St. Luke's United Methodist Church

22.1-289.031-B-4

“Ensuring that all children in the center are in compliance with the provisions regarding the immunization of children against certain diseases. The provider did not obtain immunization information for Child #1.”

22.1-289.049-A

“Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. The program shall also require that the person enrolling the child present proof of the child's identity and age. The provider did not obtain information related to previous childcare for Child #5 and proof of identity for Child #1 and Child #2”

22.1-289.031-B-5

“Ensuring that all areas of the premises accessible to children are free of obvious injury hazards. In classroom D a medication was observed on shelf, in a cubby and within reach of children.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector in the building.”

22.1-289.035-B-3

“(Repeat Violation) The center must request a search of the central registry prior to the employee's first day of employment. Staff 5 has been employed for over a year and did not have a central registry search requested.”

22.1-289.035-B-1

“(Repeat Violations) The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff 2, 9 and 11, who are currently working, did not have signed statements and have been working for over a year.”

8VAC20-770-40-D-2

“Repeat Based on a review of staff records and staff interviews, the provider did not ensure each staff member had obtained by their first day or employment a sworn statement of affirmation and by end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: The following records were missing the required background checks 1.Staff #2 did not have a CPS check or a completed sworn statement. Center Director verified they have been working since September 2023. 2. Staff #3 did not have a CPS check. Center Director verified they have been working since August 2023. 3. Staff #4 did not have a CPS check. Center Director verified they have been working since August 2022. 4. Staff #5 did not have a CPS check. Center Director verified they have been working since September 2023. 5. Staff #8 did not have a CPS check. Center Director verified they have been working since August 2022. 6. Staff #9 did not have a CPS check. Center Director verified they have been working since August 2022. 7. Staff #10 did not have a CPS check or a completed sworn statement. Center Director verified they have been working since August 2023. 8. Staff #11 did not have a CPS check. Center Director verified they have been working since August 2022.”

22.1-289.035-B-2

“Repeat Based on record review and staff interviews, the center did not ensure, all staff had obtained a Criminal History Records Check Results ( CRC ) prior to the 1st day of employment.. Evidence: Staff #12 did not have a CRC . Center Director verified they have been working since August 2022.”

22.1-289.031-A-6

“Repeat Based on observation and staff interviews, the center did not ensure the required aspects of the child day center's operations are described in a written statement were provided to the parents or guardians of the children in the center and made available to the general public. Evidence: The Center Director confirmed the following required aspects of the center /information was not in a written statement and made available to parents or the public as required. enrollment capacity public liability insurance.”

22.1-289.031-A-4

“Repeat Based on record review and interview with staff, the center did not ensure each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision. Evidence: The record for Staff #12 did not include the annual staff health reports and Center Director verified they have been working since August 2022.”

22.1-289.035-B-4

“Based on record review and staff interviews, the center did not ensure, all staff obtained an out of state sex offender registry check and criminal history name check ( CRC ) prior to the first day of employment and a child abuse and neglect search request by the end of 30th day of employment for each state an individual has resided in the past 5 years prior to the 1st day of employment. Evidence: The following records were missing required out of state background checks 1.Staff #3 did not include results of a CRC , a sex offender check and a child abuse and neglect search for California where they had lived in the last five years. Center Director verified they have been working since August 2023. 2. Staff #10 did not include results of a CRC , a sex offender check and a child abuse and neglect search for Indiana where they had lived in the last five years. Center Director verified they have been working since August 2023.”

22.1-289.031-A-6

“Based on document review and staff interview, the center had not described all required aspects of the child day center's operations in a written statement to the parents or guardians of the children in the center and made available to the general public. Evidence: The Director confirmed that the physical facilities and public liability insurance had not been provided in writing to the parents/guardians and made available to the general public.”

8VAC20-770-40-D-2

“Based on record review and staff interview, the center did not ensure that a prospective employee, volunteer, or any other person who is expected to be alone with one or more children enrolled in the religious exempt child day center shall undergo a search of central registry (within 30 days of employment or commencement of service) and have a sworn statement of affirmation (before employment or commencement of service at the facility). Evidence: Staff #1, 2, 3, 4, and 5 did not have documentation of a search of the central registry or a sworn statement of affirmation.”

22.1-289.031-A-4

“Based on record review and interview with staff, the center did not ensure each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision. Evidence: The Director confirmed that there was no documentation that Staff #2, and #3, who are in supervisory positions, had been certified by a practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision.”

22.1-289.035-B-2

“Based on record review and interview with staff, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The Director confirmed that the record for staff #1, 3, 4, and 5 did not contain documentation of a fingerprint check prior to the first day of employment.”