St. Luke's United Methodist Church

22.1-289.031-B-1

“The center is required to establish and implement procedures to ensure children and staff wash their hands before eating and after toileting and diapering. A staff member was observed changing a child's diaper in classroom #2. The staff member and the child did not wash their hands after the diaper change.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. 1. The sworn statement for staff #1, who is currently working, was dated 3 months after their first day of employment. 2. The sworn statement for staff #3, who is currently working, was dated 3 months after their first day of employment. 3. The sworn statement for staff #5, who is currently working, was dated 3 months after their first day of employment.”

22.1-289.035-B-2

“Based on record review, the center did not ensure 1 of 9 staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #7 (employment date: 9/2020) had documentation of fingerprint based national criminal history search results dated 1/22/2021.”

22.1-289.035-A

“Based on record review, the facility failed to obtain repeat sworn statement or affirmation for four of nine staff within five years since the date of the last completed sworn statement or affirmation. Evidence: 1. The record of staff #2 (employment date: 9/2017) had documentation of central registry results dated 9/24/17. 2. The record of staff #3 (employment date: 9/2017) had documentation of central registry results dated 10/18/17. 3. The record of staff #5 (employment date: 9/2016) had documentation of central registry results dated 10/18/17. 4. The record of staff #7 (employment date: 9/2016) had documentation of central registry results dated 10/17/17.”

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 #9 (employment date: 9/2022) 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.”

22.1-289.058

“Based on observation and an interview, the center did not ensure that the building serving preschool aged children was equipped with at least one carbon monoxide detector. Evidence: The licensing inspector did not see a carbon monoxide detector installed in the center. The center’s administrator stated that a carbon monoxide detector is not currently installed in the building.”

8VAC20-770-40-D-2

“Based on record review, the provider did not ensure 3 of 9 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: 9/2001) did not have documentation of a completed sworn statement or affirmation. 2. The record of staff #7 (employment date: 9/2020) had documentation of central registry results dated 2/10/2021 and a completed sworn statement of affirmation dated 1/13/2021. 3. The record of staff #9 (employment date: 9/2022) did not have documentation of a completed sworn statement or affirmation and central registry results dated 10/25/2022.”