Providence Bible Day Center

8VAC20-780-560-J

“Based on observation, the center failed to ensure that all tables were sanitized as required. Evidence: Observed the lunch tables at arrival with lunch boxes and discarded food. The tables were not sanitized after eating lunch as required.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that all tables were sanitized as required. Evidence: Observed the lunch tables at arrival with lunch boxes and discarded food. The tables were not sanitized after eating lunch as required.”

8VAC20-770-70-A

“Based on review of ten staff records, the center failed to ensure that all records were complete per the standard. Evidence: Staff # 3 had a hire date of 05/31/2023 and the two required reference were dated 06/02/2023. The reference checks are required prior to employment.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: The outside play area has exposed siding on the building that has visible cracks and missing pieces. These cracks are accessible to the children and have sharp edges.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 6 to administer nonprescription medication was signed by the parent on 10/02/2023 and expired on 10/16/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.”

8VAC20-770-70-A

“Based on review of ten staff records, the center failed to ensure that all records were complete per the standard. Evidence: Staff # 3 had a hire date of 05/31/2023 and the two required reference were dated 06/02/2023. The reference checks are required prior to employment.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: The outside play area has exposed siding on the building that has visible cracks and missing pieces. These cracks are accessible to the children and have sharp edges.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 6 to administer nonprescription medication was signed by the parent on 10/02/2023 and expired on 10/16/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.”

8VAC20-770-70-A

“Based on review of ten staff records, the center failed to ensure that all records were complete per the standard. Evidence: Staff # 3 had a hire date of 05/31/2023 and the two required reference were dated 06/02/2023. The reference checks are required prior to employment.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: The outside play area has exposed siding on the building that has visible cracks and missing pieces. These cracks are accessible to the children and have sharp edges.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 6 to administer nonprescription medication was signed by the parent on 10/02/2023 and expired on 10/16/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.”

8VAC20-780-560-G

“REPEAT VIOLATION Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. The following items from home were observed in the 2 year old area and were not clearly dated and labeled in a way that identified the owner: a sippy cup, a bottle, a baggie of Cheetos, a baggie of Goldfish and a pack of peanut butter crackers. 2. There were numerous sippy cups observed in the Toddler Room that were not clearly dated and labeled in a way that identified the owner.”

8VAC20-780-560-M

“REPEAT VIOLATION Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 3 was observed walking around the 2 year old class area while drinking a juice box during lunch.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 1 contained a start date of 03/13/2023; there was not a physical examination in the record for Child 1. 2. The record for Child 3 contained a start date of 05/23/2022; there was not a physical examination in the record for Child 3.”

8VAC20-780-330-E

“Based on observation, the center failed to ensure that sandboxes with bottoms which prevent drainage shall be covered when not in use. Evidence: There was an uncovered plastic turtle sandbox in the outside play area. The sandbox has a bottom that prevents drainage.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: 1. The restroom in the diapering area was not equipped with disposable towels or an air dryer. Children were observed using this restroom for handwashing and were not provided with disposable towels or an air dryer. 2. The restroom labeled Boy’s was not equipped with toilet paper.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that 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: The following items were on a shelf in the restroom in the diapering area: Scrubbing Bubbles, 2 bottles of Purex laundry detergent, Gain Scent Boosters, 2 bottles of Microban and a spray bottle of Saniclean. The cleaning materials were not locked to prevent access by children.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record in the Toddler Room indicated 7 children present. There were 8 children observed in the group during the inspection. The attendance did not document the arrival as it occurred.”

8VAC20-780-60-A-8

“Based on record review, the center failed to ensure that the separate record for each enrolled child with a diagnosed food allergy shall contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, as required by the standards. Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There was not a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, in the record for Child 4.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during the disposal and that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: 1. The disposable diaper storage system in the diapering area had a lid that was not foot-operated and had to be opened by hand. Staff 4 was observed using their hands to open the disposable diaper storage system to dispose of a diaper. 2. Staff 3 and Staff 4 were observed changing diapers. The diapering surface was not cleaned or sanitized after each use.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that that staff shall wash their hands with soap and running water after any contact with body fluids. Evidence: Staff 4 was observed wiping multiple children’s noses. Staff 4 did not wash their hands with soap and running water after contact with body fluids.”

8VAC20-780-560-G

“REPEAT VIOLATION Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. The following items from home were observed in the 2 year old area and were not clearly dated and labeled in a way that identified the owner: a sippy cup, a bottle, a baggie of Cheetos, a baggie of Goldfish and a pack of peanut butter crackers. 2. There were numerous sippy cups observed in the Toddler Room that were not clearly dated and labeled in a way that identified the owner.”

