New Birth Fellowship Ministries

22.1-289.035-A

“Repeat The center is required to have employees undergo a background check every five years. The most recent sworn statement background check on record for staff #4 was dated over five years ago. An updated sworn statement had not been completed.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child's name if more than one infant is in care. Multiple bottles in the Infant room refrigerator were not labeled with the children’s names.”

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 record of staff #5, contained documentation of a tuberculosis screening dated 18 days after the date of employment.”

22.1-289.031-A-3-a

“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. Two staff were observed caring for 10 children ages three months through two years.”

8VAC20-790-540-B

“The child's record shall include all required information. The record of child #1, child #2, Child #3, child #4, and child #5, did not contain the name, address, and telephone number for each custodial parent's place of employment or school attendance, if applicable.”

22.1-289.049-A

“Upon enrollment of a child in a regulated child day program, the center shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. The enrollment forms of child #1, child #2, child #3. Child #4, and child #5, Did not contain information regarding the request of previous child day care and schools attended by the child.”

22.1-289.031-B-3

“The center shall establish and implement procedures for a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. The administrator stated staff had not received training in procedures for a daily health screening and exclusion of sick children.”

8VAC20-790-820-C

“Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Child #6, three months in age, was observed sitting in a highchair with a blanket rolled up and tucked in between the tray to hold a bottle up while being feed.”

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Staff # 2?s updated TB screening was due three months ago. The updated screening for staff # 2 was not completed at the time of inspection. Staff #5?s updated TB screening was due eight months ago. The updated screening for staff #5 was not completed at the time of inspection.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #1, employed for one year and seven months, did not have completed annual health and safety update course for 2024. Staff #2, employed for over two years, did not have completed annual health and safety update course for 2024. Staff #4 last completed the department’s annual health and safety update course on 05/11/2023. Staff #5 last completed the department’s annual health and safety update course on 05/11/2023.”

8VAC20-790-640-A

“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. In the restroom used by children, a can of air freshener was located on top of the toilet that was not locked and was accessible to children.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by two months. The most recent criminal history record check for staff #5 was overdue by two months. The most recent sworn statement for staff #5 was overdue by two months.”

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Staff # 2?s updated TB screening was due three months ago. The updated screening for staff # 2 was not completed at the time of inspection. Staff #5?s updated TB screening was due eight months ago. The updated screening for staff #5 was not completed at the time of inspection.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #1, employed for one year and seven months, did not have completed annual health and safety update course for 2024. Staff #2, employed for over two years, did not have completed annual health and safety update course for 2024. Staff #4 last completed the department’s annual health and safety update course on 05/11/2023. Staff #5 last completed the department’s annual health and safety update course on 05/11/2023.”

8VAC20-790-640-A

“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. In the restroom used by children, a can of air freshener was located on top of the toilet that was not locked and was accessible to children.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by two months. The most recent criminal history record check for staff #5 was overdue by two months. The most recent sworn statement for staff #5 was overdue by two months.”

8VAC20-790-600-C

“Staff is required to complete orientation training for staff prior to the staff member working alone with children and within seven days of the date of employment. Staff #1, who had been employed for five months, did not have documentation of completing orientation training. Staff #3, who had been employed for five months, did not have documentation of completing orientation training.”

8VAC20-790-800-B

“The center is required to maintain a record of the dates of the practice drills for one year. The center did not have documentation that the shelter-in-place procedures were practiced twice per year in 2023.”

8VAC20-790-600-B

“Staff are to complete the Virginia Preservice Training for Child Care Staff within 90 days of employment. Staff #1, who had been employed for five months, had not completed the training, and Staff #4, who had been employed since 2008, did not have documentation that the staff completed the training.”

8VAC20-790-560-A

“Each staff member shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) 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. The screening for Staff #1 was completed two months after employment; Staff #2, who had been employment for seven days, did not have a completed screening on file; and the screening for Staff #3 was completed five weeks prior to employment.”

22.1-289.031-B-4

“The center is required to establish and implement procedures for ensuring that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases. The record of Child #5, who had been enrolled for three months, did not contain documentation that the child was in compliance with required immunizations.”

22.1-289.031-B-5

“The center is required to ensure that all areas of the premises accessible to children are free of obvious hazards. The blinds in the infant room, located next to children's cribs, had broken slats with sharp edges. The blinds were within the reach of children.”

22.1-289.049-A

“The center is required to verify proof a child's identity and age upon enrollment. The record of Child #5, who had been enrolled for three months, did not contain documentation that the center verified the child's proof of identity and age.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The center is not equipped with at least one carbon monoxide detector. The center serves preschool-age children.”

