surface in Classroom 3 was an absorbent cloth cover.”

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 were unlocked cleaning materials in Classroom 2 and Classroom 4.”

8VAC20-790-530-B

“For each group of children, the vendor 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 attendance records for Classrooms 1, 2, 3, 4, 5, 6, and 7 did not document the arrival and departure of each child in care as it occurred on 08/15/2025.”

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. The record for Staff 4, employed for one week, did not contain documentation of a negative TB screening.”

8VAC20-790-630-C-2

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were uncovered electrical outlets in Classroom 2 and Classroom 9.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff 4, employed for one week, did not have documentation of requesting the child abuse and neglect registry check, criminal history check and a sex offender registry check from all states in which the individual has resided in the preceding five years.”

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. The sworn statement for Staff 2 was dated 24 days after their first day of employment. The sworn statement for Staff 4 was dated 3 days after their first day of employment. The sworn statement for Staff 5 was dated 1 day after their first day of employment.”

22.1-289.031-A-4

“REPEAT VIOLATION 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 them from caring for children under their supervision. The health exam for Staff 2 was 2 months overdue. The health exam for Staff 3 was 2 months overdue. There was not a record of a health exam on file for Staff 4.”

8VAC20-790-770-D

“Medication, including staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was located in a basket on a table in Classroom 2 that was accessible by children.”

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

“A nonabsorbent surface for diapering or changing shall be used. The diapering surface in Classroom 3 was an absorbent cloth cover.”

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 were unlocked cleaning materials in Classroom 2 and Classroom 4.”

8VAC20-790-530-B

“For each group of children, the vendor 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 attendance records for Classrooms 1, 2, 3, 4, 5, 6, and 7 did not document the arrival and departure of each child in care as it occurred on 08/15/2025.”

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. The record for Staff 4, employed for one week, did not contain documentation of a negative TB screening.”

8VAC20-790-630-C-2

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were uncovered electrical outlets in Classroom 2 and Classroom 9.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff 4, employed for one week, did not have documentation of requesting the child abuse and neglect registry check, criminal history check and a sex offender registry check from all states in which the individual has resided in the preceding five years.”

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. The sworn statement for Staff 2 was dated 24 days after their first day of employment. The sworn statement for Staff 4 was dated 3 days after their first day of employment. The sworn statement for Staff 5 was dated 1 day after their first day of employment.”

22.1-289.031-A-4

“REPEAT VIOLATION 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 them from caring for children under their supervision. The health exam for Staff 2 was 2 months overdue. The health exam for Staff 3 was 2 months overdue. There was not a record of a health exam on file for Staff 4.”

8VAC20-790-520-A

“The vendor shall ensure compliance with the terms of the vendor agreement. The Subsidy Vendor Agreement (9.4) states that each parent or guardian shall record the child’s arrival and departure into the VA-ECC system using the point-of-service hardware device. Staff 2 verified that the center records the children’s arrival and departure using the point-of-service hardware device to ensure payment is received.”

8VAC20-790-720-C

“The vendor shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence, and the record shall include the required components. There is written documentation the Child 1 sustained an injury at the center on 10/09/2024; there was not an injury report available for review. An injury report for Child 1 from 10/25/2024 did not include the time of the injury and the date the parent was notified. An injury report for Child 2 from 12/13/2024 did not include the date and time of parent notification.”

22.1-289.031-A-4

“Based on record review, the provider failed to obtain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision. Evidence: The record for Staff 1 did not contain documentation that Staff 1 has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.”

22.1-289.035-A

“Based on record review, the provider failed to ensure that all caregivers shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The most recent search of the central registry in the record for Staff 2 was dated 03/15/2024. The previous search was completed on 12/18/2018. The current results were not obtained by 12/18/2023 as required. 2. The most recent search of the central registry in the record for Staff 5 was dated 03/15/2024. The previous search was completed on 12/07/2018. The current results were not obtained by 12/07/2023 as required.”

22.1-289.035-B-2

“Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. The documented hire date for Staff 1 is 03/11/2024. The employment eligibility letter in the record for Staff 1 was dated 04/03/2024. 2. The documented hire date for Staff 3 is 02/12/2024. The employment eligibility letter in the record for Staff 3 was dated 02/13/2024.”

22.1-289.035-B-4

“Based on record review and staff interviews, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained evidence that Staff 3 had resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 3 was 02/12/2024. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 04/08/2024 inspection.”

8VAC20-770-40-D-2

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation and to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The documented hire date in the record for Staff 3 is 02/12/2024. There were no findings from a search of the central registry in the record for Staff 3 available for review during the 04/08/2024 inspection.”

22.1-289.031-B-4

“Based on record review, the provider failed to ensure that all children in the center are in compliance with the Code of Virginia regarding the immunization of children against certain diseases. Evidence: There was no evidence that Child 4 was in compliance with the immunization requirements for children; Child 4 was observed in care during the 04/08/2024 inspection.”

8VAC20-790-520-F

“Based on observation and staff interviews, the vendor failed to maintain, in a way that is accessible to all staff who work directly with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The record for Child 7 contained documentation of a diagnosed food allergy. There was not a current written list of all children’s allergies accessible to all staff who work directly with children. Staff 7 confirmed that there was not a list of all children’s allergies, sensitivities and dietary restrictions.”

8VAC20-790-820-B

“Based on observations, the vendor failed to ensure that when a child is placed in an infant seat, high chair or feeding table, the protective belt shall be fastened securely. Evidence: A child in the Infant Class A was observed in an infant seat, the protective belt of the infant seat was not fastened.”

8VAC20-790-540-B-11

“Based on record review an staff interviews, the vendor failed to obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child 7 contained documentation of a diagnosed food allergy. There was not a written allergy care plan for Child 7. Staff 7 confirmed that they did not have an allergy care plan for Child 7.”

8VAC20-790-520-F

“Based on observation and staff interviews, the vendor failed to maintain, in a way that is accessible to all staff who work directly with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The record for Child 7 contained documentation of a diagnosed food allergy. There was not a current written list of all children’s allergies accessible to all staff who work directly with children. Staff 7 confirmed that there was not a list of all children’s allergies, sensitivities and dietary restrictions.”

8VAC20-790-820-B

“Based on observations, the vendor failed to ensure that when a child is placed in an infant seat, high chair or feeding table, the protective belt shall be fastened securely. Evidence: A child in the Infant Class A was observed in an infant seat, the protective belt of the infant seat was not fastened.”

8VAC20-790-540-B-11

“Based on record review an staff interviews, the vendor failed to obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child 7 contained documentation of a diagnosed food allergy. There was not a written allergy care plan for Child 7. Staff 7 confirmed that they did not have an allergy care plan for Child 7.”

22.1-289.058

“Based on inspection, the Vendor failed to ensure each building that was built before 2015 and houses a child day programs is equipped with at least one carbon monoxide detector. EVIDENCE: Center was not equipped with a carbon monoxide detector.”

8VAC20-790-670-E

“Based on inspection & discussion with the Center Director, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. EVIDENCE: Center has not developed nor implemented a written policy and procedure for consistent staffing.”

22.1-289.058

“Based on inspection, the Vendor failed to ensure each building that was built before 2015 and houses a child day programs is equipped with at least one carbon monoxide detector. EVIDENCE: Center was not equipped with a carbon monoxide detector.”

8VAC20-790-670-E

“Based on inspection & discussion with the Center Director, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. EVIDENCE: Center has not developed nor implemented a written policy and procedure for consistent staffing.”