Holy Tabernacle Church of Deliverance

8VAC20-790-780-C-2

“The following nonmedical emergency supply is required one working, battery-operated radio. The center did not have a working battery operated radio during the inspection.”

8VAC20-790-520-F

“Repeat violation The vendor maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The current written list of all children's allergies, sensitivities, and dietary restrictions was posted and not kept confidential.”

8VAC20-790-760-B-3

“A nonabsorbent surface for diapering or changing shall be used. The diapering surface that is used at the center had three tears.”

8VAC20-790-530-B

“For each group of children, the center needs to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The children were not all checked in .”

8VAC20-790-630-C-2

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. In the main classroom in the front had outlet not covered, In the closet where children belongings are there was two outlets not covered.”

8VAC20-790-630-A

“Repeat violation Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. In the first bathroom, the bathroom cabinet under the sink the siding is peeling off, baseboard is coming off the wall and there was a step stool with a crack. In the second bathroom, the baseboard is off the wall and exposed sheet rock, and the stepping stool is cracking. A door handle is not operating correctly in the classroom that is not use.”

8VAC20-790-630-A

“Repeat violations Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. In both restrooms bottom of there bathroom sinks the the base is splintering, peeling and cracking. The plunger in the restroom the handle was rusting.”

8VAC20-790-640-A

“Repeat violation 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. All chemicals found in a unlock area in the facility was inaccessible on high shelves but were not locked. In the front classroom and the nap room, there was a closet unlock where the disinfectant wipes and hazardous substances were stored. In a classroom next to the infant room, had disinfectant spray and disinfectant wipes on a high shelf.”

8VAC20-790-520-F

“Repeat violation The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The list was not dated. The two classrooms that were in use did not have a a list in each area where children are present.”

22.1-289.031-A-3

“The child day center employs supervisory personnel according to the following ratio of staff to children one staff member to four children from ages zero to 16 months. There was 12 children with 2 staff the youngest was infant. Confirmed by the Staff #1.”

8VAC20-790-630-A

“Repeat violations Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. In both restrooms bottom of there bathroom sinks the the base is splintering, peeling and cracking. The plunger in the restroom the handle was rusting.”

8VAC20-790-640-A

“Repeat violation 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. All chemicals found in a unlock area in the facility was inaccessible on high shelves but were not locked. In the front classroom and the nap room, there was a closet unlock where the disinfectant wipes and hazardous substances were stored. In a classroom next to the infant room, had disinfectant spray and disinfectant wipes on a high shelf.”

8VAC20-790-520-F

“Repeat violation The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The list was not dated. The two classrooms that were in use did not have a a list in each area where children are present.”

22.1-289.031-A-3

“The child day center employs supervisory personnel according to the following ratio of staff to children one staff member to four children from ages zero to 16 months. There was 12 children with 2 staff the youngest was infant. Confirmed by the Staff #1.”

8VAC20-790-580-A

“Based on record review, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: There was no documentation child #2 recieved immunization.”

8VAC20-790-630-C-2

“REPEAT Based on observation, the vendor did not ensure electrical outlets have protective covers that are of a size that can not be swallowed by children. Evidence: In the room that is used for naptime there was electrical one outlet not covered. In the sitting area by the desk there was one electrical outlet not covered. In the infant room, there was one electrical outlet not covered.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazordous substances shall be kept locked place using a safe locking method that prevents access by children. Evidence: There were two containers of disinfectant wipes in the desk in the main classroom. In the space where children belongings were stored in the cubbies there was sunscreen and healing ointment accessible to children. The hazordous substances were labeled with "Keep out of reach of children" and "Warning". The hazordous substances need to be kept in a locked place.”

8VAC20-790-670-H

“Based on observation, the vendor did not ensure children less than 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: At 10:12 am child #3 (19 months old) walked down the hallway alone into the classroom. Staff in the classroom reminded child #3 not to leave the teacher.”

8VAC20-790-730-F

“Based on observation and staff interview cribs, cots, rest mats, or beds shall be provided for children during the designated rest periods. Evidence: There were18 children observed laying on the floor without a mat or cot. Center confirmed they do not have mats or cots for the children.”

