Saint Thomas Anglican Church

8VAC20-790-790-A

“REPEAT VIOLATION The vendor shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The vendor has not developed an emergency preparedness plan.”

8VAC20-790-780-C-2

“REPEAT VIOLATION The following nonmedical emergency supplies shall be required, one working, battery-operated radio. The vendor did not have a battery operated radio.”

8VAC20-790-560-A

“REPEAT VIOLATION 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 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. The records for staff A, staff B, staff C, and staff D, did not contain documentation of a TB screening.”

8VAC20-790-660

“The vendor shall ensure that play areas accessible to children are free of obvious hazards. The climbing portion of the gray structure is coming apart from the platform posing a tripping hazard. The rope at the bottom of the gray structure is not attached to the structure posing a strangulation hazard.”

22.1-289.035-B-3

“Central Registry Checks are required to be requested for staff prior to the first day of employment. The record for staff D, who has been actively working for one year, did not contain a central registry check.”

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 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. The records for staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7, and staff #8 did not contain documentation of a TB screening.”

8VAC20-790-780-C-1

“The following nonmedical emergency supplies shall be required, one working, battery- operated flashlight. The vendor did not have a battery operated flashlight available.”

8VAC20-790-670-E

“The vendor shall develop and implement a written policy and procedures that describes how the vendor will ensure that each group of children receives care by a consistent staff or team or staff members. The vendor has not developed a written consistent caregiver policy.”

8VAC20-790-540-B-11

“The child's record shall include a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 has a diagnosed food allergy. The record of child #2 did not contain a written allergy care plan.”

8VAC20-790-540-B

“Children's records shall contain all of the required components. The records for child #1, child #2, child #3, child #4, child #5, and child #6 did not contain the address and telephone number for emergency contacts, names of authorized pick up persons, written authorization for emergency medical care and to administer medication, and written agreements.”

8VAC20-790-530-B

“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. A written record of daily attendance was unavailable for the group of children in care.”

8VAC20-790-520-F

“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 center did not have a written list of children's allergies, sensitivities, and dietary restrictions. Child #2 had a food allergy documented on the registration form.”

8VAC20-790-780-C-2

“The following nonmedical emergency supplies shall be required, one working, battery-operated radio. The vendor did not have a battery operated radio.”

8VAC20-790-660

“The vendor shall ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. There was not adequate cushioning material under the slide structure. The mulch beneath the slide structure was minimal and dispersed exposing the surface of the ground under the slides.”

8VAC20-790-760-A-1

“Children's hands shall be washed with soap and running water before and after eating meals or snacks. The group of children, ages 3 - 5 years that were in the dining area did not wash their hands after eating lunch.”

8VAC20-790-790-A

“The vendor shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The vendor has not developed an emergency preparedness plan.”

8VAC20-790-780-A-1

“A first aid kit shall contain all required components and be on each floor of each building used by children, accessible to outdoor play areas, on field trips, in vehicles used for transportation, and wherever children are in care. 1. The upstairs first aid kit did not contain a thermometer, tweezers, scissors, a triangular bandages. 2. The downstairs first aid kit did not contain scissors.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. 1.) Hand sanitizer was observed on a table in the downstairs preschool classroom and was accessible to children. 2.) Disinfectant wipes, disinfectant spray, and 3 bottles of cleaning solution were observed unlocked on a shelf in the upstairs bathroom. 3.) Disinfectant wipes and sanitizer were observed unlocked on a counter in the upstairs four year old classroom.”

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 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. The records for staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7, and staff #8 did not contain documentation of a TB screening.”

8VAC20-790-780-C-1

“The following nonmedical emergency supplies shall be required, one working, battery- operated flashlight. The vendor did not have a battery operated flashlight available.”

8VAC20-790-670-E

“The vendor shall develop and implement a written policy and procedures that describes how the vendor will ensure that each group of children receives care by a consistent staff or team or staff members. The vendor has not developed a written consistent caregiver policy.”

8VAC20-790-540-B-11

“The child's record shall include a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 has a diagnosed food allergy. The record of child #2 did not contain a written allergy care plan.”

8VAC20-790-540-B

“Children's records shall contain all of the required components. The records for child #1, child #2, child #3, child #4, child #5, and child #6 did not contain the address and telephone number for emergency contacts, names of authorized pick up persons, written authorization for emergency medical care and to administer medication, and written agreements.”

8VAC20-790-530-B

“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. A written record of daily attendance was unavailable for the group of children in care.”

8VAC20-790-520-F

“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 center did not have a written list of children's allergies, sensitivities, and dietary restrictions. Child #2 had a food allergy documented on the registration form.”

8VAC20-790-780-C-2

“The following nonmedical emergency supplies shall be required, one working, battery-operated radio. The vendor did not have a battery operated radio.”

8VAC20-790-660

“The vendor shall ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. There was not adequate cushioning material under the slide structure. The mulch beneath the slide structure was minimal and dispersed exposing the surface of the ground under the slides.”

8VAC20-790-760-A-1

“Children's hands shall be washed with soap and running water before and after eating meals or snacks. The group of children, ages 3 - 5 years that were in the dining area did not wash their hands after eating lunch.”

8VAC20-790-790-A

“The vendor shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The vendor has not developed an emergency preparedness plan.”

8VAC20-790-780-A-1

“A first aid kit shall contain all required components and be on each floor of each building used by children, accessible to outdoor play areas, on field trips, in vehicles used for transportation, and wherever children are in care. 1. The upstairs first aid kit did not contain a thermometer, tweezers, scissors, a triangular bandages. 2. The downstairs first aid kit did not contain scissors.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. 1.) Hand sanitizer was observed on a table in the downstairs preschool classroom and was accessible to children. 2.) Disinfectant wipes, disinfectant spray, and 3 bottles of cleaning solution were observed unlocked on a shelf in the upstairs bathroom. 3.) Disinfectant wipes and sanitizer were observed unlocked on a counter in the upstairs four year old classroom.”

22.1-289.031-B-3

“The program is required to conduct a daily simple health screening and exclusion of sick children by a person trained to perform such screenings The facility does not have a staff member that is trained to conduct daily health observations.”

22.1-289.058

“Programs serving preschool-age children shall be equipped with at least one carbon monoxide detector in each building built before 2015 that houses the child day program. There was not a carbon monoxide detector present in the building during the time of the inspection.”

22.1-289.049-A

“The program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. Eight of the children's records reviewed did not have documentation of obtaining information regarding if the children had previously attended any schools or child day care programs.”

22.1-289.031-B-6

“Based on review of three staff records and interview it was determined that staff were not trained to recognize the signs of child abuse and neglect. Evidence: The six staff on site did not have training in child abuse and neglect.”

22.1-289.031-A-6

“Based on observation and interview it was determined that the aspects of the child day center's operations in regards to physical facilities, enrollment capacity, food services, health requirements for staff, and liability insurance were not provided to parents/guardians or made available to the public as required. Evidence: The written statement to parents and general public was not posted for review for the general public or provided to parents of children in care.”

22.1-289.035-A

“Based on review of three staff records it was determined that background checks were not repeated every five years. Evidence: The most recent fingerprint on file for staff B is dated 04/26/2018. The most recent central registry check on file for Staff B is dated 09/27/2017.”

22.1-289.031-A-4

“Based on review of three staff records it was determined that not all records contained an up to date staff health report on file. Evidence: The most recent staff health report on file for Staff A is dated 07/09/2021.”