Greater Mount Calvary Christian Church

22.1-289.031-A-8

“A person trained and certified in first aid and cardiopulmonary resuscitation (CPR) will be present at the child day center whenever children are present. Three children were present with Staff #1 at the time of inspection and there was no documentation provided that Staff #1 has current CPR/First Aid certification.”

22.1-289.049-A

“The center shall obtain children's proof of age and identity upon enrollment. There was no documentation of proof of age and identity for Child #1, Child #2, and Child #3 who were present during the inspection.”

22.1-289.035-B-1

“Staff shall provide a sworn statement or affirmation disclosing whether they have ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. Staff #1 did not have a sworn disclosure statement available for inspection.”

8VAC20-790-800-A-3

“Lockdown procedures shall be practiced at least annually. There was no documentation that a lockdown drill has been conducted within the last year.”

22.1-289.035-B-2

“Staff shall submit to a fingerprint-based national criminal history background check. Staff #1 did not have fingerprinting results available for inspection.”

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. There were 3 children present at the time of inspection and there was no attendance maintained on site.”

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 documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Staff #1 was supervising three children at the time of inspection and there was no documentation of their TB test.”

22.1-289.031-B-4

“The center shall ensure all children are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. There were not immunization records available for Child #1, Child #2 or Child #3 who were present during the inspection.”

22.1-289.031-A-4

“Each person in a supervisory position shall be 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. Staff #1 was supervising three children at the time of inspection and did not have documentation of an annual health statement.”

8VAC20-790-540-A

“The vendor shall maintain and keep at the center a record for each enrolled child, which shall be made accessible to the department's representative upon request. No records were made available for Child #1, Child #2, and Child #3 who were present during the inspection.”

22.1-289.031-B-3

“A person with daily health observation training shall conduct daily simple health screenings and exclusion of sick children. Three children were present with Staff #1 at the time of inspection and there was no documentation that Staff #1 has current daily health observation training.”

22.1-289.035-B-3

“The center shall obtain a copy of the results of a search of the central registry of child abuse and neglect for all staff. Staff #1 did not have central registry search results available for inspection.”

8VAC20-790-810-G

“(Repeat Violation) Tables shall be sanitized before and after each use for feeding. On 1/29/25 the table was not sanitized before or after the children were served lunch.”

8VAC20-790-600-F

“(Repeat Violation) Staff who work directly with children are required to annually attend at least 16 hours of training and staff development activities. The record for Staff #1 contained documentation of attending 14.5 hours of training. The record for Staff #2 contained documentation of attending 8 hours of training.”

8VAC20-790-560-B

“Subsequent tuberculosis (TB) screenings are required at least every two years from the date of the initial screening. The most recent TB screenings on record for Staff #1 and Staff #2 were 27 months overdue.”

8VAC20-790-530-B

“(Repeat Violation) For each group of children, the vendor is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 1/29/25 staff stated that they could not locate attendance for January 2025.”

22.1-289.031-A-4

“The program is required to ensure that each person in a supervisory position has been certified by a practicing physician annually to be free from any disability which would prevent them from caring for children under their supervision. The annual staff health report for Staff #1 was eight months past due. The annual staff health report for Staff #2 was seven months past due.”

22.1-289.035-A

“(Repeat Violation) The program is required to obtain results of a national fingerprint-based criminal history check and the results of a search of the central registry for each staff every five years. The fingerprint-based criminal history check for Staff #2 was 23 months overdue. The central registry results for Staff #1 and Staff #2 were 27 months overdue.”

8VAC20-790-810-G

“(Repeat Violation) Tables shall be sanitized before and after each use for feeding. On 1/29/25 the table was not sanitized before or after the children were served lunch.”

8VAC20-790-600-F

“(Repeat Violation) Staff who work directly with children are required to annually attend at least 16 hours of training and staff development activities. The record for Staff #1 contained documentation of attending 14.5 hours of training. The record for Staff #2 contained documentation of attending 8 hours of training.”

8VAC20-790-560-B

“Subsequent tuberculosis (TB) screenings are required at least every two years from the date of the initial screening. The most recent TB screenings on record for Staff #1 and Staff #2 were 27 months overdue.”

8VAC20-790-530-B

“(Repeat Violation) For each group of children, the vendor is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 1/29/25 staff stated that they could not locate attendance for January 2025.”

22.1-289.031-A-4

“The program is required to ensure that each person in a supervisory position has been certified by a practicing physician annually to be free from any disability which would prevent them from caring for children under their supervision. The annual staff health report for Staff #1 was eight months past due. The annual staff health report for Staff #2 was seven months past due.”

