Orange Presbyterian Church

22.1-289.031-B-4

“The Religious Exempt Child Day Center shall obtain documentation children are adequately immunized before they may attend the center. Child #1, attending for over a month, did not have immunizations on file.”

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. The national fingerprint background check for Staff #5 was obtained more than seven months after their first day of employment.”

22.1-289.031-A-4

“The center is required to have documentary evidence that each person in a supervisory position has been 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 #5 had a staff health report that was seven months late.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, employed for 3 months, did not have a completed national criminal background check in the file.”

22.1-289.031-B-1

“Repeat Violation The center policy on handwashing is for staff and children to wash their hands after toileting and diapering. Staff in the nursery reported that hand sanitizer is used instead of going to the bathroom to wash hands.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date and updated every year. Evidence: 1. The record of staff #2, started 09/01/23, contained documentation of a staff health report dated 09/26/23. Staff #3 confirmed the start date. 2. The record of staff #3 documents the staff's start date as 08/01/20. The staff health report is dated 09/23/21. Staff #3 confirmed the start date and stated the health report had not been completed.”

8VAC20-770-40-D-2

“Based on a review of staff records, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: The record of staff #1, started 09/01/21, did not contain documentation of the results of a central registry check.”

22.1-289.031-B-1

“Based on a review of the handbook and interview, the center failed to implement a procedure for hand washing by staff and children after toileting and diapering. Evidence: In the nursery, staff and children's hands were not washed after diapering. Per the center's handwashing guidelines it states staff hands should be washed "after using the toilet, assisting a child in using the toilet, or changing diapers," and children's hands washed "after each diaper change or visit to the toilet." Staff confirmed they did not wash hands after diapering.”

22.1-289.031-B-6

“Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1. The record for staff 2 documents the hire date as 9/22. The record does not contain documentation of training in recognizing child abuse and neglect. 2. The director did not provide documentation or information that staff 2 completed training in recognizing child abuse and neglect.”

22.1-289.031-B-5

“Based on interview, the center failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: 1. In the Blue Room on a low table at the door was a container of Clorox wipes. 2. In the Green Room on a low table in the corner was a container of Clorox wipes and Lysol disinfectant spray. 3. The director stated the centers procedures regarding hazardous substances is: Hazardous substances are stored in the kitchen or on higher shelves out of reach of children.”

22.1-289.031-A-8

“Based on record review and interview, the center failed to ensure a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) will be present at the child day center whenever children are present. Evidence: The director stated that no staff have a current certification in CPR and first aid.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. The record for staff 2 documents the hire date as 9/22. The record did not contain the results of a fingerprint background check. 2. The director was unable to verify if staff 2 completed fingerprint background checks.”