Girls For A Change

22.1-289.035-B-2

“(Repeat Violation) The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for over one month, did not have a completed national criminal background check.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2, who had been attending for two weeks, did not have documentation of an immunization record on file.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The record for Staff #4 had no documentation of a negative tuberculosis screening and had been employed for one month.”

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age. The record for child #2 and child #3 did not contain documentation of viewing proof of the child’s identity and age.”

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 #2, staff #3 and staff #5, who had been employed for a month, did not have a central registry search requested.”

8VAC20-780-70

“(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who have been actively working at the center for two months, did not have any complete reference verifications on file.”

8VAC20-780-240-B

“(Repeat violation) Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #1 did not contain completed orientation training. Staff #1 has been employed for two months.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. The program did not have any staff member with an up-to-date Daily Health Observation certification.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course (Pre-service) within 90 days of employment. The record for staff #3 did not have documentation of completed training. Staff #3 had been employed for six months and the training is overdue by three months.”

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 #3, who had been employed for more than 6 months, did not have documentation that a central registry search requested.”

22.1-289.057-A

“(Repeat violation) The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

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 #2 and staff #5, who had been employed for 4 days, did not have documentation that a central registry search had been requested. prior to employment.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, #4, and #5, who have been actively working at the center for the 4 days, did not have any completed reference verifications on file.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, who is working with children, has not yet completed this course which is overdue by 1 month.”

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2 and #4, who has been employed for four days, did not have a completed national criminal background check.”

8VAC20-780-550-E

“The center shall ensure that shelter in place procedures shall be practiced a minimum of twice per year. Shelter in place procedures were practice only once between September 2023 ? November 2024. The last documented shelter in place drill was on 9/13/2023.”

8VAC20-780-130-A

“(Repeat Violation) The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #5, who had been attending for one month, did not have documentation of an immunization record on file.”

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. The record for Child #1, and child #3 enrolled for one month, was missing the following required components: the address for 1 of 2 emergency contacts. 2. The record for Child #4, and child #5 enrolled for one month, was missing the following required components: the address for 2 emergency contacts and the child’s doctors name and contact number.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. The record for Staff #1 and Staff #3, did not contain documentation of 16 hours of annual training in 2023.”

8VAC20-780-160-A

“(Repeat Violation) Based on record review, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff #1, contained a tuberculosis (TB) screening dated 5/24/2023. Staff #1?s employment date was 6/17/2024. 2. The record for staff #3, did not contain a tuberculosis (TB) screening. Staff #3?s employment date was 6/14/2024. 3. The record for staff #4, did not contain a tuberculosis (TB) screening. Staff #4?s employment date was 6/17/2024.”

8VAC20-780-60-A

“Based on review, the center did not ensure all information was kept for each enrolled child. Evidence: 1. The record for child #1 did not contain two emergency contacts, and the child’s doctors name and phone number. Child #1?s enrollment date 6/24/2024. 2. The record for child #2 did not contain two emergency contacts. Child #2?s enrollment date was 6/24/2024. 3. The record for child #3 did not contain two emergency contacts. Child #3?s enrollment date was 6/24/2024. 4. The record for child #4 did not contain one of two emergency contacts, the address for the second emergency contact, dad’s place of employment, and work number. Child #4?s enrollment date was 6/24/2024. 5. The record for child #5 did not contain one of two emergency contacts, address for the second emergency contact, and dad’s place of employment, and work number. Child #5?s enrollment date was 6/24/2024.”

8VAC20-780-70

“Based on review of five (5) staff records and interview, the center did not ensure that all staff records were complete. Evidence: 1. The record for staff #1 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 2. The record for staff #2 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 3. The record for staff #3 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 4. The record for staff #4 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 5. The director stated that references were completed but could not be located.”

8VAC20-770-60-B

“(Repeat Violation) Based on record review and interview, the center did not ensure to obtain a completed Sworn Statement prior to the first day of employment for staff. Evidence: 1. The record for staff #1 did not contain a Sworn Statement. Staff #1?s hire date was on 6/17/2024. 2. The record for staff #2 did not contain a Sworn Statement. Staff #2?s hire date was on 6/17/2024. 3. The record for staff #3 did not contain a Sworn Statement. Staff #3?s hire date was on 6/14/2024. 4. The record for staff #4 did not contain a Sworn Statement. Staff #4?s hire date was on 6/17/2024. 5. An administrator confirmed that staff #1, staff #2, staff #3, and staff # 4 did not complete a Sworn Statement.”

22.1-289.011-F

“Based on observation, the center did not ensure that the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1. The center did not have the current license posted. The license posted expired 12/5/2022. 2. The most recent inspection summary report was not posted. The inspection summary report posted was completed on 12/1/2022.”

8VAC20-780-130-A

“Based on record review, and interview, the center failed to obtain documentation of immunizations for children enrolled before the first day of enrollment. Evidence: 1. The record for child #4 did not contain immunizations. Child #4?s enrollment date was 6/24/2024. 2. The record for child #5 did not contain immunizations. Child #5?s enrollment date was 6/24/2024.”

