Mt. Olive Brethren Church Building Blocks Children's Center

8VAC20-780-280-B Complaint related: No

“Repeat Violation Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: Two children were observed in the director's office. Located on a shelf in the office were Lysol wipes, Steramine tablets, Dawn dish soap, 2 bottles of disinfect spray, activated charcoal and wood glue. The labels of each stated "keep out of reach of children" and/or "caution" "warning."”

8VAC20-780-410-1 Complaint related: Yes

“Based on review of video footage and interviews, the center failed to ensure that roughly handling a child was forbidden. Evidence: The following was determined from watching video recorded by the center on April 17, 2023. Times are approximate. 1. At 12:46pm staff #1 and child #1 enter the hallway where the child is made to rest separately from the classroom. Child #1 crawls across the floor and staff #1 pulls the child and picks her up under both arms and swings her onto the cot. Child #1 tries to get off the cot and staff #1 grabs one of child #1?s legs and forces it onto the cot. Child #1 tries to move her upper body off the cot and is pulled back by staff #1. Staff #1 holds child #1 down with his right hand on her right ankle and then staff #1 forces both legs down. Child #1 tries to move her upper body again and he forces her back down. 2. At 12:50pm child #1 tries to get off the cot and staff #1 pulls both arms and legs to force her to return. 3. At 12:51pm child #1 rolls off the cot and staff #1 puts her back on the cot and crosses her feet at the ankles and holds them down. 4. At 12:54pm child #1 is off the cot, laying on the floor. Staff #1 grabs child #1 by one leg and pulls child #1 across the floor approximately 5 feet towards the cot. 5. At 12:58pm child #1 is on her knees on the cot and staff #1 grabs child #1 by the arm and pulls the child face down onto the cot. Child #1 sits up to her knees again and is pulled forward back down onto her stomach by staff #1. 6. At 12:59pm child #1 tries to turn and get up and is forced back down onto her stomach by staff #1. Child #1 flips over and sits up and is pulled backwards onto the cot by staff #1. Child #1 tries to sit up and is pushed back by the shoulder. Child #1 tries to sit up and is forced backwards by the arm by staff #1. 7. At 1:00pm child #1 sits up and is being held at the ankles by staff #1. 8. At 1:03pm to 1:04pm child #1 is pushed backwards by the shoulder, while the ankles are still being held by staff #1. Child #1 sits up and is grabbed by the arm and pulled backwards down onto the cot by staff #1. Staff #1 then throws the child's blanket into the classroom and child #1 crawls on all fours to try to get it but is then grabbed by the waist and arm and pulled backwards back to the cot by staff #1. 9. In an interviews with three staff it was reported that child #1 could be heard ?screaming? from the lower level of the building to the upper level and crying on April 17, 2023 at naptime.”

8VAC20-780-410-5 Complaint related: No

“Based on a review of video footage, the center failed to ensure the use of the forbidden action of forcing rest. Evidence: The following was determined from watching video footage recorded by the center on April 17, 2023. Between approximately 12:46pm to 1:04pm, staff #1 physically forced child #1 (age 5) to lay down on a cot approximately 30 times.”

8VAC20-780-70 Complaint related: No

“Based on a review of staff records and interview, the center failed to ensure each staff record contained the required information. Evidence: 1. The record of staff #1 did not contain documentation of the staff's date of separation. Staff #6 confirmed the date of separation was not documented.”

8VAC20-780-40-E Complaint related: No

“Based on a review of records, the licensee failed to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by these standards. Evidence: 1. On page 23 of the center's staff handbook it states "Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Suggested methods of behavior intervention shall include: a. Positive wording of reminders. Avoid reminders in the negative sense (i.e. "Don't run; instead use "Use your walking feet)." In interviews with three staff on May 10, 2023, all three staff (#2, #3, and #4) indicated that staff #1 would yell at the children. Staff #2 witnessed staff #1 yell "you, stop doing that." 2. Documentation from the board chairperson stated she had a conversation with a parent of child #1 who witnessed staff #1 get ?snappy? and sound ?derogatory and nasty? to the children. The parent stated to the board chairperson that a little boy began talking about how bad her child was that day and staff #1's response to the boy was 'you're one to talk.' 3. On page 24 of the center's staff handbook it states "the following actions or threats thereof are forbidden: a. physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. e. withholding or forcing food or rest." 4. Review of the center's video footage of the incident on April 17, 2023, shows that from approximately 12:46pm to 1:04pm staff #1 roughly handles child #1 several times by pushing, pulling grabbing, and holding the child's various limbs. 5. Review of the center's video footage of the incident on April 17, 2023, shows that Child #1 was physically forced to rest for approximately 18 minutes from 12:46pm to 1:04pm by staff #1.”

