First Shiloh Baptist Church

8VAC20-790-560-A

“Repeat Violation: 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 #3, employed for one month, did not have a complete TB screen at the time of the inspection.”

8VAC20-790-600-C

“Orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Staff #3, employed for one month, did not have a complete orientation training in their record at the time of the inspection.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff # 1 and staff #2 had current CPR certification that did not include an in-person competency demonstration.”

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 #3, who had been employed for one month, did not have a completed national criminal background check.”

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 him from caring for children under his supervision. Staff #3, who had been employed for one month, did not have a completed staff health report.”

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 #3, who had been employed for one month, did not have a completed sworn statement.”

8VAC20-790-560-A

“Repeat Violation: 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 #3, employed for one month, did not have a complete TB screen at the time of the inspection.”

8VAC20-790-600-C

“Orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Staff #3, employed for one month, did not have a complete orientation training in their record at the time of the inspection.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff # 1 and staff #2 had current CPR certification that did not include an in-person competency demonstration.”

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 #3, who had been employed for one month, did not have a completed national criminal background check.”

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 him from caring for children under his supervision. Staff #3, who had been employed for one month, did not have a completed staff health report.”

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 #3, who had been employed for one month, did not have a completed sworn statement.”

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. The screening for Staff #1 was missing from the file and the screening for Staff #3 was not completed before hire.”

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 #3, who had been employed for six months, did not have a central registry search requested. Staff #1, who has been employed for over five years, did not have a central registry search requested.”

22.1-289.049-A

“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 regulated child day program shall also require that the person enrolling the child present the regulated child day program with the proof of the child's identity and age. Child #1, who has been enrolled for over two months, was missing documentation of proof of age and identity.”

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 an annual staff health report that expired 7 months ago. Staff #2 had an annual staff health report that expired 7 months ago. Staff #3 had an annual staff health report that expired over 2 years ago.”

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. The screening for Staff #1 was missing from the file and the screening for Staff #3 was not completed before hire.”

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 #3, who had been employed for six months, did not have a central registry search requested. Staff #1, who has been employed for over five years, did not have a central registry search requested.”

22.1-289.049-A

“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 regulated child day program shall also require that the person enrolling the child present the regulated child day program with the proof of the child's identity and age. Child #1, who has been enrolled for over two months, was missing documentation of proof of age and identity.”

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 an annual staff health report that expired 7 months ago. Staff #2 had an annual staff health report that expired 7 months ago. Staff #3 had an annual staff health report that expired over 2 years ago.”

8VAC20-790-550-2-f

“Based on review of two staff records and interview, the vendor did not ensure one staff member obtained documentation of subsequent background checks at least every five years. Evidence: 1. The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

8VAC20-790-560-B

“Based on review of five staff records, the vendor did not ensure subsequent tuberculosis (TB) screenings were required at least every two years from the date of the initial screening for one staff member. Evidence: 1. The record for Staff #2 contained a TB screening dated 10/13/2017. 2. Staff #1 confirmed this information during the inspection.”

8VAC20-790-600-F

“Based on review of two staff records and interview, the vendor did not ensure one staff member who worked directly with children annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The records for Staff #1 and Staff #2 did not contain documentation of completing at least 16 hours of annual training. 2. Staff #1 stated staff needed to complete the annual training requirements during the inspection.”

8VAC20-790-550-1

“Based on review of two staff records, the vendor did not ensure two staff records contained the required information. Evidence: The records for Staff #1 and Staff #2 did not document the first day of employment.”

22.1-289.035-A

“Based on review of five staff records and interview, the center did not ensure one employee completed background check at least every five years for staff or volunteer. Evidence: 1.The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

8VAC20-790-550-2-f

“Based on review of two staff records and interview, the vendor did not ensure one staff member obtained documentation of subsequent background checks at least every five years. Evidence: 1. The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

8VAC20-790-560-B

“Based on review of five staff records, the vendor did not ensure subsequent tuberculosis (TB) screenings were required at least every two years from the date of the initial screening for one staff member. Evidence: 1. The record for Staff #2 contained a TB screening dated 10/13/2017. 2. Staff #1 confirmed this information during the inspection.”

8VAC20-790-600-F

“Based on review of two staff records and interview, the vendor did not ensure one staff member who worked directly with children annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The records for Staff #1 and Staff #2 did not contain documentation of completing at least 16 hours of annual training. 2. Staff #1 stated staff needed to complete the annual training requirements during the inspection.”

8VAC20-790-550-1

“Based on review of two staff records, the vendor did not ensure two staff records contained the required information. Evidence: The records for Staff #1 and Staff #2 did not document the first day of employment.”

22.1-289.035-A

“Based on review of five staff records and interview, the center did not ensure one employee completed background check at least every five years for staff or volunteer. Evidence: 1.The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

22.1-289.031-B-3

“Based on record review and interview, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily. Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

8VAC20-790-600-I

“Based on a review of records, observation and interview, the vendor did not ensure there was at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

22.1-289.031-B-3

“Based on record review and interview, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily. Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

8VAC20-790-600-I

“Based on a review of records, observation and interview, the vendor did not ensure there was at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

22VAC40-191-40-D-2

“Based on documentation review and interview, the center did not ensure documentation of required background checks for two staff members within 30 days of the individual's beginning date of employment or service. Evidence: 1. The records for Staff #1 (hire date 03/08/2021) and Staff #2 (hire date 06/19/2019) did not contain the results of central registry search. 2. Staff #1 confirmed a central registry search had not been obtained for Staff #1 and Staff #2 as of 10/08/2021.”

22VAC40-665-530-2-e

“Based on documentation review and interview, the center did not ensure documentation of required background checks for two staff members within 30 days of the individual's beginning date of employment or service. Evidence: 1. The records for Staff #1 (hire date 03/08/2021) and Staff #2 (hire date 06/19/2019) did not contain the results of central registry search. 2. Staff #1 confirmed a central registry search had not been obtained for Staff #1 and Staff #2 as of 10/08/2021.”

22VAC40-665-760-C-1

“Based on virtual inspection, the vendor did not ensure the center had at least one working, battery operated radio. Evidence: During the virtual inspection, the licensing inspector asked to see the working, battery operated flashlight. Staff #1 stated the center does not have a battery operated flashlight.”

VENDSUB-000-030-C-2

“Based on virtual inspection, the vendor did not ensure the center had at least one working, battery operated radio. Evidence: During the virtual inspection, the licensing inspector asked to see the working, battery operated radio. Staff #1 stated the center does not have a battery operated radio.”

22VAC40-665-540-A

“Based on review of three staff records and interview, the vendor did not ensure two staff members obtained a tuberculosis (TB) screening that had been completed within the last 30 calendar days of the date of employment. Evidence: 1. The records for Staff #1 (hire date 03/08/2021) and Staff #2 (hire date 06/21/2021) did not contain documentation of a TB screening. 2. Staff #1 confirmed this information was accurate.”