8VAC20-790-600-C

“Staff is required to complete orientation training for staff prior to the staff member working alone with children and within seven days of the date of employment. Staff #1, who had been employed for five months, did not have documentation of completing orientation training. Staff #3, who had been employed for five months, did not have documentation of completing orientation training.”

8VAC20-790-800-B

“The center is required to maintain a record of the dates of the practice drills for one year. The center did not have documentation that the shelter-in-place procedures were practiced twice per year in 2023.”

8VAC20-790-600-B

“Staff are to complete the Virginia Preservice Training for Child Care Staff within 90 days of employment. Staff #1, who had been employed for five months, had not completed the training, and Staff #4, who had been employed since 2008, did not have documentation that the staff completed the training.”

8VAC20-790-560-A

“Each staff member shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) 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. The screening for Staff #1 was completed two months after employment; Staff #2, who had been employment for seven days, did not have a completed screening on file; and the screening for Staff #3 was completed five weeks prior to employment.”

22.1-289.031-B-4

“The center is required to establish and implement procedures for ensuring that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases. The record of Child #5, who had been enrolled for three months, did not contain documentation that the child was in compliance with required immunizations.”

22.1-289.031-B-5

“The center is required to ensure that all areas of the premises accessible to children are free of obvious hazards. The blinds in the infant room, located next to children's cribs, had broken slats with sharp edges. The blinds were within the reach of children.”

22.1-289.049-A

“The center is required to verify proof a child's identity and age upon enrollment. The record of Child #5, who had been enrolled for three months, did not contain documentation that the center verified the child's proof of identity and age.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The center is not equipped with at least one carbon monoxide detector. The center serves preschool-age children.”

22.1-289.031-A-4

“Based on a review of six staff records and interview, five staff did not obtain the required staff health report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #1 (DOE: 01/05/23) was completed on 04/12/23. 2) The staff health report in the record of Staff #2 (DOE: 10/02/22) was completed on 01/31/23. 3) The staff health report in the record of Staff #3 (DOE: 01/13/23) was completed on 01/24/23. 4) The staff health report in the record of Staff #4 (DOE: 01/13/23) was completed on 01/28/23. 5) The staff health report in the record of Staff #6 (DOE: 04/03/23) was completed on 04/12/23. 6) During interview, a member of management confirmed the staff health reports were not received within the required timeframe. The staff health reports should have been obtained prior to employment.”

8VAC20-770-40-D-2

“Based on a review of six staff records and interview, the center did not ensure one staff had the search of the central registry within 30 days of employment. Evidence: 1) The central registry check in the record of Staff #2 (DOE: 10/02/22) was completed on 12/13/22. 2) During interview, a member of management acknowledged the results were not received within 30 days of employment.”

22.1-289.035-B-4

“Based on a review of six staff records and interview, the center did not obtain the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from one state in which one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state background checks for Staff #6 had not been obtained within the required timeframe. The out-of-state sex offender registry check is required to be obtained prior to employment and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. An out-of-state criminal history record information check was not required because the state participate in the National Fingerprint File (NFF) program through the FBI.”

8VAC20-790-580-A

“Based on a review of five children's records and interview, the vendor did not obtain documentation that one child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The immunizations in the record of Child #3 (DOE: 09/06/22) were dated 01/27/23. The center did not have documentation that immunizations were obtained prior to this date. 2) During interview, a member of management acknowledged the immunizations that were reviewed at the time of the child's enrollment were not on file at the center. The center returned the immunizations to the parent and kept the updated immunizations.”

8VAC20-790-560-A

“Based on a review of six staff records and interview, the vendor did not ensure four staff were evaluated by a health professional and were issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required timeframes. Evidence: 1) The TB screenings in the record of Staff #1 (DOE: 01/05/23) were completed on 01/31/23 and on 01/14/23. 2) The record of Staff #2 (DOE: 10/02/22) did not contain a TB screening. During interview, a member of management reported the staff member completed the TB screening, but the documentation could not be located. 3) The TB screening in the record of Staff #4 (DOE: 01/13/23) was completed on 02/03/23. 4) The TB screening in the record of Staff #5 (DOE: 05/11/23) was completed on 03/29/23. 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.”

8VAC20-790-550-2-a

“Based on a review of six staff records and interview, the vendor did not ensure one staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of employment. Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2 (DOE: 10/02/22) was completed on 12/13/22. 2) During interview, a member of management acknowledged the results were not received within 30 days of employment.”