8VAC20-780-240-I

“Based on record review and interview, the center did not ensure to maintain documentation of orientation training for new staff. Evidence: 1. The record for staff # 1 did not contain documentation that an orientation training on the facility’s specific policies and procedures was completed. 2. The director stated that staff #1 completed orientation but could not locate the document.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that staff completed a Tuberculosis (TB) test within the last 30 calendar days of the date of employment. Evidence: The record for staff #1 contained a Tuberculosis (TB) test dated 4/30/2023.”

8VAC20-770-60-C-2

“Based on record review, the center did not ensure to obtain a central registry background by the end of 30th day of employment. Evidence: The record for staff #1 contained a central registry background dated for 12/21/2022.”

8VAC20-770-60-B

“Based on record review, center did not ensure that staff completed a sworn statement prior to 1st day of employment. Evidence: The record for staff #1 contained a sworn statement dated for 10/26/2022. Staff #1?s employment date was 9/1/2022.”

22.1-289.035-B-2

“Based on record review, the center did not ensure to obtain a criminal history background prior to 1st day of employment. Evidence: The record for Staff #1 (start date 09/01/2022), has a criminal history background dated for 10/28/2022.”

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to have documentation of one lockdown emergency response drill annually. Evidence: There was no documentation of a lockdown drill conducted in 2022.”

8VAC20-780-550-E

“Based on review of the drill log and interview, the facility did not ensure a minimum of two shelter-in-place practice drills were completed each year. Evidence: 1. The 2022-year emergency drill log did not contain documentation of a shelter-in-place drill. 2. An administrator verified that shelter-in-place drills had not been completed in 2022.”

8VAC20-780-550-F

“Based on a review of lockdown drills, the center failed to ensure that lockdown drill was conducted a minimum of once a year. Evidence: 1. There was no documentation a lock down drill. 2. Staff verified that no shelter in place had been conducted.”

8VAC20-780-160-A

“Based on a review of staff records, the center failed to obtain a tuberculosis examination for staff on or within seven days prior to the first day of employment. Evidence: 1. Staff # 1?s tuberculosis screening was completed 6/27/2022. 2. Staff # 2?s date of hire was 9/27/2022.”

8VAC20-780-550-E

“Based on a review of shelter-in-place drills, the center failed to ensure that two shelter-in-place drills were conducted at a minimum of twice a year. Evidence: 1. There was not documentation of a shelter in place drill. 2. Staff verified that no shelter in place drill had been conducted.”

8VAC20-780-250-A

“Based on a review of documentation, it was determined the facility did not have documentation of a current annual health inspection. Evidence: There was no documentation of a health inspection from the Virginia Department of Health. 2. The facility failed to obtain a health inspection within a year.”

8VAC20-780-510-L

“Based on observation and staff interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, and shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Child #5 has an Epipen that is kept with the child throughout the day.”

8VAC20-780-60-A

“Based on 5 of 5 children's records reviewed, the licensee did not ensure each child enrolled had a record which contained all required information. Evidence: One (1) of five (5) Children’s records were missing authorization for emergency medical care”

22.1-289.035-B-4

“Based on records reviewed, an a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Staff # 4 lived resided outside of Virginia in the past 5 years. A search of the child abuse and neglect registry or equivalent has not been initiated in the previous state.”

8VAC20-770-40-D-1-b

“Based on record review and interview, the licensee failed to complete background checks for an employee 30 days of employment. Evidence: Search of central registry was not available for review in staff # 5?s file. 2. The director could not provide an accurate date as to when the search request was submitted to Central Registry.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure new staff completed orientation training on all the required topics prior to the staff working alone with children and within seven days of the date of employment. Evidence: Three (3) of five (5) staff records did not document the date of completion for the Virginia Department of Education-sponsored orientation course.”

22VAC40-185-540-E

“Based on observation and interview, the center did not ensure the required nonmedical emergency supplies shall be on site. Evidence: 1. There was not a working battery-operated radio in the center. 2. Administration acknowledged they didn't have one.”

22VAC40-191-40-C-1-A

“Based on a review of Board Member records, the facility did not have current central registry results and sworn statements of affirmation upon application for licensure or registration as a child welfare agency. 1. The record of Board Member #1 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 5/9/21. The record of Board Member #1 did not contain documentation of a central registry result. 2. The record of Board Member #2 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 4/30/21. The record of Board Member #2 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/6/21. 3. The record of Board Member #3 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 5/2/21. The record of board member #3 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/10/21. 4. The record of Board Member #4 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 4/27/21. The record of board member #4 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/7/21. 5. The record of Board Member #5 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 8/14/19.”

63.2(17)-1721.1-B-2

“Based on a review of records, the provider did not ensure every person required to undergo a background check submit to fingerprinting and provide personal descriptive information. Evidence: 1. The record of Board Member #1 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/6/21. 2. The record of Board Member #2 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/10/21. 3. The record of Board Member #3 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/5/21. 4. The record of Board Member #4 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/5/21. 5. The record of Board Member #5 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/3/21.”