8VAC20-790-630-A

“Based on observation, the vendor did not ensure areas of equipment of the center, inside and outside shall be maintained clean , safe and opearble condition. Evidence: 1. In both hallway bathroom, at the entrance of the bathroom the flooring has peeled up causing a tripping hazard. 2. In the bathroom, under the sink cabinet there was soiled underwear. 3. In the bathroom with the diaper changing table, there was a black broken trash can with sharp edges. 4. The metal desk in the main classroom had a red and brownish residue on the side.”

8VAC20-790-520-F

“Based on record review and staff interview, the vendor did not ensure a current written list of all children's allergies, sensitivities, and dietary restrictions. . This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child #4 had a dietary restriction documented no pork on the registration form. The center did not have a children's allergies, sensitivities, and dietary restrictions list. Confirmed by Staff #5.”

8VAC20-790-530-B

“REPEAT Based on record review, the vendor did not ensure 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. Evidence: There was not documentation of school age children departure in the morning program. Confirmed by staff #5.”

8VAC20-790-540-A

“Based on record review and staff interview, the vendor did not have all required information obtained in children's records. Evidence: In the record for Child #3 did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds. In the record for Child #5 there was not documentation for permission to be transported .Child #5 is transported to school.”

8VAC20-790-540-B-16

“Based on record review and staff interview, the vendor did not ensure there was a Evidence: In the record for child #3 there was no documentation of the written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor.”

8VAC20-790-550-5

“Based on record review and staff interview, the vendor did not ensure documentation that training required in 8VAC20-790-600 has been completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization. Evidence: Staff #1 and staff #2 did not have documentation of completion of orientation training.”

8VAC20-790-560-A

“Based on record review and staff interview, the vendor did not ensure 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. Evidence: There was no documentation of staff #2's TB screening results. Staff #3 and Staff #4 hire date was 4/08/2024. Staff #3 and Staff #4 TB results were completed on 5/02/2024. Both results were completed after employed.”

22.1-289.031-A-3-b

“Basedon observation, documentation and staff interview, the center did not ensure one staff member to five children from ages 16 months to 24 months. Evidence: -During the inspection there were three staff with 19 children . The youngest child was 16 months old. - The center would need to follow the ratio for the youngest child. -The staff to child ratio for ages 16 months to 24 months should be 1 staff to 5 children. -The center needed 4 staff with 19 children to be in ratio. -Confirmed with staff in charge.”

8VAC20-770-40-D-2

“Based on record review and staff interview, the center did not ensure sworn statement or affirmation was completed before employment. Evidence: Staff #1 hire date 06/27/2023 did not have documentation of completeion of sworn statement or affirnationprior to employment. Staff #2 hire date 2/2024 did not have a record that obtain a sworn statement or affirmation and Central Registry results. Confirmed by staff #5.”

22.1-289.031-A-4

“Based on record review and staff interview, the center did not ensure each person in a supervisory position has been certified by a practicing physician Evidence: Staff # 5 confirmed staff #2 has not been certified by a practicing or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.”

22.1-289.035-B-2

“Based on staff interview, the center did not ensure criminal history record check results were completed prior to the first day of employment. Evidence: Staff #5 confirmed Staff #2 was employed at the center since 2/2024 and did not have criminial history record check /fingerprints completed.”

22.1-289.035-A

“Based on record review, the center did not ensure every five years fingerprints are completed. Evidence: Staff #5 most recent background check was 09/19/2018. The fingerprint background check was more than five years old.”

22.1-289.031-A-5-d

“Based on staff interview, the center did not ensure to have proper child restraint devices in vehicles used to transport children. Evidence: Staff #5 confirmed booster seat is not used when transporting child #5 (5 years of age) in the vehicle used at the center.”

8VAC20-790-580-A

“Based on record review, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: There was no documentation child #2 recieved immunization.”

8VAC20-790-630-C-2

“REPEAT Based on observation, the vendor did not ensure electrical outlets have protective covers that are of a size that can not be swallowed by children. Evidence: In the room that is used for naptime there was electrical one outlet not covered. In the sitting area by the desk there was one electrical outlet not covered. In the infant room, there was one electrical outlet not covered.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazordous substances shall be kept locked place using a safe locking method that prevents access by children. Evidence: There were two containers of disinfectant wipes in the desk in the main classroom. In the space where children belongings were stored in the cubbies there was sunscreen and healing ointment accessible to children. The hazordous substances were labeled with "Keep out of reach of children" and "Warning". The hazordous substances need to be kept in a locked place.”

