The Father's House Community Outreach Center

8VAC20-790-560-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening at the time of employment. Evidence: 1. The record for staff #1, date of employment 10/20/2023, contained documentation of tuberculosis screening dated 01/08/2024.”

8VAC20-790-600-B

“Based on record review, the center failed to ensure that all staff shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained documentation of Virginia Preservice Training for Child Care Staff dated 03/10/2024.”

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to children ratio of 1 staff to 10 children for children ages 36 months to five years. Evidence: Classroom #2 had 15 children with 1 staff. The youngest child in classroom #2 was 3 years old. One additional staff was required. Administration confirmed that there was 1 staff with 15 children.”

22.1-289.031-A-4

“Based on record review, the center failed to obtain a staff health report certified by a practicing physician or physician assistant that the staff member is free from any disability which would prevent them from caring for children under their supervision prior to employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained a staff health report dated 01/05/2024.”

22.1-289.035-B-4

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #1, date of employment 10/20/2023, indicated that staff #1 lived in another state outside of Virginia in the preceding five years prior to employment. The record had documentation of the criminal background check and central registry being requested in May of 2024. The results of the criminal background check must be received prior to employment. The central registry background check must be requested no later than 30 days after the first day of employment.”

8VAC20-790-560-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening at the time of employment. Evidence: 1. The record for staff #1, date of employment 10/20/2023, contained documentation of tuberculosis screening dated 01/08/2024.”

8VAC20-790-600-B

“Based on record review, the center failed to ensure that all staff shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained documentation of Virginia Preservice Training for Child Care Staff dated 03/10/2024.”

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to children ratio of 1 staff to 10 children for children ages 36 months to five years. Evidence: Classroom #2 had 15 children with 1 staff. The youngest child in classroom #2 was 3 years old. One additional staff was required. Administration confirmed that there was 1 staff with 15 children.”

22.1-289.031-A-4

“Based on record review, the center failed to obtain a staff health report certified by a practicing physician or physician assistant that the staff member is free from any disability which would prevent them from caring for children under their supervision prior to employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained a staff health report dated 01/05/2024.”

22.1-289.035-B-4

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #1, date of employment 10/20/2023, indicated that staff #1 lived in another state outside of Virginia in the preceding five years prior to employment. The record had documentation of the criminal background check and central registry being requested in May of 2024. The results of the criminal background check must be received prior to employment. The central registry background check must be requested no later than 30 days after the first day of employment.”

22.1-289.031-B-5

“Based on observation, the center failed to ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or cushioning material under playground equipment. Evidence: 1. The playground contains playground equipment that was directly on the ground and does not have sand or cushioning material under it.”

22.1-289.035-B-4

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #5, date of employment 9/19/22, indicated that staff #5 lived in another state outside of Virginia in the preceding five years. Administration confirmed that they did not obtain the results of a criminal history record information check or a search of the child abuse and neglect registry from that state.”

8VAC20-790-520-F

“Based on interview, the vendor failed to keep a current written list of all children's allergies, sensitivities, and dietary restrictions in each room or area where children are present. Evidence: Interviews with staff revealed that there are children with allergies, sensitivities, and dietary restrictions that attend the center. There was not a current written list of children's allergies, sensitivities, and dietary restrictions in each room where children were present.”

8VAC20-790-730-F-2

“Based on observation, and interview, the vendor failed to provide cots, rest mats, or beds for children older than 12 months of age. Evidence: Classroom # 3 contained children older than 12 months that were sleeping in cribs. When asked if a cot or rest mat was provided for the children older than 12 months staff stated that rest mats are not provided until the children transition to the older classroom at 24 months.”

8VAC20-790-730-G

“Based on observation, and interview, the vendor failed to ensure that there shall be at least 12 inches of space between occupied cribs, cots, beds, and rest mats. Evidence: Classroom #2 had 20 children sleeping on cots. Several cots were touching and several others were less than 12 inches apart. Interview with staff revealed that classroom #1 and classroom #2 were combined during nap due to staffing.”

