Gloria Dei Lutheran School

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Child #3 did not have a copy of a physical examination in their record and has been attending for more than 2 1/2 years.”

8VAC20-780-80-A

“The center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for the following classrooms were not accurate 1.Classroom A listed 9 children and 11 were observed in care. 2.Classroom B listed 10 children, and 11 children were observed in care. 3.Classroom E listed 8 children, and 9 children were observed in care.”

8VAC20-780-330-B

“Repeat Violation Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. The following equipment did not have sufficient resilient surfacing and fall zone as required. 1.On the toddler playground there was insufficient fall zone for the yellow slide as there was only 3 feet 6 inches feet from the end of the slide chute to the portable red slide. A minimum of 6 feet fall zone is required. 2. On the older children’s playground, the resilient surfacing under the hand over hand bars was insufficient. It measured between 5 1/2 inches to 7 inches and this equipment required a minimum of 12 inches of resilient surfacing. 3 On the younger children’s playground there was insufficient fall zone for the swings as they were only 4 feet and 10 inches from a metal fence. A minimum of 6 feet fall zone is required. 4. On the middle playground, the resilient surfacing at the base of the slide chute and around the slide was insufficient. It measured between 4 and 6 inches, and this equipment required a minimum of 6 inches of resilient surfacing”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Classroom D did not have a program-lead qualified staff.”

22.1-289.035-B-4

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff #4, did not have documentation requesting a criminal records check, a child protective service check and a sex offender check from a different state prior to hire. Staff #1 has been working for more than 19 months.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was documentation of only drill conducted in 2025.”

8VAC20-780-350-B-4

“The required ratio for children 3-year-olds up to school age eligible is 1:10. In Classroom D, one staff member (Staff #4) was observed working alone with 12 children, ages 4-5. The group was out ratio for approximately 30 minutes.”

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 #3 did not have a copy of immunizations in their record and has been attending for more than 2 1/2 years.”

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 the required information. 1.The record for Child #1, did not have documentation of a physician’s name and phone number. 2. The record for Child #2, did not have documentation of one parents address and phone number. 3.The record for Child #5, did not have documentation of the employment number for one parent. 4. The record for Child #7, did not have documentation of physician’s name and phone number. 5. The record for Child #9, did not have documentation of the employment phone number for both parents.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the products do not need to be kept locked but shall be inaccessible to children. In Classroom A there were 8 diaper creams observed in a cabinet under the changing table and accessible to children.”

8VAC20-780-330-B

“Repeat Violation Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. The following equipment did not have sufficient resilient surfacing as a minimum of 6 inches was required and a minimum of 6 feet of fall zone is required. 1.On the toddler playground the resilient surfacing around the red climber and the end of the slide chute for the composite piece and around the single slides (brown slide, yellow slide) measured between 3 and 5 inches. There fall zone for the yellow slide measured approximately 3 feet to a wooden fence, the swing bouncer measured approximately 2 feet to a metal bench and the red slide was directly over a balance beam. 2. On the older children’s playground, the resilient surfacing under and around the fall zone for the swings, the end of the slide chute for composite piece and the hand over hand climber measured between 2 and 5 inches.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and have been completed within the last 30 days of the date of employment. Staff # 9?s TB screening was dated approximately 5 months prior to working they have been working for approximately 2 weeks.”

22.1-289.035-A

“Repeat Violation The center is required to have employees undergo a background check every five years. The background checks for Staff #6 have not been updated. The most recent fingerprint check and sworn statement are overdue by 3 months and the most recent central registry check is overdue by one month.”

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.”

8VAC20-780-60-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. The records for Child #4 and Child #7 did not have employment location or phone number for both parents and did not have the home address and phone number for one parent.”

8VAC20-780-330-B

“Repeat Violation Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. The following equipment did not have sufficient resilient surfacing as a minimum of 6 inches was required. 1.On the toddler playground, the resilient surfacing under the swings measured between 3 and 4 inches and at the base of the slide chute and in the slides fall zone the surfacing measured between 4 to 5 inches. 2. On the preschool playground, the resilient surfacing under the swings and in the fall zone measured between 4 ? and 5 ? inches. 3. On the Pre-K playground, the resilient surfacing under the swings and in the fall, zone measured between 3 ? and 4 inches. At the base of the blue/yellow slide the surfacing measured between 3 ? and 5 inches and in the fall zone some areas measured between 1 and 3 ? inches.”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Staff #6 and Staff #10 were alone supervising children, and they do not meet the qualification for program leader/director.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Child #11 has a medication authorization for 1 medication that expired 2 months ago. The authorizations had not been renewed, and the medication had not been returned or disposed of as required.”

