Southside Church of the Nazarene

22.1-289.035-A

“Based on record review, and interview, the center failed to ensure that all staff shall undergo a criminal background fingerprint check every five years. Evidence: The record for staff #7, date of employment 02/1/03, contained a criminal background fingerprint check dated 02/20/2018. A criminal background fingerprint check was due on or before 02/20/2023.”

22.1-289.031-A

“Based on interview, the center failed to disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and post the fact that it is exempt from licensure in a visible location on the premises, the qualifications of the personnel employed therein. Evidence: Administration stated that they do not disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure. Administration also stated that they do not have a posting in the center stating that they are exempt from licensure or the qualifications of the personnel employed therein.”

8VAC20-770-40-D-2

“Based on record review, the center failed to obtain a sworn statement from a staff member prior to employment and the results of search of central registry record check within 30 days of employment. Evidence: 1. The record for staff #10, date of employment 02/26/24, did not contain a sworn statement. Staff # 10 was working with a group of children. 2. The record for staff #1, date of employment 12/11/23 did not contain the results of a search of the central registry background check. 3. The record for staff #2, date of employment 08/17/23, did not contain the results of a search of the central registry background check.”

22.1-289.031-A-5-a

“Based on observation, interview, and review of documentation the center did not ensure compliance with the terms of the religious exemption issued by the Virginia Department of Education. Evidence: 97 children were observed to be present at the center. Administration confirmed that there were 97 children present. The center is currently exempt with a capacity of 95 children.”

22.1-289.031-A-6

“Based on interview, the center failed to describe in a written statement provided to the parents or guardians of the children in the center and made available to the general public the physical facilities, enrollment capacity, food services, health requirements for the staff, and public liability insurance. Evidence: Administration stated that they do not describe in a written statement provided to the parents or guardians, the enrollment capacity, food services, health requirements for the staff, and public liability insurance.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: The record for staff # 10, date of employment 02/26/24, indicated that staff #10 lived in a state outside of Virginia in the preceding five years. The record did not contain a criminal history record information check from that state.”

22.1-289.031-A-4

“Based on record review, and interview, the center failed to ensure 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 him from caring for children under his supervision. Evidence: 1. The record for staff # 4, date of employment 01/29/24, did not contain a staff health report. Administration confirmed that the record for staff #4 did not contain a staff health report. 2. The record for staff # 10, date of employment 02/26/24, did not contain a staff health report. Administration confirmed that the record for staff #10 did not contain a staff health report.”

22.1-289.035-A

“Based on record review, and interview, the center failed to ensure that all staff shall undergo a criminal background fingerprint check every five years. Evidence: The record for staff #7, date of employment 02/1/03, contained a criminal background fingerprint check dated 02/20/2018. A criminal background fingerprint check was due on or before 02/20/2023.”

22.1-289.031-A

“Based on interview, the center failed to disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and post the fact that it is exempt from licensure in a visible location on the premises, the qualifications of the personnel employed therein. Evidence: Administration stated that they do not disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure. Administration also stated that they do not have a posting in the center stating that they are exempt from licensure or the qualifications of the personnel employed therein.”

8VAC20-770-40-D-2

“Based on record review, the center failed to obtain a sworn statement from a staff member prior to employment and the results of search of central registry record check within 30 days of employment. Evidence: 1. The record for staff #10, date of employment 02/26/24, did not contain a sworn statement. Staff # 10 was working with a group of children. 2. The record for staff #1, date of employment 12/11/23 did not contain the results of a search of the central registry background check. 3. The record for staff #2, date of employment 08/17/23, did not contain the results of a search of the central registry background check.”

22.1-289.031-A-5-a

“Based on observation, interview, and review of documentation the center did not ensure compliance with the terms of the religious exemption issued by the Virginia Department of Education. Evidence: 97 children were observed to be present at the center. Administration confirmed that there were 97 children present. The center is currently exempt with a capacity of 95 children.”

22.1-289.031-A-6

“Based on interview, the center failed to describe in a written statement provided to the parents or guardians of the children in the center and made available to the general public the physical facilities, enrollment capacity, food services, health requirements for the staff, and public liability insurance. Evidence: Administration stated that they do not describe in a written statement provided to the parents or guardians, the enrollment capacity, food services, health requirements for the staff, and public liability insurance.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: The record for staff # 10, date of employment 02/26/24, indicated that staff #10 lived in a state outside of Virginia in the preceding five years. The record did not contain a criminal history record information check from that state.”