8VAC20-790-540-B

“Based on a review of five children's records and interview, the vendor did not ensure one child's record contained the required information. Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain the following information: a. Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; b. Names of persons other than the custodial parent who are authorized to pick up the child; c. 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; d. A 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. 2) During interview, a member of management acknowledged the center did not have this documentation for Child #3.”

8VAC20-790-550-2-c

“Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the sex offender registry check from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of a sex offender registry check from that state. 2) During interview, a member of management acknowledged the sex offender registry check from that state has not been requested to date. The results should have been obtained prior to the first day of employment. An out-of-state criminal history record information check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI.”

8VAC20-790-550-2-b

“Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the child abuse and neglect registry from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, a member of management acknowledged the request of the child abuse and neglect registry from that state has not been requested to date. The results should have been obtained within 30 days of the staff's date of employment.”

8VAC20-790-640-A

“Based on observation and interview, the vendor did not ensure 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. Evidence: 1) During a walk-through of the facility, the inspector observed several bottles of disinfectant wipes a classroom designated for care. The materials were unlocked and were within the reach of children. The school age children were observed in the designated space. 2) During interview, a member of management acknowledged the disinfectant wipes should have been locked.”

22.1-289.031-A-4

“Based on a review of six staff records and interview, five staff did not obtain the required staff health report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #1 (DOE: 01/05/23) was completed on 04/12/23. 2) The staff health report in the record of Staff #2 (DOE: 10/02/22) was completed on 01/31/23. 3) The staff health report in the record of Staff #3 (DOE: 01/13/23) was completed on 01/24/23. 4) The staff health report in the record of Staff #4 (DOE: 01/13/23) was completed on 01/28/23. 5) The staff health report in the record of Staff #6 (DOE: 04/03/23) was completed on 04/12/23. 6) During interview, a member of management confirmed the staff health reports were not received within the required timeframe. The staff health reports should have been obtained prior to employment.”

8VAC20-770-40-D-2

“Based on a review of six staff records and interview, the center did not ensure one staff had the search of the central registry within 30 days of employment. Evidence: 1) The central registry check in the record of Staff #2 (DOE: 10/02/22) was completed on 12/13/22. 2) During interview, a member of management acknowledged the results were not received within 30 days of employment.”

22.1-289.035-B-4

“Based on a review of six staff records and interview, the center did not obtain the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from one state in which one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state background checks for Staff #6 had not been obtained within the required timeframe. The out-of-state sex offender registry check is required to be obtained prior to employment and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. An out-of-state criminal history record information check was not required because the state participate in the National Fingerprint File (NFF) program through the FBI.”

8VAC20-790-580-A

“Based on a review of five children's records and interview, the vendor did not obtain documentation that one child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The immunizations in the record of Child #3 (DOE: 09/06/22) were dated 01/27/23. The center did not have documentation that immunizations were obtained prior to this date. 2) During interview, a member of management acknowledged the immunizations that were reviewed at the time of the child's enrollment were not on file at the center. The center returned the immunizations to the parent and kept the updated immunizations.”

8VAC20-790-560-A

“Based on a review of six staff records and interview, the vendor did not ensure four staff were evaluated by a health professional and were issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required timeframes. Evidence: 1) The TB screenings in the record of Staff #1 (DOE: 01/05/23) were completed on 01/31/23 and on 01/14/23. 2) The record of Staff #2 (DOE: 10/02/22) did not contain a TB screening. During interview, a member of management reported the staff member completed the TB screening, but the documentation could not be located. 3) The TB screening in the record of Staff #4 (DOE: 01/13/23) was completed on 02/03/23. 4) The TB screening in the record of Staff #5 (DOE: 05/11/23) was completed on 03/29/23. 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.”

8VAC20-790-550-2-a

“Based on a review of six staff records and interview, the vendor did not ensure one staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of employment. Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2 (DOE: 10/02/22) was completed on 12/13/22. 2) During interview, a member of management acknowledged the results were not received within 30 days of employment.”

8VAC20-790-540-B

“Based on a review of five children's records and interview, the vendor did not ensure one child's record contained the required information. Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain the following information: a. Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; b. Names of persons other than the custodial parent who are authorized to pick up the child; c. 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; d. A 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. 2) During interview, a member of management acknowledged the center did not have this documentation for Child #3.”

8VAC20-790-550-2-c

“Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the sex offender registry check from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of a sex offender registry check from that state. 2) During interview, a member of management acknowledged the sex offender registry check from that state has not been requested to date. The results should have been obtained prior to the first day of employment. An out-of-state criminal history record information check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI.”

8VAC20-790-550-2-b

“Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the child abuse and neglect registry from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, a member of management acknowledged the request of the child abuse and neglect registry from that state has not been requested to date. The results should have been obtained within 30 days of the staff's date of employment.”