8VAC20-780-560-M

“REPEAT VIOLATION Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 3 was observed walking around the 2 year old class area while drinking a juice box during lunch.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 1 contained a start date of 03/13/2023; there was not a physical examination in the record for Child 1. 2. The record for Child 3 contained a start date of 05/23/2022; there was not a physical examination in the record for Child 3.”

8VAC20-780-330-E

“Based on observation, the center failed to ensure that sandboxes with bottoms which prevent drainage shall be covered when not in use. Evidence: There was an uncovered plastic turtle sandbox in the outside play area. The sandbox has a bottom that prevents drainage.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: 1. The restroom in the diapering area was not equipped with disposable towels or an air dryer. Children were observed using this restroom for handwashing and were not provided with disposable towels or an air dryer. 2. The restroom labeled Boy’s was not equipped with toilet paper.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that 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: The following items were on a shelf in the restroom in the diapering area: Scrubbing Bubbles, 2 bottles of Purex laundry detergent, Gain Scent Boosters, 2 bottles of Microban and a spray bottle of Saniclean. The cleaning materials were not locked to prevent access by children.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record in the Toddler Room indicated 7 children present. There were 8 children observed in the group during the inspection. The attendance did not document the arrival as it occurred.”

8VAC20-780-60-A-8

“Based on record review, the center failed to ensure that the separate record for each enrolled child with a diagnosed food allergy shall contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, as required by the standards. Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There was not a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, in the record for Child 4.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during the disposal and that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: 1. The disposable diaper storage system in the diapering area had a lid that was not foot-operated and had to be opened by hand. Staff 4 was observed using their hands to open the disposable diaper storage system to dispose of a diaper. 2. Staff 3 and Staff 4 were observed changing diapers. The diapering surface was not cleaned or sanitized after each use.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that that staff shall wash their hands with soap and running water after any contact with body fluids. Evidence: Staff 4 was observed wiping multiple children’s noses. Staff 4 did not wash their hands with soap and running water after contact with body fluids.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Numerous children in the Pre-K Class were observed walking around the classroom while eating during lunch.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks; and that staff shall wash their hands with soap and running water before feeding or helping children with feeding; and before preparing or serving food or beverages. Evidence: 1. The children in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class did not wash their hands with soap and running water or disposable wipes before lunch. 2. The children in the Pre-K Class were observed immediately returning to normal play activities immediately after they finished their lunch; the children’s hands were not washed with soap and running water or disposable wipes after lunch. 3. Staff 2 and Staff 6 were observed helping children with their lunches by opening food containers and handing children their food. Staff 2 and Staff 6 did not wash their hands before helping the children with their lunches.”

8VAC20-780-510-E

“Based on document review, the center failed to ensure that when long-term medications, prescription and over-the-counter, are administered for more than 10 days, written authorization from the child’s physician is obtained. Evidence: 1. The medication authorization forms for Medication 1 and Medication 2 contained written parental authorization for long-term medication administration from 08/09/2022-08/09/2023. 2. The medication authorization form for Medication 1 and Medication 2 did not contain written authorization for long-term medication administration from the child’s physician. 3. The medication was administered 10 times after 08/19/2022.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The tables in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class were not sanitized before lunch.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: There were 7 lunch boxes in the Infant/Toddler Room that were not dated.”

8VAC20-780-350-C

“Based on observation, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: There were 28 children, ages 15 months-5 years, and 4 staff members observed as one group during the designated rest period. Based on the current ratio wavier issued to the center the required staff-to-child ratio for this group of children was 1:5; 6 staff members were required to meet the ratio.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 2 contained a documented hire date of 05/19/2022; the date on the findings from the search of the central registry was 08/09/2022. 2. The record for Staff 4 contained a documented hire date 10/12/2021; the date on the findings from the search of the central registry was 11/18/2021.”

8VAC20-780-430-I

“Based on observation, the center failed to ensure that if combs, toothbrushes or personal articles are used, they shall be individually assigned. Evidence: There was a pacifier on a table in the Young 2?s Class that was not labeled.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Numerous children in the Pre-K Class were observed walking around the classroom while eating during lunch.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks; and that staff shall wash their hands with soap and running water before feeding or helping children with feeding; and before preparing or serving food or beverages. Evidence: 1. The children in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class did not wash their hands with soap and running water or disposable wipes before lunch. 2. The children in the Pre-K Class were observed immediately returning to normal play activities immediately after they finished their lunch; the children’s hands were not washed with soap and running water or disposable wipes after lunch. 3. Staff 2 and Staff 6 were observed helping children with their lunches by opening food containers and handing children their food. Staff 2 and Staff 6 did not wash their hands before helping the children with their lunches.”