63.2-1509-A* Complaint related: No

“Based on interviews, staff who had reason to suspect that a child is abused or neglected failed to report the matter immediately to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department's toll-free child abuse and neglect hotline. Evidence: 1. In an interview with the board chairperson on May 10, 2023, it was confirmed the center was aware of an incident on April 17, 2023, involving staff #1 "putting his hands" on child #1. The board chairperson confirmed that on April 19, 2023, the parent of child #1 reported bruising on the hairline of child #1 from the April 17th incident and that staff #1 ?pulled? child #1?s arm and ?threw her on the cot and she hit her head?; and ?verbal and physical abuse is happening.? The board chairperson stated the incident was not reported as required. 2. In an interview with staff #4 on May 10, 2023, it was confirmed that staff #4 was also aware of an incident on April 17, 2023, involving staff #1 "dragging" child #1 across the floor resulting in hitting the child's head and leaving a "knot" and did not report this incident as required.”

8VAC20-780-400-B Complaint related: Yes

“Based on staff interviews, the center failed to ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. In an interview with staff #2 on May 10, 2023, it was stated that staff #1 would yell at the kids. Staff #2 witnessed staff #1 yelling "you, stop doing that." and say "I don't like kids." 2. In an interview with staff #3 on May 10, 2023, it was stated that staff #1 would yell and get angry at the kids. Staff #3 witnessed staff #1 tell children they were "acting like a baby." 3. In an interview with staff #4 on May 10, 2023, it was stated that staff #1 would yell at the kids and that staff #1 didn't like kids.”

8VAC20-780-400-C Complaint related: No

“Based on staff interviews, the center failed to ensure when time out is used as a behavior technique it shall be used sparingly and shall not exceed one minute for each year of the child's age. Evidence: 1. In an interview with staff #4 on May 10, 2023, it was stated that staff #1 worked in the 4 and 5 year old classroom. Staff #4 witnessed staff #1 make the kids sit in timeout for over ten minutes. 2. In an interview with staff #5 on May 10, 2023, it was stated that she witnessed staff #1 make 4 and 5 year old children sit in time out for over 10 minutes.”

8VAC20-780-70

“Based on a review of staff records and interview on April 11, 2023, the center failed to ensure that each staff record contains all required information to be kept at the center. Evidence: The records of staff #4 and staff #5 did not contain documentation about any health problems that may interfere with fulfilling the job responsibilities. Staff #2 confirmed that they were not completed.”

8VAC20-780-50-A

“Based on observation and interview on April 11, 2023, the center failed to ensure staff and children's records are treated confidentially. Evidence: The supplemental page of the inspections dated October 27, 2022 and May 31, 2023 were posted on the parent bulletin board. This page is to be kept confidential. Staff #2 confirmed the supplemental pages were posted.”

8VAC20-780-40-J

“Based on a review of the injury prevention plan and interview on April 11, 2023, the center failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: A review of documentation of the injury prevention plan indicated it was last updated January 1, 2019. Staff #2 confirmed the plan had not been updated.”

8VAC20-770-40-D-1-a

“Based on a review of records on April 11, 2023, the center failed to ensure to obtain a central registry check from each Officer of the Board before the end of the 30 days after the change of officer. Evidence: The record of board member #1, took office October 1, 2022, contained a central registry finding dated January 13, 2023.”

8VAC20-780-240-E

“Based on a review of staff records and interview on April 11, 2023, the center failed to ensure within 30 days of employment staff orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care. Evidence: The records of staff #4 (hired 02/09/23) and staff #5 (hired 02/21/23), and staff #6 (hired 01/24/23) did not contain documentation of first aid and cpr orientation training. Staff #2 confirmed the training was not completed.”