22.1-289.035-A

“(Repeat Violation) The program is required to obtain results of a national fingerprint-based criminal history check and the results of a search of the central registry for each staff every five years. The fingerprint-based criminal history check for Staff #2 was 23 months overdue. The central registry results for Staff #1 and Staff #2 were 27 months overdue.”

8VAC20-790-540-B-12

“Based on review of four child records, the vendor did not obtain all required documents for child records. Evidence: The record for Child D did not contain proof of the child’s identity and age as stated in 22.1-289.049 of the Code of Virginia.”

22.1-289.031-B-5

“Based on observation, the religious-exempt center did not ensure that all areas of the premises accessible to children were free of obvious injury hazards. Evidence: There were multiple ceiling tiles in the classrooms utilized by the program that had sustained water damage and were bulging down from the ceiling and posed a risk of falling and harming someone. One of these tiles was directly over the table the children were working at during the inspection.”

22.1-289.031-B-6

“Based on review of two staff records, the religious-exempt center did not ensure that all staff were able to recognize the signs of child abuse and neglect. Evidence: The records for two staff did not include documentation of being trained on recognizing the signs of child abuse and neglect.”

8VAC20-790-600-F

“(REPEAT VIOLATION) Based on review of two staff records, the vendor did not ensure that staff who work directly with children annually attended at least 16 hours of training, including the department’s health and safety update course. Evidence: 1. The record for Staff #2 contained documentation of eight hours of training. 2. The most recent health and safety update courses on record for Staff #1 and Staff #1 were dated 4/16/19.”

8VAC20-790-530-B

“(REPEAT VIOLATION) Based on observation and interview, the vendor did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 2/1/24, there was no attendance available when requested.”

8VAC20-790-520-F

“Based on observation and interview, the vendor did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions that was dated and kept confidential in each room or area where children were present. Evidence: On 2/1/24, there was no allergy list available in either classroom where children were observed in care.”

8VAC20-790-560-B

“Based on review of two staff records, the vendor did not ensure that subsequent TB screenings were obtained at least every two years. Evidence: The most recent TB on record for Staff #1 was dated 10/4/20. The most recent TB on record for Staff #2 was dated 10/6/20.”

22.1-289.035-A

“(REPEAT VIOLATION) Based on review of two staff records, the religious-exempt center did not obtain sworn statements, or the results of a search of the central registry, or the results of a national fingerprint-based criminal history record check, every five years for staff. Evidence: 1. The most recent sworn statement on record for Staff #1 was dated 8/30/17. The most recent fingerprint results on record for Staff #1 were dated 2/6/18. The most recent central registry results on record for Staff #1 were dated 10/12/17. 2. The most recent sworn statement on record for Staff #2 was dated 8/30/17. The most recent fingerprint results on record for Staff #2 were dated 2/20/18. The most recent central registry results on record for Staff #2 were dated 10/12/17.”

8VAC20-790-810-G

“Based on observation, the vendor did not ensure that tables were sanitized before each use for feeding. Evidence: On 2/1/24 the table the children were served lunch at was not sanitized prior to the children being served.”

22.1-289.031-B-6

“Based on review of two staff records, the religious-exempt center did not ensure that all staff were able to recognize the signs of child abuse and neglect. Evidence: The records for two staff did not include documentation of being trained on recognizing the signs of child abuse and neglect.”

22.1-289.031-B-5

“Based on observation, the religious-exempt center did not ensure that all areas of the premises accessible to children were free of obvious injury hazards. Evidence: There were multiple ceiling tiles in the classrooms utilized by the program that had sustained water damage and were bulging down from the ceiling and posed a risk of falling and harming someone. One of these tiles was directly over the table the children were working at during the inspection.”

22.1-289.035-A

“(REPEAT VIOLATION) Based on review of two staff records, the religious-exempt center did not obtain sworn statements, or the results of a search of the central registry, or the results of a national fingerprint-based criminal history record check, every five years for staff. Evidence: 1. The most recent sworn statement on record for Staff #1 was dated 8/30/17. The most recent fingerprint results on record for Staff #1 were dated 2/6/18. The most recent central registry results on record for Staff #1 were dated 10/12/17. 2. The most recent sworn statement on record for Staff #2 was dated 8/30/17. The most recent fingerprint results on record for Staff #2 were dated 2/20/18. The most recent central registry results on record for Staff #2 were dated 10/12/17.”

8VAC20-790-540-B-12

“Based on review of four child records, the vendor did not obtain all required documents for child records. Evidence: The record for Child D did not contain proof of the child’s identity and age as stated in 22.1-289.049 of the Code of Virginia.”