8VAC20-790-780-A

“Based on observation, and interview, the vendor failed to maintain the minimum required supplies in the first aid kit. Evidence: The first aid kit did not contain an ice pack or adhesive tape. Staff #6 confirmed that the first aid kit did not contain an ice pack or adhesive tape.”

8VAC20-790-780-C-2

“Based on interview, the vendor failed to have the required nonmedical emergency supplies. Evidence: Staff #6 stated that the center did not have a working, battery-operated radio.”

8VAC20-790-800-A-2

“Based on documentation review, and interview, the vendor failed to practice emergency response drills the required minimum times per year. Evidence: Documentation review and interview revealed that the vendor did not practice shelter-in-place procedures twice a year.”

8VAC20-790-800-A-3

“Based on documentation review, and interview, the vendor failed to practice emergency response drills the required minimum times per year. Evidence: Documentation review and interview revealed that the vendor did not practice lockdown procedures at least once a year.”

8VAC20-790-780-C-1

“Based on interview, the vendor failed to have the required nonmedical emergency supplies. Evidence: Staff #6 stated that the center did not have a working, battery-operated flashlight.”

8VAC20-790-550-2-d

“Based on record review, the vendor did not ensure three of five staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of a completed sworn statement or affirmation dated 1/24/2023.”

8VAC20-790-550-2-c

“Based on record review and an interview, the vendor did not ensure one of five staff records contained documentation of criminal history record results, and sex offender registry check results from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, and sex offender registry check results. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.”

8VAC20-790-730-I

“Based on observation, the vender did not ensure pillows and filled comforters were not used by children less than 12 months of age while sleeping or resting including quilts, sheepskins, or stuffed toys. Evidence: The inspector observed an infant sleeping in a crib with a blanket underneath the infant’s head as if it were a pillow. The same infant also had a blanket on top of the infant and another blanket and cloth bib on the side of the infant.”

8VAC20-790-820-B

“Based on observation, the vendor did not ensure when a child is placed in an infant seat, highchair,` or feeding table, the protective belt shall be fastened securely. Evidence: The licensing inspector observed two children sitting in a feeding table without the protective belt fastened. There were no protective belts installed in the feeding table seats as required by the manufacturer.”

8VAC20-790-760-B-3-d

“that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The infant classroom used a trashcan located outside of the infant rooms back door. The trash can was not foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

8VAC20-790-580-A

“Based on observation, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

22.1-289.031-A-9

“Based on observation, the child day center was not in compliance with safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. The inspector observed an infant sleeping in a crib with a blanket underneath the infants head, one blanket on top of the infant and another blanket and cloth bib on the side of the infant. 2. The inspector observed two other infants sleeping in a crib with a blanket covering the each of them. 3. The American Academy of Pediatrics state that infant sleep should be avoided with ?loose blankets, pillows, stuffed toys, bumpers, and other soft items out of the sleep space.?”

8VAC20-770-40-D-2

“Based on record review, the center did not ensure three of five 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: 9/22/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024 and a completed sworn statement or affirmation dated 1/24/2023.”

22.1-289.031-A-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 #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

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 observe a carbon monoxide detector installed in the center.”

22.1-289.031-B-5

“Based on observation, the center did not ensure to implement the center’s established procedures regarding hazardous substances. Evidence: 1. The center requires that all cleaners and hazardous substances be locked. 2. There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

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: The record of staff #3 (employment date: 4/14/2017) had documentation of sworn statement or affirmation dated 9/19/2017.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-d

“Based on record review, the vendor did not ensure three of five staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of a completed sworn statement or affirmation dated 1/24/2023.”

8VAC20-790-550-2-c

“Based on record review and an interview, the vendor did not ensure one of five staff records contained documentation of criminal history record results, and sex offender registry check results from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, and sex offender registry check results. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.”