8VAC20-790-640-A

“Based on observation and interview, the vendor did not ensure 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. Evidence: 1) During a walk-through of the facility, the inspector observed several bottles of disinfectant wipes a classroom designated for care. The materials were unlocked and were within the reach of children. The school age children were observed in the designated space. 2) During interview, a member of management acknowledged the disinfectant wipes should have been locked.”

22.1-289.031-B-5

“Based on observation, the center did not ensure all areas of the center were free of obvious injury hazards. Evidence: 1. The toddler classroom had four cleaning products located in an unlocked cabinet out of the reach of children. Additionally, the classroom had 2 unlocked cleaners within the reach of children in care. There were 3 unlocked cleaning products in the boy’s restroom and 5 unlocked cleaners located in the girl’s restroom within the reach of children. There were several cleaning products located in an unlocked closet in the center’s hallway. 2. The infant classroom had 4 uncovered electrical outlets. The toddler classroom had two uncovered electrical outlets. Both outlets were within the reach of children in care. 3. The playground had a piece of particle board nailed to a section of the fence. The particle board was deteriorating, had protruding nails, splintering wood and sharp edges within the reach of children. The playground’s fence had a missing section which presented a supervision hazard. Additionally, the missing fence piece was located on the ground with a protruding nail within the reach of children.”

22.1-289.031-A-4

“Based on staff record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free of any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record of staff #1 (start date: 9/12/22) did not have documentation showing that the staff has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.”

22.1-289.031-B-1

“Based on observation, the center did not ensure to implement their own handwashing procedures. Evidence: 1. The infant room did not have a handwashing sink in the classroom. 2. When asked about handwashing procedures, staff #4 stated that they did not wash their hands with soap and water before and after diapering. Staff #4 stated that they used hand sanitizer instead. 3. The center’s procedures state that staff should wash their hands before and after diapering.”

22.1-289.035-B-2

“Based on record review, the center did not ensure one of five staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: The record of staff #2 (start date: 9/08/22) did not have documentation of fingerprint based national criminal history search results.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure one of five staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (employed: 9/08/22) did not have documentation of fingerprint based national criminal history search results.”

8VAC20-790-560-A

“Based on record review, the vendor did not ensure one of five staff records contained documentation showing that the staff has been evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #4 (start date: 3/02/20) did not have documentation of a tuberculosis screening.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The toddler classroom had four containers of cleaning materials located in an unlocked cabinet out of the reach of children. Additionally, the classroom had 2 unlocked cleaners within the reach of children in care. 2. There were 3 unlocked containers of cleaning materials in the boy’s restroom and 5 unlocked cleaners located in the girl’s restroom within the reach of children. 3. There were several containers of cleaning materials located in an unlocked closet in the center’s hallway.”

8VAC20-790-600-C

“Based on record review, the vendor did not ensure one of five staff records had documentation showing that orientation training was completed prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1. The record of staff #2 (employed: 9/8/22) did not have documentation of the required orientation training, and the staff was observed working alone with children. 2. The record of staff #4 (employed: 3/2/20) did not have documentation of the required orientation training, and the staff was observed working alone with children.”

8VAC20-790-760-A-3

“Based on observation, the vendor did not ensure to comply with all handwashing requirements for staff. Evidence: 1. The infant room did not have a handwashing sink in the classroom. 2. When asked about handwashing procedures, staff #4 stated that they did not wash their hands with soap and water before and after diapering. Staff #4 stated that they used hand sanitizer instead.”

8VAC20-790-760-B-3-a

“Based on observation, the vendor did not ensure that diapering areas had access to a sink and running water. Evidence: The center had two diapering areas located in the infant and toddler classrooms. Both classrooms did not have access to a sink with running water.”

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

“Based on observation, the vendor did not ensure that diapering areas had a nonabsorbent surface for diapering or changing. Evidence: The center’s toddler classroom had a diapering pad cover that was an absorbent cloth like material. The cover had visible stains.”

8VAC20-790-630-A

“Based on observation, the vendor did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Evidence: 1. The playground had a piece of particle board nailed to a section of the fence. The particle board was deteriorating, had protruding nails, splintering wood and sharp edges within the reach of children. 2. The playground’s fence had a missing section which presented a supervision hazard. Additionally, the missing fence piece was located on the ground with a protruding nail within the reach of children.”

8VAC20-790-630-C-2

“Based on observation, the vendor did not ensure electrical outlets had protective covers. Evidence: 1. The infant classroom had 4 uncovered electrical outlets. 2. The toddler classroom had two uncovered electrical outlets. Both outlets were within the reach of children in care.”