22.1-289.031-B-5

“Based on observation, the religious-exempt center did not ensure that all areas of the premises accessible to children were free of obvious injury hazards. Evidence: There were multiple ceiling tiles in the classrooms utilized by the program that had sustained water damage and were bulging down from the ceiling and posed a risk of falling and harming someone. One of these tiles was directly over the table the children were working at during the inspection.”

22.1-289.031-B-6

“Based on review of two staff records, the religious-exempt center did not ensure that all staff were able to recognize the signs of child abuse and neglect. Evidence: The records for two staff did not include documentation of being trained on recognizing the signs of child abuse and neglect.”

8VAC20-790-600-F

“(REPEAT VIOLATION) Based on review of two staff records, the vendor did not ensure that staff who work directly with children annually attended at least 16 hours of training, including the department’s health and safety update course. Evidence: 1. The record for Staff #2 contained documentation of eight hours of training. 2. The most recent health and safety update courses on record for Staff #1 and Staff #1 were dated 4/16/19.”

8VAC20-790-530-B

“(REPEAT VIOLATION) Based on observation and interview, the vendor did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 2/1/24, there was no attendance available when requested.”

8VAC20-790-520-F

“Based on observation and interview, the vendor did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions that was dated and kept confidential in each room or area where children were present. Evidence: On 2/1/24, there was no allergy list available in either classroom where children were observed in care.”

8VAC20-790-560-B

“Based on review of two staff records, the vendor did not ensure that subsequent TB screenings were obtained at least every two years. Evidence: The most recent TB on record for Staff #1 was dated 10/4/20. The most recent TB on record for Staff #2 was dated 10/6/20.”

22.1-289.035-A

“(REPEAT VIOLATION) Based on review of two staff records, the religious-exempt center did not obtain sworn statements, or the results of a search of the central registry, or the results of a national fingerprint-based criminal history record check, every five years for staff. Evidence: 1. The most recent sworn statement on record for Staff #1 was dated 8/30/17. The most recent fingerprint results on record for Staff #1 were dated 2/6/18. The most recent central registry results on record for Staff #1 were dated 10/12/17. 2. The most recent sworn statement on record for Staff #2 was dated 8/30/17. The most recent fingerprint results on record for Staff #2 were dated 2/20/18. The most recent central registry results on record for Staff #2 were dated 10/12/17.”

8VAC20-790-810-G

“Based on observation, the vendor did not ensure that tables were sanitized before each use for feeding. Evidence: On 2/1/24 the table the children were served lunch at was not sanitized prior to the children being served.”

22.1-289.031-B-6

“Based on review of two staff records, the religious-exempt center did not ensure that all staff were able to recognize the signs of child abuse and neglect. Evidence: The records for two staff did not include documentation of being trained on recognizing the signs of child abuse and neglect.”

22.1-289.031-B-5

“Based on observation, the religious-exempt center did not ensure that all areas of the premises accessible to children were free of obvious injury hazards. Evidence: There were multiple ceiling tiles in the classrooms utilized by the program that had sustained water damage and were bulging down from the ceiling and posed a risk of falling and harming someone. One of these tiles was directly over the table the children were working at during the inspection.”

22.1-289.035-A

“(REPEAT VIOLATION) Based on review of two staff records, the religious-exempt center did not obtain sworn statements, or the results of a search of the central registry, or the results of a national fingerprint-based criminal history record check, every five years for staff. Evidence: 1. The most recent sworn statement on record for Staff #1 was dated 8/30/17. The most recent fingerprint results on record for Staff #1 were dated 2/6/18. The most recent central registry results on record for Staff #1 were dated 10/12/17. 2. The most recent sworn statement on record for Staff #2 was dated 8/30/17. The most recent fingerprint results on record for Staff #2 were dated 2/20/18. The most recent central registry results on record for Staff #2 were dated 10/12/17.”

8VAC20-790-600-B

“Based on review of three staff records, the program did not ensure that all staff who work directly with children completed the required Virginia Preservice Training for Child Care Staff within the first 90 days of employment or subsidy vendor approval. Evidence: A Virginia Preservice Training certificate was not submitted by the program for Staff #3.”

8VAC20-790-530-B

“Based on review of documentation and interview, the program did not ensure that for each group of children, a written hard copy record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 3/2/23 there was no documentation of attendance available for the day. Staff reported that the document had not been created yet for the month of March.”

8VAC20-770-40-D-2

“Based on review of three staff and one volunteer records, the program did not obtain for each caregiver a sworn statement prior to employment or beginning to serve as a volunteer or the results of a search of the central registry ( CPS ) within 30 days of employment or beginning to serve. Evidence: Background checks were requested from the program for all caregivers. A sworn statement was not submitted by the program for Staff #3 who began employment in approximately 2/2019. There were no CPS results submitted by the program for Volunteer #1 (who began service on 9/17/2021) or Staff #3.”