8VAC20-780-550-F

“Based on a review of the log for procedures for emergencies and interview on April 11, 2023, the center failed to ensure lockdown procedures are practiced at least annually. Evidence: There was no documentation of a lockdown drill being practiced in 2022. The last lockdown drill recorded on the log was dated October 18, 2021. Staff #2 confirmed the center did not practice a lockdown drill in 2022.”

8VAC20-780-550-P

“Based on a review of records on October 27, 2022, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: An incident report for child #4 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 27, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The records of staff #2 (DOH 8/28/22), staff #3 (DOH 5/17/22), and staff #4 (DOH 9/2/22) did not contain documentation of central registry results. 2. Staff #5 confirmed the central registry results were not complete.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In Classroom #1 there was a spray bottle of Lysol Disinfectant Spray setting on a shelve near the diapering area. The manufacture's label read "keep out of reach of children". 2. Staff verified that the Lysol Disinfectant Spray was not in a locked location.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas of the center shall be kept in a safe and operable condition. Evidence: 1. In Classroom #1 the baseboard around the floor was splintering and the paint was peeling. 2. The children in Classroom #1 spend time on the floor and it is accessible to them. 3. Staff verified that the baseboard was splintering and peeling paint.”

8VAC20-780-330-B

“Based on observation and measurements, the center failed to ensure that resilient surfacing was at least six inches in depth. Evidence: On the Two-Five Year old playground the mulch at the bottom of the twisty green slide measured approximately two inches, and at the bottom of the green straight slide the mulch measured approximately three and a half inches.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that orientation was completed no later than seven days of the date assuming job responsibilities. Evidence: 1. Staff #2's date of hire was 04/19/2022. The orientation documentation on file was signed 05/02/2022. The orientation was due by 04/27/2022. 2. Staff #4's date of hire was 03/08/2022. The orientation documentation on file was signed 03/22/2022. The orientation was due by 03/17/2022. 3. Staff verified the date of hire for both staff and the dates the orientation documentation was signed.”

22.1-289.035-A

“Based on review of staff records, the center failed to obtain updated background checks for employees every five years. Evidence: 1. Staff #6's central registry on file was dated 05/19/2017. A new one was required by 05/19/2022. A request for the background check had not been sent out. 2. Staff verified the date on the central registry finding, and verified that a new background check had not been requested.”

8VAC20-780-70

“Based on review of staff records, the center failed to have documentation of required tuberculosis screening with in the required time frame for those employees hired before 10/13/2021. Evidence: 1. Staff #1's tuberculosis screening on file was dated 10/10/2021. Date of employment for Staff #1 was 09/16/2021. The tuberculosis screen should have been completed by 10/07/2021. 2. Staff #2's tuberculosis screening on file was dated 11/15/2021. Date of employment for Staff #2 was 08/30/2021. The screening should have been completed by 9/20/2021. 3. Staff verified the date of employment for Staff #1 and Staff #2, and the date on the tuberculosis screening on file.”

22.1-289.035-A

“Based on review of staff records, the center failed to obtain fingerprints prior to the first day of employment. Evidence: 1. Staff #1's date of rehire was 08/30/2021. The were no fingerprints on file. 2. Staff verified that there was not a current fingerprint on file for Staff #1.”

8VAC20-770-60-C-2

“Based on review of staff records, the center failed to complete a central registry finding within in 30 days of employment. Evidence: 1. Staff #2's rehire date was 08/30/3021. The central registry finding on file was dated 01/06/2020. 2. Staff verified the date of rehire and the date on the central registry finding.”

8VAC20-780-160-C

“Based on a review of staff records, the center failed to ensure that follow-up tuberculosis screening or test was completed every two years. Evidence: 1. Staff #8's last documented tuberculosis screening was dated 10/04/2019. 2. Staff verified the date of the tuberculosis screening, and that an update had not been completed.”

8VAC20-780-130-A

“Based on a review of staff records, the center failed to obtain immunizations prior to the first day of enrollment. Evidence: 1. Child #1's date of enrollment was 08/09/2021. The immunizations on file were dated 08/18/2021. 2. Staff verified the Child #1 date of enrollment and the date on the immunization record.”