8VAC20-790-670-H

“Based on observation, the vendor did not ensure children less than 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: At 10:12 am child #3 (19 months old) walked down the hallway alone into the classroom. Staff in the classroom reminded child #3 not to leave the teacher.”

8VAC20-790-730-F

“Based on observation and staff interview cribs, cots, rest mats, or beds shall be provided for children during the designated rest periods. Evidence: There were18 children observed laying on the floor without a mat or cot. Center confirmed they do not have mats or cots for the children.”

8VAC20-790-630-A

“Based on observation, the vendor did not ensure areas of equipment of the center, inside and outside shall be maintained clean , safe and opearble condition. Evidence: 1. In both hallway bathroom, at the entrance of the bathroom the flooring has peeled up causing a tripping hazard. 2. In the bathroom, under the sink cabinet there was soiled underwear. 3. In the bathroom with the diaper changing table, there was a black broken trash can with sharp edges. 4. The metal desk in the main classroom had a red and brownish residue on the side.”

8VAC20-790-520-F

“Based on record review and staff interview, the vendor did not ensure a current written list of all children's allergies, sensitivities, and dietary restrictions. . This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child #4 had a dietary restriction documented no pork on the registration form. The center did not have a children's allergies, sensitivities, and dietary restrictions list. Confirmed by Staff #5.”

8VAC20-790-530-B

“REPEAT Based on record review, the vendor did not ensure 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. Evidence: There was not documentation of school age children departure in the morning program. Confirmed by staff #5.”

8VAC20-790-540-A

“Based on record review and staff interview, the vendor did not have all required information obtained in children's records. Evidence: In the record for Child #3 did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds. In the record for Child #5 there was not documentation for permission to be transported .Child #5 is transported to school.”

8VAC20-790-540-B-16

“Based on record review and staff interview, the vendor did not ensure there was a Evidence: In the record for child #3 there was no documentation of the written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor.”

8VAC20-790-550-5

“Based on record review and staff interview, the vendor did not ensure documentation that training required in 8VAC20-790-600 has been completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization. Evidence: Staff #1 and staff #2 did not have documentation of completion of orientation training.”

8VAC20-790-560-A

“Based on record review and staff interview, the vendor did not ensure 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. Evidence: There was no documentation of staff #2's TB screening results. Staff #3 and Staff #4 hire date was 4/08/2024. Staff #3 and Staff #4 TB results were completed on 5/02/2024. Both results were completed after employed.”

22.1-289.031-A-3-b

“Basedon observation, documentation and staff interview, the center did not ensure one staff member to five children from ages 16 months to 24 months. Evidence: -During the inspection there were three staff with 19 children . The youngest child was 16 months old. - The center would need to follow the ratio for the youngest child. -The staff to child ratio for ages 16 months to 24 months should be 1 staff to 5 children. -The center needed 4 staff with 19 children to be in ratio. -Confirmed with staff in charge.”

8VAC20-770-40-D-2

“Based on record review and staff interview, the center did not ensure sworn statement or affirmation was completed before employment. Evidence: Staff #1 hire date 06/27/2023 did not have documentation of completeion of sworn statement or affirnationprior to employment. Staff #2 hire date 2/2024 did not have a record that obtain a sworn statement or affirmation and Central Registry results. Confirmed by staff #5.”

22.1-289.031-A-4

“Based on record review and staff interview, the center did not ensure each person in a supervisory position has been certified by a practicing physician Evidence: Staff # 5 confirmed staff #2 has not been certified by a practicing or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.”

22.1-289.035-B-2

“Based on staff interview, the center did not ensure criminal history record check results were completed prior to the first day of employment. Evidence: Staff #5 confirmed Staff #2 was employed at the center since 2/2024 and did not have criminial history record check /fingerprints completed.”

22.1-289.035-A

“Based on record review, the center did not ensure every five years fingerprints are completed. Evidence: Staff #5 most recent background check was 09/19/2018. The fingerprint background check was more than five years old.”

22.1-289.031-A-5-d

“Based on staff interview, the center did not ensure to have proper child restraint devices in vehicles used to transport children. Evidence: Staff #5 confirmed booster seat is not used when transporting child #5 (5 years of age) in the vehicle used at the center.”