8VAC20-790-730-I

“Based on observation, the vender did not ensure pillows and filled comforters were not used by children less than 12 months of age while sleeping or resting including quilts, sheepskins, or stuffed toys. Evidence: The inspector observed an infant sleeping in a crib with a blanket underneath the infant’s head as if it were a pillow. The same infant also had a blanket on top of the infant and another blanket and cloth bib on the side of the infant.”

8VAC20-790-820-B

“Based on observation, the vendor did not ensure when a child is placed in an infant seat, highchair,` or feeding table, the protective belt shall be fastened securely. Evidence: The licensing inspector observed two children sitting in a feeding table without the protective belt fastened. There were no protective belts installed in the feeding table seats as required by the manufacturer.”

8VAC20-790-760-B-3-d

“that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The infant classroom used a trashcan located outside of the infant rooms back door. The trash can was not foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

8VAC20-790-580-A

“Based on observation, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

22.1-289.031-A-9

“Based on observation, the child day center was not in compliance with safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. The inspector observed an infant sleeping in a crib with a blanket underneath the infants head, one blanket on top of the infant and another blanket and cloth bib on the side of the infant. 2. The inspector observed two other infants sleeping in a crib with a blanket covering the each of them. 3. The American Academy of Pediatrics state that infant sleep should be avoided with ?loose blankets, pillows, stuffed toys, bumpers, and other soft items out of the sleep space.?”

8VAC20-770-40-D-2

“Based on record review, the center did not ensure three of five 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: 9/22/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024 and a completed sworn statement or affirmation dated 1/24/2023.”

22.1-289.031-A-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 #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

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 observe a carbon monoxide detector installed in the center.”

22.1-289.031-B-5

“Based on observation, the center did not ensure to implement the center’s established procedures regarding hazardous substances. Evidence: 1. The center requires that all cleaners and hazardous substances be locked. 2. There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

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: The record of staff #3 (employment date: 4/14/2017) had documentation of sworn statement or affirmation dated 9/19/2017.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-d

“Based on record review, the vendor did not ensure three of five staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of a completed sworn statement or affirmation dated 1/24/2023.”

8VAC20-790-550-2-c

“Based on record review and an interview, the vendor did not ensure one of five staff records contained documentation of criminal history record results, and sex offender registry check results from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, and sex offender registry check results. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.”

8VAC20-790-730-I

“Based on observation, the vender did not ensure pillows and filled comforters were not used by children less than 12 months of age while sleeping or resting including quilts, sheepskins, or stuffed toys. Evidence: The inspector observed an infant sleeping in a crib with a blanket underneath the infant’s head as if it were a pillow. The same infant also had a blanket on top of the infant and another blanket and cloth bib on the side of the infant.”

8VAC20-790-820-B

“Based on observation, the vendor did not ensure when a child is placed in an infant seat, highchair,` or feeding table, the protective belt shall be fastened securely. Evidence: The licensing inspector observed two children sitting in a feeding table without the protective belt fastened. There were no protective belts installed in the feeding table seats as required by the manufacturer.”

8VAC20-790-760-B-3-d

“that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The infant classroom used a trashcan located outside of the infant rooms back door. The trash can was not foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

8VAC20-790-580-A

“Based on observation, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

22.1-289.031-A-9

“Based on observation, the child day center was not in compliance with safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. The inspector observed an infant sleeping in a crib with a blanket underneath the infants head, one blanket on top of the infant and another blanket and cloth bib on the side of the infant. 2. The inspector observed two other infants sleeping in a crib with a blanket covering the each of them. 3. The American Academy of Pediatrics state that infant sleep should be avoided with ?loose blankets, pillows, stuffed toys, bumpers, and other soft items out of the sleep space.?”

8VAC20-770-40-D-2

“Based on record review, the center did not ensure three of five 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: 9/22/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024 and a completed sworn statement or affirmation dated 1/24/2023.”

22.1-289.031-A-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 #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

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 observe a carbon monoxide detector installed in the center.”