8VAC20-780-500-B

“The diapering area shall have a non-absorbent surface for diapering or changing. The diaper pad in Classroom A, had a rip and therefore was no longer a non-absorbent surface for diapering.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due more than 1 1/2 years ago and Staff #9?s was due over 1month ago.”

8VAC20-770-60-C-2

“Staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #4 did not have central registry search results during the inspection and has been employed for over 1 year.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #9 was overdue by more than 9 months.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. Child #1, who has been enrolled for more than 1 year, has a diagnosed food allergy and did not have a written care plan in their file. 2.The records for Child #2 and Child #10 did not have employment phone numbers for the parents listed. Both have been attending for over 2 months. 3.The records for Child #2 and Child #3 did not have the physician’s name, phone number, the 2 required emergency contact names, addresses and phone numbers. Child #2 has been attending for over 2 months and Child #3 has been attending for over 1 year.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. Written agreements are related to emergency medial care, child illness and communicable diseases. Child #2 has been attending for over 2 months and Child #3 has been attending for over 1 year and there were no written signed parent agreement in their records.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. 1.In Classroom A, sanitizing wipes and solution were in an unlocked cabinet and a mop with attached disinfectant container was stored in the bathroom, within reach of children. 2. In Classroom B, sanitizing wipes were observed on shelf, out of reach of children.”

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. 1. The fall zone for the plastic slide on the 2?s playground measured to be about 4 ? feet however, the slide required at least six feet of a fall zone. 2.The resilient surfacing for all 3 playgrounds was inadequate at the base of the slide chutes and around the swings as it measured in some areas between less than 1 inch up to 4 inches and a minimum of 6 inches is required.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for 2 months.”

8VAC20-780-150-B

“Immunization and physical records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization and physical record for Child #4 and Child #8, were not signed and dated. Both Child #4 and Child #8 have been attending for 2 months.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler room, there was observation of disinfectant wipes with the labels "keep out of reach of children" and "caution" nearby the diapering station.”

22.1-289.035-A

“Based on review of records and interview, the center did not ensure to obtain background check every five years thereafter. Evidence: In Board Member #3's record, the criminal background check was last dated 04/05/2018. Interview with staff confirmed the documentation available for review during the inspection.”

22.1-289-036-B-4

“Based on review of staff records and interview, the center did not ensure to obtain a copy of results of a criminal record, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#3's record (date of hire: 04/28/22) there were no results found for state of Florida and Washington. Interview with staff confirmed documentation for out of state searches were not available for review.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: In Staff#2's record (date of hire: 12/29/21), there were no central registry findings found for review. Interview with staff confirmed the documentation was not available for review.”

22.1-289-036-B-4

“Based on review of staff records and interview, the center did not ensure to obtain a copy of results of a criminal record, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#3's record (date of hire: 04/28/22) there were no results found for state of Florida and Washington. Interview with staff confirmed documentation for out of state searches were not available for review.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: In Staff#2's record (date of hire: 12/29/21), there were no central registry findings found for review. Interview with staff confirmed the documentation was not available for review.”

8VAC20-790-600-D-2

“Based on review staff record and interview, the center did not ensure all staff working directly with children have current certification in first aid within 90 days. Evidence: In Staff#5's record (date of hire: 09/19/2022) there was no current first aid certificate found. Interview with staff confirmed a current certificate for first aid was not available for review during this inspection.”

8VAC20-780-60-A-8

“Based on review of child records and interview, the center did not ensure to obtain a copy of a written care plan for each child with a diagnosed food allergy. Evidence: In Child#5's record, there was no written care plan found. Interview with staff confirmed the plan was not available for review during the inspection.”

8VAC20-790-600-D-2

“Based on review staff record and interview, the center did not ensure all staff working directly with children have current certification in first aid within 90 days. Evidence: In Staff#5's record (date of hire: 09/19/2022) there was no current first aid certificate found. Interview with staff confirmed a current certificate for first aid was not available for review during this inspection.”

8VAC20-780-60-A-8

“Based on review of child records and interview, the center did not ensure to obtain a copy of a written care plan for each child with a diagnosed food allergy. Evidence: In Child#5's record, there was no written care plan found. Interview with staff confirmed the plan was not available for review during the inspection.”