22.1-289.035-A

“Based on review of three staff and one volunteer records, the program did not obtain sworn statements, fingerprints, and the results of a search of the central registry ( CPS ) for each caregiver every five years from the date of the last background check. Evidence: 1. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #1 were dated 2/20/18. The CPS results submitted for Staff #1 were dated 10/12/17. 2. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #2 were dated 2/6/18. The CPS results submitted for Staff #2 were dated 10/12/17.”

8VAC20-790-600-F

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had obtained at least 16 hours of annual training, including the Health & Safety Update training. Evidence: 1. The program did not submit 16 hours of annual training for any staff. 2. The most recent Health & Safety Update training submitted for Staff #1 was dated 4/16/19.”

8VAC20-790-600-D-2

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no first aid certificate submitted by the program for Staff #3.”

8VAC20-790-600-D-1

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no CPR certificate submitted by the program for Staff #3.”

22.1-289.031-A-8

“Based on review of three staff and one caregiver records, the program did not ensure there was a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) present at any location in which children attending the child day center were present. Evidence: Staff #3 reportedly drives children to and from school each day. First aid and CPR certificates were not submitted by the program for Staff #3.”

8VAC20-770-40-D-2

“Based on review of three staff and one caregiver records, the program did not obtain for each caregiver a sworn statement prior to employment or beginning to serve as a volunteer or the results of a search of the central registry ( CPS ) within 30 days of employment or beginning to serve. Evidence: Background checks were requested from the program for all caregivers. A sworn statement was not submitted by the program for Staff #3 who began employment in approximately 2/2019. There were no CPS results submitted by the program for Volunteer #1 (who began service on 9/17/2021) or Staff #3.”

22.1-289.031-A-4

“Based on review of three staff and one caregiver records, the program did not ensure that each person in a supervisory position had been certified annually by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: The most recent annual health statement submitted by the program for Staff #2 was dated 5/9/2021. There were no health statements submitted for Staff #3 or Volunteer #1.”

22.1-289.035-A

“Based on review of three staff and one caregiver records, the program did not obtain sworn statements, fingerprints, and the results of a search of the central registry ( CPS ) for each caregiver every five years from the date of the last background check. Evidence: 1. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #1 were dated 2/20/18. The CPS results submitted for Staff #1 were dated 10/12/17. 2. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #2 were dated 2/6/18. The CPS results submitted for Staff #2 were dated 10/12/17.”

8VAC20-790-600-B

“Based on review of three staff records, the program did not ensure that all staff who work directly with children completed the required Virginia Preservice Training for Child Care Staff within the first 90 days of employment or subsidy vendor approval. Evidence: A Virginia Preservice Training certificate was not submitted by the program for Staff #3.”

8VAC20-790-530-B

“Based on review of documentation and interview, the program did not ensure that for each group of children, a written hard copy record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 3/2/23 there was no documentation of attendance available for the day. Staff reported that the document had not been created yet for the month of March.”

8VAC20-770-40-D-2

“Based on review of three staff and one volunteer records, the program did not obtain for each caregiver a sworn statement prior to employment or beginning to serve as a volunteer or the results of a search of the central registry ( CPS ) within 30 days of employment or beginning to serve. Evidence: Background checks were requested from the program for all caregivers. A sworn statement was not submitted by the program for Staff #3 who began employment in approximately 2/2019. There were no CPS results submitted by the program for Volunteer #1 (who began service on 9/17/2021) or Staff #3.”

22.1-289.035-A

“Based on review of three staff and one volunteer records, the program did not obtain sworn statements, fingerprints, and the results of a search of the central registry ( CPS ) for each caregiver every five years from the date of the last background check. Evidence: 1. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #1 were dated 2/20/18. The CPS results submitted for Staff #1 were dated 10/12/17. 2. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #2 were dated 2/6/18. The CPS results submitted for Staff #2 were dated 10/12/17.”

8VAC20-790-600-F

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had obtained at least 16 hours of annual training, including the Health & Safety Update training. Evidence: 1. The program did not submit 16 hours of annual training for any staff. 2. The most recent Health & Safety Update training submitted for Staff #1 was dated 4/16/19.”

8VAC20-790-600-D-2

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no first aid certificate submitted by the program for Staff #3.”

8VAC20-790-600-D-1

“Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no CPR certificate submitted by the program for Staff #3.”

