St. George's Episcopal Church

22.1-289.031-B-6

“(Systemic deficiency) The center shall implement procedures for ensuring that all staff are able to recognize the signs of child abuse and neglect. The center’s procedures for ensuring that all staff are able to recognize the signs of child abuse and neglect were not implemented for Staff #2, #3, #4, #5, and #6.”

8VAC20-790-800-A-3

“(Systemic deficiency) Lockdown procedures shall be practiced at least annually. There was no documentation of lockdown drills.”

8VAC20-790-800-A-2

“(Systemic deficiency) Shelter-in-place procedures shall be practiced twice a year. There was no documentation of shelter-in-place drills.”

8VAC20-790-800-A-1

“(Systemic deficiency) Evacuation procedures shall be practiced at least monthly. There was documentation of fire drills on 9/24/25 and 11/10/25.”

8VAC20-790-600-I

“(Systemic deficiency) There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. The daily Health Observation training for Staff #1 expired more than one month ago. Staff #2, #3, #4, #5, and #6 had not received instruction in performing a daily health observation of children.”

22.1-289.035-B-2

“(Systemic deficiency) Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The national criminal background check results for Staff #3 were obtained 2 weeks after the first day of employment.”

8VAC20-790-600-D-2

“(Systemic deficiency) All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #3 has been working for more than five months and has not completed certification in first aid. Staff #6 received certification in first aid but it was overdue by more than nine months.”

8VAC20-790-600-D-1

“(Systemic deficiency) All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #3 has been working for more than five months and has not completed certification in cardiopulmonary resuscitation (CPR). Staff #6 received certification in cardiopulmonary resuscitation (CPR) but it was overdue by more than nine months.”

8VAC20-790-600-B

“(Systemic deficiency) Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff #2 and Staff #3 who have both been employed at the center for more than five months have not completed the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-560-A

“(Systemic deficiency) The center is required to obtain documentation of a negative tuberculosis (TB) screening for staff at the time of employment and prior to coming into contact with children. Staff #3 obtained a TB test eight weeks after the first day of employment. Staff #6 obtained a TB test six months after the first day of employment. There was no documentation of a TB screening for Staff #4 who has been working at the center for eight months.”

8VAC20-790-550-5

“(Systemic deficiency) Staff records must include documentation that training required in 8VAC20-790-600 has been completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization. There was no documentation of orientation training for Staff #2, #3, #4, #5, and #6.”

22.1-289.035-B-3

“(Systemic deficiency) The center must request a search of the central registry prior to the employee's first day of employment. There were no central registry search results in the records of Staff #2 and Staff #3 who have both been employed at the center for more than five months. The central registry search results in the records of Staff #4 and Staff #5 were requested more than three months after their first day of employment.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Staff #1 and Staff #4 did not complete 16 hours of annual training. Staff #2, Staff #3, Staff #4, and Staff #5 did not complete the department's health and safety update course within the last 12 months.”

22.1-289.057-A

“Religious exempt child day centers that serve preschool age children are required to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. The center has not tested their water for lead as required.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Staff #1 and Staff #4 did not complete 16 hours of annual training. Staff #2, Staff #3, Staff #4, and Staff #5 did not complete the department's health and safety update course within the last 12 months.”

22.1-289.057-A

“Religious exempt child day centers that serve preschool age children are required to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. The center has not tested their water for lead as required.”

8VAC20-770-40-D-2

“Based on a review of documentation, not all of the facility staff had documentation of a central registry background check within 30 days of their first day of employment. Evidence: Staff A’s (start date: 8/16/2021) record did not contain documentation of a central registry finding.”

8VAC20-770-40-D-2

“Based on a review of documentation, not all of the facility staff had documentation of a central registry background check within 30 days of their first day of employment. Evidence: Staff A’s (start date: 8/16/2021) record did not contain documentation of a central registry finding.”

8VAC20-770-40-D-2

“Based on a review of documentation, not all of the facility staff had documentation of a central registry background check within 30 days of their first day of employment. Evidence: Staff A’s (start date: 8/16/2021) record did not contain documentation of a central registry finding.”

8VAC20-770-40-D-2

“Based on a review of documentation, not all of the facility staff had documentation of a central registry background check within 30 days of their first day of employment. Evidence: Staff A’s (start date: 8/16/2021) record did not contain documentation of a central registry finding.”