Trinity Missionary Baptist Church

22.1-289.035-A

“**Repeat Violation** The center shall not hire or continue to employ any person who has been convicted of any barrier crime. The record for staff #6, employed for 5 months and working on the date of this inspection, contained a disqualifying criminal background check completed 2 weeks ago.”

22.1-289.035-A

“**Repeat Violation** The center shall not hire or continue to employ any person who has been convicted of any barrier crime. The record for staff #6, employed for 5 months and working on the date of this inspection, contained a disqualifying criminal background check completed 2 weeks ago.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #2 did not contain documentation of tuberculosis screening results.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the date of employment for all staff. The record for staff #2 and #6 did not include a date of employment.”

22.1-289.035-B-2

“**Repeat Violation** The provider must obtain a completed national criminal background check prior to the employee’s first day of employment. The records for staff #1, #2, #3 and #4 did not have documentation of completed national criminal background checks. The first date of employment for staff #2 was not provided by the provider. Staff #1 has been employed for over 4 months. Staff #3 has been employed for over 1 year and a half. Staff #4 has been employed for over 6 months.”

22.1-289.035-A

“**Repeat Violation** The center is required to have employees undergo a background check every five years. The most recent national fingerprint check for staff #5 was overdue by a year and 5 months.”

8VAC20-770-40-D-2

“**Repeat Violation** For any employee hired prior to 7/1/2024, a search of the central registry is required within 30 days of employment. The records for staff #2, #3, #5 and #6 did not contain documentation of results of a central registry search. Staff #2, #3, #5 and #6 have been employed for at least one year.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #2 did not contain documentation of tuberculosis screening results.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the date of employment for all staff. The record for staff #2 and #6 did not include a date of employment.”

22.1-289.035-B-2

“**Repeat Violation** The provider must obtain a completed national criminal background check prior to the employee’s first day of employment. The records for staff #1, #2, #3 and #4 did not have documentation of completed national criminal background checks. The first date of employment for staff #2 was not provided by the provider. Staff #1 has been employed for over 4 months. Staff #3 has been employed for over 1 year and a half. Staff #4 has been employed for over 6 months.”

22.1-289.035-A

“**Repeat Violation** The center is required to have employees undergo a background check every five years. The most recent national fingerprint check for staff #5 was overdue by a year and 5 months.”

8VAC20-770-40-D-2

“**Repeat Violation** For any employee hired prior to 7/1/2024, a search of the central registry is required within 30 days of employment. The records for staff #2, #3, #5 and #6 did not contain documentation of results of a central registry search. Staff #2, #3, #5 and #6 have been employed for at least one year.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the address, verification of age and date of employment for all staff. The records for staff #2, #3, and #6 did not include any documentation of address, verification of age and date of employment. The record for staff #4 did not include documentation of address or verification of age.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #1, #2, #3, #4, #5 and #6 did not contain documentation of tuberculosis screening results.”

22.1-289.035-B-2

“**Repeat Violation** The provider must obtain a completed national criminal background check prior to the employee's first day of employment. The records for staff #1, #2, #3, and #4 did not contain documentation of completed national criminal background checks. The first date of employment for Staff #2 and #3 was not provided by the provider. Staff #1 has been employed for over 2 months and staff #4 has been employed for over 5 months.”

22.1-289.035-B-3

“**Repeat Violation** For any employee hired on or after 7/01/24, a central registry search must be requested prior to employment. The record for staff #1, employed for over 2 months, did not contain documentation that a central registry search had been requested. The record for staff #4, employed for over 4 months, did not contain documentation that a central registry search had been requested.”

22.1-289.031-A-4

“**Repeat Violation** The provider shall maintain documentation 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. The records for staff #6 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent national fingerprint background check for staff #5 and staff #6 was overdue by a year and three months.”

8VAC20-770-40-D-2

“**Repeat Violation** For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment. The records for staff #2, #3, #5, and #6 did not contain documentation of results of a central registry search within 30 days of employment. Staff #2, #3, #5, and #6 have been employed for at least a year or more.”

22.1-289.035-B-1

“**Repeat Violation** The provider is required to obtain a completed sworn statement prior to the employee's first day of employment. The record for staff #6 did not contain a completed sworn statement. The first date of employment for Staff #6 was not provided by the provider. Staff #6 has been employed for at least a year or more. The record for staff #4 contained a sworn statement dated over 4 months after their first day of employment.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the address, verification of age and date of employment for all staff. The records for staff #2, #3, and #6 did not include any documentation of address, verification of age and date of employment. The record for staff #4 did not include documentation of address or verification of age.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #1, #2, #3, #4, #5 and #6 did not contain documentation of tuberculosis screening results.”

22.1-289.035-B-2

“**Repeat Violation** The provider must obtain a completed national criminal background check prior to the employee's first day of employment. The records for staff #1, #2, #3, and #4 did not contain documentation of completed national criminal background checks. The first date of employment for Staff #2 and #3 was not provided by the provider. Staff #1 has been employed for over 2 months and staff #4 has been employed for over 5 months.”