8VAC20-780-510-E

“Based on document review, the center failed to ensure that when long-term medications, prescription and over-the-counter, are administered for more than 10 days, written authorization from the child’s physician is obtained. Evidence: 1. The medication authorization forms for Medication 1 and Medication 2 contained written parental authorization for long-term medication administration from 08/09/2022-08/09/2023. 2. The medication authorization form for Medication 1 and Medication 2 did not contain written authorization for long-term medication administration from the child’s physician. 3. The medication was administered 10 times after 08/19/2022.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The tables in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class were not sanitized before lunch.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: There were 7 lunch boxes in the Infant/Toddler Room that were not dated.”

8VAC20-780-350-C

“Based on observation, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: There were 28 children, ages 15 months-5 years, and 4 staff members observed as one group during the designated rest period. Based on the current ratio wavier issued to the center the required staff-to-child ratio for this group of children was 1:5; 6 staff members were required to meet the ratio.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 2 contained a documented hire date of 05/19/2022; the date on the findings from the search of the central registry was 08/09/2022. 2. The record for Staff 4 contained a documented hire date 10/12/2021; the date on the findings from the search of the central registry was 11/18/2021.”

8VAC20-780-430-I

“Based on observation, the center failed to ensure that if combs, toothbrushes or personal articles are used, they shall be individually assigned. Evidence: There was a pacifier on a table in the Young 2?s Class that was not labeled.”

8VAC20-780-70 Complaint related: No

“Based on record review and discussion, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: address, job title, date of hire, and name, address and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position and the required orientation training. 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the required orientation training. 3. The record for Staff 3 did not contain the following information: job title, date of hire; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position and the required orientation training. 4. The record for Staff 4 did not contain documentation to demonstrate that the individual possesses the required orientation training. 5. The record for Staff 4 did not contain the following information: job title, date of hire; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position and the required orientation training.”

8VAC20-780-270-A Complaint related: No

“Based on observation and discussion, the center failed to ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In the large ?playroom? used for the infant classroom there was a piece of the sheetrock missing from the wall near the outside exit door that exposed the insulation inside of the wall; the insulation was accessible to the children in the room. Children were observed using this space during the inspection.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The trees behind the fence line along the play area were overgrown and hanging over various pieces of play equipment. 2. There was a wasp’s nest in the Little Tykes plastic play house on the playground. 3. The wooden boarder around the small sandbox on the lower end of the play area was deteriorated and had a large hole in it. 4. The mesh lining inside of the small sandbox on the lower level was visible and was a tripping hazard. 5. There is a dead tree trunk inside the play area that has a sharp broken branch that is 3 foot 5 inch from the ground; the sharp branch could snag or impale skin. 6. The fence at the lower level of the play area is broken and rusted.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas of centers serving preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered electrical outlet in the area of the large room used by the Pre-K group. 2. There were 2 uncovered electrical outlets in the play room used by the children. 3. The children in care were preschool age and younger.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The trees behind the fence line along the play area were overgrown and hanging over various pieces of play equipment. 2. There was a wasp’s nest in the Little Tykes plastic play house on the playground. 3. The wooden boarder around the small sandbox on the lower end of the play area was deteriorated and had a large hole in it. 4. The mesh lining inside of the small sandbox on the lower level was visible and was a tripping hazard. 5. There is a dead tree trunk inside the play area that has a sharp broken branch that is 3 foot 5 inch from the ground; the sharp branch could snag or impale skin. 6. The fence at the lower level of the play area is broken and rusted.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas of centers serving preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered electrical outlet in the area of the large room used by the Pre-K group. 2. There were 2 uncovered electrical outlets in the play room used by the children. 3. The children in care were preschool age and younger.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The trees behind the fence line along the play area were overgrown and hanging over various pieces of play equipment. 2. There was a wasp’s nest in the Little Tykes plastic play house on the playground. 3. The wooden boarder around the small sandbox on the lower end of the play area was deteriorated and had a large hole in it. 4. The mesh lining inside of the small sandbox on the lower level was visible and was a tripping hazard. 5. There is a dead tree trunk inside the play area that has a sharp broken branch that is 3 foot 5 inch from the ground; the sharp branch could snag or impale skin. 6. The fence at the lower level of the play area is broken and rusted.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas of centers serving preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered electrical outlet in the area of the large room used by the Pre-K group. 2. There were 2 uncovered electrical outlets in the play room used by the children. 3. The children in care were preschool age and younger.”

63.2(17)-1720.1-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained documentation that Staff 3 had resided outside of the state of Virginia within the preceding five years. The record for Staff 3 contained a documented hire date of 11/04/2021. There was not a sex offender registry check in the record for Staff 3 during the 11/17/2021 inspection.”

63.2(17)-1720.1-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained documentation that Staff 3 had resided outside of the state of Virginia within the preceding five years. The record for Staff 3 contained a documented hire date of 11/04/2021. There was not a sex offender registry check in the record for Staff 3 during the 11/17/2021 inspection.”