22.1-289.031-B-5

“Based on observation, the center did not ensure to implement the center’s established procedures regarding hazardous substances. Evidence: 1. The center requires that all cleaners and hazardous substances be locked. 2. There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

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: The record of staff #3 (employment date: 4/14/2017) had documentation of sworn statement or affirmation dated 9/19/2017.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-d

“Based on record review, the vendor did not ensure three of five staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of a completed sworn statement or affirmation dated 1/24/2023.”

8VAC20-790-550-2-c

“Based on record review and an interview, the vendor did not ensure one of five staff records contained documentation of criminal history record results, and sex offender registry check results from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, and sex offender registry check results. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.”

8VAC20-790-730-I

“Based on observation, the vender did not ensure pillows and filled comforters were not used by children less than 12 months of age while sleeping or resting including quilts, sheepskins, or stuffed toys. Evidence: The inspector observed an infant sleeping in a crib with a blanket underneath the infant’s head as if it were a pillow. The same infant also had a blanket on top of the infant and another blanket and cloth bib on the side of the infant.”

8VAC20-790-820-B

“Based on observation, the vendor did not ensure when a child is placed in an infant seat, highchair,` or feeding table, the protective belt shall be fastened securely. Evidence: The licensing inspector observed two children sitting in a feeding table without the protective belt fastened. There were no protective belts installed in the feeding table seats as required by the manufacturer.”

8VAC20-790-760-B-3-d

“that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The infant classroom used a trashcan located outside of the infant rooms back door. The trash can was not foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

8VAC20-790-580-A

“Based on observation, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

22.1-289.031-A-9

“Based on observation, the child day center was not in compliance with safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. The inspector observed an infant sleeping in a crib with a blanket underneath the infants head, one blanket on top of the infant and another blanket and cloth bib on the side of the infant. 2. The inspector observed two other infants sleeping in a crib with a blanket covering the each of them. 3. The American Academy of Pediatrics state that infant sleep should be avoided with ?loose blankets, pillows, stuffed toys, bumpers, and other soft items out of the sleep space.?”

8VAC20-770-40-D-2

“Based on record review, the center did not ensure three of five 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: 9/22/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022 and a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024 and a completed sworn statement or affirmation dated 1/24/2023.”

22.1-289.031-A-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 #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

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 observe a carbon monoxide detector installed in the center.”

22.1-289.031-B-5

“Based on observation, the center did not ensure to implement the center’s established procedures regarding hazardous substances. Evidence: 1. The center requires that all cleaners and hazardous substances be locked. 2. There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

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: The record of staff #3 (employment date: 4/14/2017) had documentation of sworn statement or affirmation dated 9/19/2017.”

22.1-289.035-B-4

“Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 9/19/2022) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years. Staff #2 confirmed that she has lived outside of Virginia within the last five years.”

8VAC20-770-40-D-2

“Based on a review of five staff records and interview, the center did not ensure three staff had the results of the central registry check within 30 days of the individuals beginning employment. Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the central registry check. 2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20. 3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check. 4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.”

22.1-289.031-B-3

“Based on interviews, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily. Evidence: During interviews, management was not able to identify a staff member who is trained to perform daily health screening and exclusion of sick children.”

22.1-289.031-B-4

“Based on a review of five children's records and interview, the center did not implement the center's procedure to ensure that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. The center is required to obtain documentation of immunizations prior to the child's first day of attendance. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.”

22.1-289.031-A-4

“Based on a review of five staff records, the center did not ensure one staff obtained the required staff health report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #1, employed 09/16/22, was completed on 10/02/22. The staff health report should have been obtained prior to the staff beginning employment.”

22.1-289.035-A

“Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member. Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

22.1-289.035-B-2

“Based on a review of five staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe. Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain the required out-of-state background checks from one state in which one staff member had resided in the preceding fiver years within the required timeframes. Evidence: 1) The record for Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment. The central registry search should have been requested within 30 days of employment.”