22.1-289.031-A-3-a

“Based on observation and staff interview, the facility did not ensure there was one staff member to four children from zero to 16 months. Evidence: In the infant room, Staff #4 was alone with 5 children.”

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

“Based on observation ans staff interview, the vendor did not ensure the diapering area was nonabsorbent surface for diapering. Evidence: There was a diapering surface that had a cloth covering that was absorbant and a diapering mat that partially cover the diaper surface that was nonabsorbant. Confirmed with the staff.”

8VAC20-790-670-C-1

“Based on observation and staff interview, the vendor did not enusre the staff to child ratio was 1 staff to 4 children. Evidence: Staff #1 was in the classroom alone with five infants. Confirmed with staff .”

8VAC20-790-640-A

“Based on observation , the vendor did not ensure hazordous substance are kept in a locked place using a safe locking method. Evidence: There was disinfectant wipes that were not locked up.”

8VAC20-790-630-C-2

“Based on observation , the vendor did not ensure electrical outlets have protective covers . Evidence: There was outlets not covered in the preschool classroom. Confirmed with staff.”

8VAC20-790-560-B

“Based on record review , the vendor did not ensure TB screenings are completed at least every two years. Evidence: Staff #3 most recent TB test was 12/07/2020. The TB test is more than 2 years old.”

8VAC20-790-540-A

“Based on record review, the vendor did not ensure the children records obtain all required documents. Evidence: Child #1's record did not have emergency contact addresses. Child #3's record did not have written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Child #4's record did not have father employer address and employer phone number, mother's employers address, father's home phone number and emergency contact address.”

8VAC20-790-530-B

“Based on observation and staff interview, the vendor did not ensure for each group of children, the vendor maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Confirmed that attendance was not being taken as it occurs upon arrival and departure.”

8VAC20-790-770-D

“Based on observation and staff interview, the vendor did not enusew medication is kept in a locked place using a safe locking method. Evidence: In the infant room, there was inhaler on a shelf it was not kept in locked place.”

22.1-289.031-A-3-a

“Based on observation and staff interview, the facility did not ensure there was one staff member to four children from zero to 16 months. Evidence: In the infant room, Staff #4 was alone with 5 children.”

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

“Based on observation ans staff interview, the vendor did not ensure the diapering area was nonabsorbent surface for diapering. Evidence: There was a diapering surface that had a cloth covering that was absorbant and a diapering mat that partially cover the diaper surface that was nonabsorbant. Confirmed with the staff.”

8VAC20-790-670-C-1

“Based on observation and staff interview, the vendor did not enusre the staff to child ratio was 1 staff to 4 children. Evidence: Staff #1 was in the classroom alone with five infants. Confirmed with staff .”

8VAC20-790-640-A

“Based on observation , the vendor did not ensure hazordous substance are kept in a locked place using a safe locking method. Evidence: There was disinfectant wipes that were not locked up.”

8VAC20-790-630-C-2

“Based on observation , the vendor did not ensure electrical outlets have protective covers . Evidence: There was outlets not covered in the preschool classroom. Confirmed with staff.”

8VAC20-790-560-B

“Based on record review , the vendor did not ensure TB screenings are completed at least every two years. Evidence: Staff #3 most recent TB test was 12/07/2020. The TB test is more than 2 years old.”

8VAC20-790-540-A

“Based on record review, the vendor did not ensure the children records obtain all required documents. Evidence: Child #1's record did not have emergency contact addresses. Child #3's record did not have written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Child #4's record did not have father employer address and employer phone number, mother's employers address, father's home phone number and emergency contact address.”

8VAC20-790-530-B

“Based on observation and staff interview, the vendor did not ensure for each group of children, the vendor maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Confirmed that attendance was not being taken as it occurs upon arrival and departure.”

8VAC20-790-770-D

“Based on observation and staff interview, the vendor did not enusew medication is kept in a locked place using a safe locking method. Evidence: In the infant room, there was inhaler on a shelf it was not kept in locked place.”

22.1-289.031-A-5-d

“Based on staff interview, the center did not ensure to have proper child restraint devices in vehicles used to transport children. Evidence: Staff #1 confirmed there are children that are transported in vehichle under the age of 8 and they do not have booster seats when being transported.”