22.1-289.031-A-4

“Based on record review, and interview, the center failed to ensure 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 him from caring for children under his supervision. Evidence: 1. The record for staff # 4, date of employment 01/29/24, did not contain a staff health report. Administration confirmed that the record for staff #4 did not contain a staff health report. 2. The record for staff # 10, date of employment 02/26/24, did not contain a staff health report. Administration confirmed that the record for staff #10 did not contain a staff health report.”

8VAC20-770-40-D-2

“Based on record review, the center did not ensure eight of eight staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 11/7/2022) did not have documentation of central registry results and a completed sworn statement or affirmation. 2. The record of staff #2 (employment date: 8/19/2022) did not have documentation of central registry results and a completed sworn statement or affirmation. 3. The record of staff #3 (employment date: 11/8/2012) did not have documentation of central registry results. 4. The record of staff #4 (employment date: 3/20/2023) did not have documentation of a completed sworn statement or affirmation. 5. The record of staff #5 (employment date: 9/22/2022) did not have documentation of central registry results and a completed sworn statement or affirmation. 6. The record of staff #6 (employment date: 7/25/2022) did not have documentation of central registry results and a completed sworn statement or affirmation. 7. The record of staff #7 (employment date: 10/31/2022) did not have documentation of central registry results and a completed sworn statement or affirmation. 8. The record of staff #8 (employment date: 1/23/2023) did not have documentation of central registry results and a completed sworn statement or affirmation.”

22.1-289.035-B-2

“Based on record review, the center did not ensure five of eight staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #1 (employment date: 11/7/2022) had documentation of fingerprint based national criminal history search results dated 11/9/2022. 2. The record of staff #2 (employment date: 8/19/2022) had documentation of fingerprint based national criminal history search results dated 3/3/2023. 3. The record of staff #3 (employment date: 11/8/2012) did not have documentation of fingerprint based national criminal history search results. 4. The record of staff #4 (employment date: 3/20/2023) did not have documentation of fingerprint based national criminal history search results. 5. The record of staff #5 (employment date: 9/22/2022) did not have documentation of fingerprint based national criminal history search results. 6. The record of staff #6 (employment date: 7/25/2022) did not have documentation of fingerprint based national criminal history search results. 7. The record of staff #8 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results.”

22.1-289.031-B-4

“Based on observation, the center did not ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. The record of child #2 (enrollment date: 8/17/2022) did not have documentation of immunizations.”

22.1-289.031-B-3

“Based on record review and an interview, the center did not ensure to have at least one person on staff that has been trained to conduct daily simple health screenings of children. Evidence: During the inspection of eight staff records and an interview with the center representative, it was discovered there were no staff that received training in daily health screenings within the past three years. Religious exempt requirements stipulate that a staff should be able to conduct a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Daily health screenings should be completed every three years.”

22.1-289.031-A-4

“Based on 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 from any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record of staff #4 (employment date: 3/20/2023) did not have documentation showing that they have 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. 2. The record of staff #5 (employment date: 9/22/2022) did not have documentation showing that they have 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. 3. The record of staff #6 (employment date: 7/25/2022) did not have documentation showing that they have 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. 4. The record of staff #8 (employment date: 1/23/2023) did not have documentation showing that they have 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.”

22.1-289.035-A

“Based on record review, the facility failed to obtain repeat sworn statement or affirmation for one staff within five years since the date of the last completed sworn statement or affirmation. Evidence: 1. The record of staff #3 (employment date: 11/8/2012) had documentation of sworn statement or affirmation dated 12/6/2012.”

22.1-289.031-A-3 Complaint related: Yes

“Based on interviews, the center did not ensure to employ supervisory personnel according to the following ratio of staff to children: One staff member to eight children from ages 24 months to 36 months. Additionally, the center did not ensure the age of the youngest child in the group be used to determine the staff-to-children ratio that applies to that group. Evidence: During the March 7, 2023, inspection, the following was determined: 1. Upon arrival at the center at approximately 8:35am, the licensing inspector observed 22 children, ranging from age two years to five years, being supervised by 2 employees. Later during the inspection at approximately 8:50am, the licensing inspector observed 26 children, ranging from age two years to five years, being supervised by 2 employees. The licensing inspector also observed 9 two-year-old children in another classroom being supervised by 1 employee at approximately 8:40am. 2. Two staff members reported the following: a. Approximately 3 out of 5 days per week prior to 7:30am, staff #1 is out of ratio and supervising more than 8 children. b. Staff #1 supervises all children ranging in ages two years to five years who are dropped off in classroom C-134 daily until 7:30am when staff #2 arrives.”