8VAC20-790-600-I

“Based on interview, the vendor did not ensure there should be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: During interviews, management was not able to identify a staff member on duty who has obtained within the last three years instruction in daily health observation of children.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure three staff who work directly with children completed at least annually 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1) The record of Staff #2, employed 12/28/20, contained 14.5 hours of annual training. The department's health and safety update course on file was completed on 10/27/22. The staff did not complete the health and safety update course in 2021. 2) The record of Staff #3, employed 07/15/19, contained 1.5 hours of annual training. The department's health and safety update course on file was completed on 08/03/20. The staff did not complete the health and safety update course in 2021. 3) The record of Staff #4, employed 09/19/17, contained 1.5 hours of annual training. The department's health and safety update course on file was completed on 07/30/20. The staff did not complete the health and safety update course in 2021. 4) During interview, management stated additional training certificates for Staff #2, Staff #3, and Staff #4 could not be located.”

8VAC20-790-600-C

“Based on a review of five staff records and interview, the vendor did not ensure one staff completed orientation training prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1) The record of Staff #1, employed 09/16/22, contained documentation of orientation training that was dated 09/30/22. 2) During interview, management reported the orientation training was not completed within seven days of the date of employment.”

8VAC20-790-600-B

“Based on a review of five staff records, the vendor did not ensure two staff who work directly with children completed the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: 1) The Virginia Preservice Training certificate in the record of Staff #2, employed 12/28/20, was dated 10/28/22. 2) The Virginia Preservice Training certificate in the record of Staff #4, employed 04/07/22, was dated 10/02/22.”

8VAC20-790-580-A

“Based on a review of five children's records and interview, the vendor did not obtain documentation that one child had received the immunization required by the State Board of Health before the child attended the center. Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.”

8VAC20-790-560-A

“Based on a review of four staff records and interview, the vendor did not ensure one staff member had documentation of a negative tuberculosis (TB) screening within the required timeframe. Evidence: 1) The TB screening in the record of Staff #1, employed 09/16/22, was dated 10/02/22. 2) The record of Staff #5, employed 04/07/22, did not contain documentation of a negative TB screening. 3) During interview, management confirmed Staff #5 does not have documentation of a negative TB screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-790-550-2-f

“Based on a review of five staff records and interview, the vendor did not obtain documentation of subsequent background checks conducted every five years for one staff member. Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

8VAC20-790-550-2-c

“Based on a review of five staff records and interview, the vendor did not obtain the results of a criminal history record information check and sex offender registry check from one state in which the staff member had resided in the preceding five years. Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of a criminal history record information check or a sex offender registry check from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment.”

8VAC20-790-800-A-1

“Based on documentation reviewed and interview, the vendor did not ensure the center's evacuation procedures were practiced at least monthly. Evidence: 1)The emergency response drills reviewed for 2022 did not include a practice evacuation drill for February 2022, July 2022, and August 2022. 2) During interview, management reported an evacuation drill was not practiced during those months.”

8VAC20-790-550-2-a

“Based on a review of five staff records and interview, the vendor did not ensure three staff had the results of the Virginia Child Protective Services Central Registry check within 30 days of the individuals beginning employment. Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the central registry check. 2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20. 3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check. 4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.”

8VAC20-790-550-2-a

“Based on a review of five staff records, the vendor did not ensure one staff had satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

8VAC20-790-550-2-b

“Based on a review of five staff records and interview, the vendor did not obtain satisfactory results of the child abuse and neglect registry from one state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The results should have been requested within 30 days of employments.”

8VAC20-770-40-D-2

“Based on a review of five staff records and interview, the center did not ensure three staff had the results of the central registry check within 30 days of the individuals beginning employment. Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the central registry check. 2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20. 3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check. 4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.”

22.1-289.031-B-3

“Based on interviews, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily. Evidence: During interviews, management was not able to identify a staff member who is trained to perform daily health screening and exclusion of sick children.”

22.1-289.031-B-4

“Based on a review of five children's records and interview, the center did not implement the center's procedure to ensure that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. The center is required to obtain documentation of immunizations prior to the child's first day of attendance. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.”