22.1-289.035-B-3

“**Repeat Violation** For any employee hired on or after 7/01/24, a central registry search must be requested prior to employment. The record for staff #1, employed for over 2 months, did not contain documentation that a central registry search had been requested. The record for staff #4, employed for over 4 months, did not contain documentation that a central registry search had been requested.”

22.1-289.031-A-4

“**Repeat Violation** The provider shall maintain documentation 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. The records for staff #6 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent national fingerprint background check for staff #5 and staff #6 was overdue by a year and three months.”

8VAC20-770-40-D-2

“**Repeat Violation** For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment. The records for staff #2, #3, #5, and #6 did not contain documentation of results of a central registry search within 30 days of employment. Staff #2, #3, #5, and #6 have been employed for at least a year or more.”

22.1-289.035-B-1

“**Repeat Violation** The provider is required to obtain a completed sworn statement prior to the employee's first day of employment. The record for staff #6 did not contain a completed sworn statement. The first date of employment for Staff #6 was not provided by the provider. Staff #6 has been employed for at least a year or more. The record for staff #4 contained a sworn statement dated over 4 months after their first day of employment.”

8VAC20-790-800-B

“**Repeat Violation** The provider shall maintain a record of the dates of the practice emergency response drills for one year. The were no records for practice drills completed for the year of 2024.”

8VAC20-790-790-C

“Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of the building. Emergency evacuation and shelter-in-place procedures or maps were not posted in the building at the time of inspection.”

8VAC20-790-630-C-2

“**Repeat Violation** n areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. The 3?4-year-old classroom had electrical outlets without protective covers.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #1, #2, #3, #4, and #5 did not contain documentation of tuberculosis screening results.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the address, verification of age and date of employment for all staff. The records for staff #1, #2, #3, #4, and #5 did not include any documentation of address, verification of age and date of employment.”

8VAC20-790-540-B

“Each child’s record shall include all required information. The record for child #1, enrolled for over 1 year, was missing the following required component: parent work phone number. The record for child #4, enrolled for over 3 months, was missing the following required components: parent phone number, parent work phone number and address for 1 emergency contact.”

22.1-289.035-B-3

“For any employee hired on or after 7/01/24, a central registry search must be requested prior to employment. The record for staff #3 did not contain documentation that a central registry search had been requested. The first date of employment was not provided by the provider.”

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee's first day of employment. The records for staff #1, #2, #3, #4 and #5 did not contain a completed sworn statement. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider. Staff #1, #2, #4, and #5 have been employed for at least a year or more.”

22.1-289.031-B-2

“The provider must obtain a completed national criminal background check prior to the employee's first day of employment. The records for staff #1, #2, #3, #4, and #5 did not contain documentation of completed nation criminal background checks. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider.”

22.1-289.031-A-4

“The provider shall maintain documentation 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. The records for staff #1, #2, #3, #4, and #5 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

8VAC20-770-40-D-2

“For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment. The records for staff #1, #2, #4, and #5 did not contain documentation of results of a central registry search within 30 days of employment. Staff #1, #2, #4, and #5 have been employed for at least a year or more.”

8VAC20-790-800-B

“**Repeat Violation** The provider shall maintain a record of the dates of the practice emergency response drills for one year. The were no records for practice drills completed for the year of 2024.”

8VAC20-790-790-C

“Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of the building. Emergency evacuation and shelter-in-place procedures or maps were not posted in the building at the time of inspection.”

8VAC20-790-630-C-2

“**Repeat Violation** n areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. The 3?4-year-old classroom had electrical outlets without protective covers.”

8VAC20-790-550-3

“**Repeat Violation** The provider shall maintain documentation of tuberculosis screening results for all staff. The records for staff #1, #2, #3, #4, and #5 did not contain documentation of tuberculosis screening results.”

8VAC20-790-550-1

“**Repeat Violation** The provider shall maintain records that have the address, verification of age and date of employment for all staff. The records for staff #1, #2, #3, #4, and #5 did not include any documentation of address, verification of age and date of employment.”

8VAC20-790-540-B

“Each child’s record shall include all required information. The record for child #1, enrolled for over 1 year, was missing the following required component: parent work phone number. The record for child #4, enrolled for over 3 months, was missing the following required components: parent phone number, parent work phone number and address for 1 emergency contact.”

22.1-289.035-B-3

“For any employee hired on or after 7/01/24, a central registry search must be requested prior to employment. The record for staff #3 did not contain documentation that a central registry search had been requested. The first date of employment was not provided by the provider.”

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee's first day of employment. The records for staff #1, #2, #3, #4 and #5 did not contain a completed sworn statement. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider. Staff #1, #2, #4, and #5 have been employed for at least a year or more.”

22.1-289.031-B-2

“The provider must obtain a completed national criminal background check prior to the employee's first day of employment. The records for staff #1, #2, #3, #4, and #5 did not contain documentation of completed nation criminal background checks. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider.”

22.1-289.031-A-4

“The provider shall maintain documentation 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. The records for staff #1, #2, #3, #4, and #5 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

8VAC20-770-40-D-2

“For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment. The records for staff #1, #2, #4, and #5 did not contain documentation of results of a central registry search within 30 days of employment. Staff #1, #2, #4, and #5 have been employed for at least a year or more.”