22.1-289.031-A-8

“Based on review of three staff and one caregiver records, the program did not ensure there was a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) present at any location in which children attending the child day center were present. Evidence: Staff #3 reportedly drives children to and from school each day. First aid and CPR certificates were not submitted by the program for Staff #3.”

8VAC20-770-40-D-2

“Based on review of three staff and one caregiver records, the program did not obtain for each caregiver a sworn statement prior to employment or beginning to serve as a volunteer or the results of a search of the central registry ( CPS ) within 30 days of employment or beginning to serve. Evidence: Background checks were requested from the program for all caregivers. A sworn statement was not submitted by the program for Staff #3 who began employment in approximately 2/2019. There were no CPS results submitted by the program for Volunteer #1 (who began service on 9/17/2021) or Staff #3.”

22.1-289.031-A-4

“Based on review of three staff and one caregiver records, the program did not ensure that each person in a supervisory position had been certified annually by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: The most recent annual health statement submitted by the program for Staff #2 was dated 5/9/2021. There were no health statements submitted for Staff #3 or Volunteer #1.”

22.1-289.035-A

“Based on review of three staff and one caregiver records, the program did not obtain sworn statements, fingerprints, and the results of a search of the central registry ( CPS ) for each caregiver every five years from the date of the last background check. Evidence: 1. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #1 were dated 2/20/18. The CPS results submitted for Staff #1 were dated 10/12/17. 2. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #2 were dated 2/6/18. The CPS results submitted for Staff #2 were dated 10/12/17.”

22VAC40-665-520-B-7

“Based on review of three child records, the program did not obtain documentation of immunizations for a child on or before their first day of attendance. Evidence: The record submitted for Child A, with a start date of 8/16/21, did not contain documentation of immunizations.”

22VAC40-665-510-B

“Based on documentation review, the program did not maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: Attendance submitted contained check marks to document whether or not a child attended for the day, but did not include documentation of arrival and departure of children as it occurred.”

22VAC40-665-780-A-1

“Based on documentation review and interview, the program did not ensure that evacuation procedures were practiced as least monthly. Evidence: The drill log submitted did not contain documentation of an evacuation drill practiced in January 2022 or February 2022.”

22VAC40-665-580-H

“Based on review of two staff records, the program did not ensure that staff who work directly with children completed at least 16 hours of training annually. Evidence: Annual training was requested as part of the inspection, but no annual training was submitted by the program for Staff #1 or Staff #2.”

22VAC40-665-580-K

“Based on review of two staff records, the program did not ensure that there was at least one staff on duty who had obtained Daily Health Observation training (DHO) within the last three years. Evidence: The DHO training certificates on record for Staff #1 and Staff #2 were dated 9/27/18.”

8VAC20-770-40-D-2

“Based on record review, the religious exempt child day center did not ensure that they obtained a search of the central registry for a volunteer who was expected to be alone with one or more children within 30 days of beginning service. Evidence: Staff reported that Volunteer #1 drives the schoolage children to and from school each day. The record for Volunteer #1, who began service on 9/17/21, did not contain the results of a search of the central registry.”

22VAC40-665-520-B-7

“Based on review of three child records, the program did not obtain documentation of immunizations for a child on or before their first day of attendance. Evidence: The record submitted for Child A, with a start date of 8/16/21, did not contain documentation of immunizations.”

22VAC40-665-510-B

“Based on documentation review, the program did not maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: Attendance submitted contained check marks to document whether or not a child attended for the day, but did not include documentation of arrival and departure of children as it occurred.”

22VAC40-665-780-A-1

“Based on documentation review and interview, the program did not ensure that evacuation procedures were practiced as least monthly. Evidence: The drill log submitted did not contain documentation of an evacuation drill practiced in January 2022 or February 2022.”

22VAC40-665-580-H

“Based on review of two staff records, the program did not ensure that staff who work directly with children completed at least 16 hours of training annually. Evidence: Annual training was requested as part of the inspection, but no annual training was submitted by the program for Staff #1 or Staff #2.”

22VAC40-665-580-K

“Based on review of two staff records, the program did not ensure that there was at least one staff on duty who had obtained Daily Health Observation training (DHO) within the last three years. Evidence: The DHO training certificates on record for Staff #1 and Staff #2 were dated 9/27/18.”

8VAC20-770-40-D-2

“Based on record review, the religious exempt child day center did not ensure that they obtained a search of the central registry for a volunteer who was expected to be alone with one or more children within 30 days of beginning service. Evidence: Staff reported that Volunteer #1 drives the schoolage children to and from school each day. The record for Volunteer #1, who began service on 9/17/21, did not contain the results of a search of the central registry.”