22.1-289.031-A-4

“Based on a review of five staff records, the center did not ensure one staff obtained the required staff health report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #1, employed 09/16/22, was completed on 10/02/22. The staff health report should have been obtained prior to the staff beginning employment.”

22.1-289.035-A

“Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member. Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

22.1-289.035-B-2

“Based on a review of five staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe. Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain the required out-of-state background checks from one state in which one staff member had resided in the preceding fiver years within the required timeframes. Evidence: 1) The record for Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment. The central registry search should have been requested within 30 days of employment.”

8VAC20-790-600-I

“Based on interview, the vendor did not ensure there should be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: During interviews, management was not able to identify a staff member on duty who has obtained within the last three years instruction in daily health observation of children.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure three staff who work directly with children completed at least annually 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1) The record of Staff #2, employed 12/28/20, contained 14.5 hours of annual training. The department's health and safety update course on file was completed on 10/27/22. The staff did not complete the health and safety update course in 2021. 2) The record of Staff #3, employed 07/15/19, contained 1.5 hours of annual training. The department's health and safety update course on file was completed on 08/03/20. The staff did not complete the health and safety update course in 2021. 3) The record of Staff #4, employed 09/19/17, contained 1.5 hours of annual training. The department's health and safety update course on file was completed on 07/30/20. The staff did not complete the health and safety update course in 2021. 4) During interview, management stated additional training certificates for Staff #2, Staff #3, and Staff #4 could not be located.”

8VAC20-790-600-C

“Based on a review of five staff records and interview, the vendor did not ensure one staff completed orientation training prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1) The record of Staff #1, employed 09/16/22, contained documentation of orientation training that was dated 09/30/22. 2) During interview, management reported the orientation training was not completed within seven days of the date of employment.”

8VAC20-790-600-B

“Based on a review of five staff records, the vendor did not ensure two staff who work directly with children completed the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: 1) The Virginia Preservice Training certificate in the record of Staff #2, employed 12/28/20, was dated 10/28/22. 2) The Virginia Preservice Training certificate in the record of Staff #4, employed 04/07/22, was dated 10/02/22.”

8VAC20-790-580-A

“Based on a review of five children's records and interview, the vendor did not obtain documentation that one child had received the immunization required by the State Board of Health before the child attended the center. Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.”

8VAC20-790-560-A

“Based on a review of four staff records and interview, the vendor did not ensure one staff member had documentation of a negative tuberculosis (TB) screening within the required timeframe. Evidence: 1) The TB screening in the record of Staff #1, employed 09/16/22, was dated 10/02/22. 2) The record of Staff #5, employed 04/07/22, did not contain documentation of a negative TB screening. 3) During interview, management confirmed Staff #5 does not have documentation of a negative TB screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-790-550-2-f

“Based on a review of five staff records and interview, the vendor did not obtain documentation of subsequent background checks conducted every five years for one staff member. Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

8VAC20-790-550-2-c

“Based on a review of five staff records and interview, the vendor did not obtain the results of a criminal history record information check and sex offender registry check from one state in which the staff member had resided in the preceding five years. Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of a criminal history record information check or a sex offender registry check from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment.”

8VAC20-790-800-A-1

“Based on documentation reviewed and interview, the vendor did not ensure the center's evacuation procedures were practiced at least monthly. Evidence: 1)The emergency response drills reviewed for 2022 did not include a practice evacuation drill for February 2022, July 2022, and August 2022. 2) During interview, management reported an evacuation drill was not practiced during those months.”

8VAC20-790-550-2-a

“Based on a review of five staff records and interview, the vendor did not ensure three staff had the results of the Virginia Child Protective Services Central Registry check within 30 days of the individuals beginning employment. Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the central registry check. 2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20. 3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check. 4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.”

8VAC20-790-550-2-a

“Based on a review of five staff records, the vendor did not ensure one staff had satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

8VAC20-790-550-2-b

“Based on a review of five staff records and interview, the vendor did not obtain satisfactory results of the child abuse and neglect registry from one state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The results should have been requested within 30 days of employments.”