22.1-289.031-B-5

“Based on observation, the center did not ensure all areas of the center were free of obvious injury hazards. Evidence: 1. The toddler classroom had four cleaning products located in an unlocked cabinet out of the reach of children. Additionally, the classroom had 2 unlocked cleaners within the reach of children in care. There were 3 unlocked cleaning products in the boy’s restroom and 5 unlocked cleaners located in the girl’s restroom within the reach of children. There were several cleaning products located in an unlocked closet in the center’s hallway. 2. The infant classroom had 4 uncovered electrical outlets. The toddler classroom had two uncovered electrical outlets. Both outlets were within the reach of children in care. 3. The playground had a piece of particle board nailed to a section of the fence. The particle board was deteriorating, had protruding nails, splintering wood and sharp edges within the reach of children. The playground’s fence had a missing section which presented a supervision hazard. Additionally, the missing fence piece was located on the ground with a protruding nail within the reach of children.”

22.1-289.031-A-4

“Based on staff record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free of any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record of staff #1 (start date: 9/12/22) did not have documentation showing that the staff has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.”

22.1-289.031-B-1

“Based on observation, the center did not ensure to implement their own handwashing procedures. Evidence: 1. The infant room did not have a handwashing sink in the classroom. 2. When asked about handwashing procedures, staff #4 stated that they did not wash their hands with soap and water before and after diapering. Staff #4 stated that they used hand sanitizer instead. 3. The center’s procedures state that staff should wash their hands before and after diapering.”

22.1-289.035-B-2

“Based on record review, the center did not ensure one of five staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: The record of staff #2 (start date: 9/08/22) did not have documentation of fingerprint based national criminal history search results.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure one of five staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (employed: 9/08/22) did not have documentation of fingerprint based national criminal history search results.”

8VAC20-790-560-A

“Based on record review, the vendor did not ensure one of five staff records contained documentation showing that the staff has been evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #4 (start date: 3/02/20) did not have documentation of a tuberculosis screening.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The toddler classroom had four containers of cleaning materials located in an unlocked cabinet out of the reach of children. Additionally, the classroom had 2 unlocked cleaners within the reach of children in care. 2. There were 3 unlocked containers of cleaning materials in the boy’s restroom and 5 unlocked cleaners located in the girl’s restroom within the reach of children. 3. There were several containers of cleaning materials located in an unlocked closet in the center’s hallway.”

8VAC20-790-600-C

“Based on record review, the vendor did not ensure one of five staff records had documentation showing that orientation training was completed prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1. The record of staff #2 (employed: 9/8/22) did not have documentation of the required orientation training, and the staff was observed working alone with children. 2. The record of staff #4 (employed: 3/2/20) did not have documentation of the required orientation training, and the staff was observed working alone with children.”

8VAC20-790-760-A-3

“Based on observation, the vendor did not ensure to comply with all handwashing requirements for staff. Evidence: 1. The infant room did not have a handwashing sink in the classroom. 2. When asked about handwashing procedures, staff #4 stated that they did not wash their hands with soap and water before and after diapering. Staff #4 stated that they used hand sanitizer instead.”

8VAC20-790-760-B-3-a

“Based on observation, the vendor did not ensure that diapering areas had access to a sink and running water. Evidence: The center had two diapering areas located in the infant and toddler classrooms. Both classrooms did not have access to a sink with running water.”

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

“Based on observation, the vendor did not ensure that diapering areas had a nonabsorbent surface for diapering or changing. Evidence: The center’s toddler classroom had a diapering pad cover that was an absorbent cloth like material. The cover had visible stains.”

8VAC20-790-630-A

“Based on observation, the vendor did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Evidence: 1. The playground had a piece of particle board nailed to a section of the fence. The particle board was deteriorating, had protruding nails, splintering wood and sharp edges within the reach of children. 2. The playground’s fence had a missing section which presented a supervision hazard. Additionally, the missing fence piece was located on the ground with a protruding nail within the reach of children.”

8VAC20-790-630-C-2

“Based on observation, the vendor did not ensure electrical outlets had protective covers. Evidence: 1. The infant classroom had 4 uncovered electrical outlets. 2. The toddler classroom had two uncovered electrical outlets. Both outlets were within the reach of children in care.”

22VAC40-665-540-B

“Based on review of two staff records and interview, the vendor did not ensure subsequent tuberculosis (TB) screenings are obtained at least every two years from the date of the initial screening. Evidence: The records for Staff #1 (hire date 01/01/2006) and Staff #2 (hire date 01/01/2006) contained TB screenings dated 06/28/2018. Staff #1 confirmed this information.”