22.1-289.031-B-3

“Based on record review, and interview, the center failed to ensure at least one staff member is trained to perform a daily simple health screening. Evidence: Record review and interview revealed that there is not at least one staff member who is trained to perform a daily simple health screening.”

22.1-289.031-B-4

“Based on record review, the center did not ensure that all children in the center are in compliance with the provisions regarding the immunization of children against certain diseases. Evidence: The record for child #5 did not contain immunization records.”

22.1-289.031-A-3-a

“Based on observation, and record review, the center failed to follow the staff to child ratio of one staff member to four children age zero to 16 months. Evidence: Classroom # 2 had 8 children ages 12 months to 24 months and 2 staff members. Staff #2 walked out of classroom #2 and did not return for approximately 5 minutes leaving staff #1 alone in the classroom. Record review revealed the youngest child in the room is 12 months old.”

8VAC20-790-550-2-a

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the fingerprint-based national criminal background check. Evidence: When asked to see the results of the fingerprint-based national criminal background check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-800-B

“Based on interview, the vendor failed to maintain a record of the dates of the practice drills for one year. Evidence: When asked to see the record of the dates of the practice drills the vendor stated that they did not have a record.”

8VAC20-790-780-A

“Based on observation, and interview, the vendor did not ensure the first aid kit contains the minimum required supplies. Evidence: The first aid kit did not contain tweezers, adhesive tape, antiseptic, or triangular bandages. The Director confirmed that the first aid kit did not contain tweezers, adhesive tape, antiseptic tape, or triangular bandages.”

8VAC20-790-670-I

“Based on observation, the vendor failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff. Evidence: Child #4, age 3 years, was observed walking out of the classroom and into the large playroom to throw trash away on three separate occasions. The trash can was located in the middle of the playroom approximately 50 feet diagonally from the door of the classroom. Staff did not stand in the doorway to supervise the child and there were no other staff present in the playroom at the time. Child #4 was not within actual sight and sound supervision of staff.”

8VAC20-790-630-C-2

“Based on observation, the vendor did not ensure that electrical outlets shall have protective covers. Evidence: Classroom #2 had an electrical outlet without a plate on it. The wall surrounding the electrical outlet was exposed. There was not a protective cover on the outlets. The youngest child in the room was 12 months old.”

8VAC20-790-550-5

“Based on interview, the vendor failed to maintain 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. Evidence: When asked to see documentation of trainings for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-4

“Based on interview, the vendor failed to maintain documentation certifications of first aid and cardiopulmonary resuscitation and other certifications as required by the responsibilities held by the staff member. Evidence: When asked to see the documentation of certifications of first aid and cardiopulmonary resuscitation and other certification as required by the responsibilities held by the staff members for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-3

“Based on interview, the vendor failed to maintain documentation of tuberculosis screening results. Evidence: When asked to see the tuberculosis screening results for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-1

“Based on interview, the vendor failed to keep the name, address, verification of age, and date of employment or volunteering for all staff. Evidence: When asked to see the records for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-2-d

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the individual's sworn statement or affirmation as to whether the individual has ever been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth or convicted of a crime or is the subject of any pending criminal charges within the Commonwealth or any equivalent offense outside the Commonwealth. Evidence: When asked to see the individual sworn statements for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-2-a

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the Virginia Child Protective Services Central Registry Check. Evidence: When asked to see the results of the Virginia Child Protective Services Central Registry Check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-810-C-1

“Based on observation, and interview, the vendor did not ensure that when food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. Evidence: There were three lunch boxes sitting on the counter outside of the classrooms. When asked who the lunch boxes belonged to the vendor stated that they belonged to the children at the center. The vendor acknowledged that they were not labeled in a way that identifies the owner.”

22.1-289.031-B-3

“Based on record review, and interview, the center failed to ensure at least one staff member is trained to perform a daily simple health screening. Evidence: Record review and interview revealed that there is not at least one staff member who is trained to perform a daily simple health screening.”

22.1-289.031-B-4

“Based on record review, the center did not ensure that all children in the center are in compliance with the provisions regarding the immunization of children against certain diseases. Evidence: The record for child #5 did not contain immunization records.”

22.1-289.031-A-3-a

“Based on observation, and record review, the center failed to follow the staff to child ratio of one staff member to four children age zero to 16 months. Evidence: Classroom # 2 had 8 children ages 12 months to 24 months and 2 staff members. Staff #2 walked out of classroom #2 and did not return for approximately 5 minutes leaving staff #1 alone in the classroom. Record review revealed the youngest child in the room is 12 months old.”

8VAC20-790-550-2-a

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the fingerprint-based national criminal background check. Evidence: When asked to see the results of the fingerprint-based national criminal background check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-800-B

“Based on interview, the vendor failed to maintain a record of the dates of the practice drills for one year. Evidence: When asked to see the record of the dates of the practice drills the vendor stated that they did not have a record.”

8VAC20-790-780-A

“Based on observation, and interview, the vendor did not ensure the first aid kit contains the minimum required supplies. Evidence: The first aid kit did not contain tweezers, adhesive tape, antiseptic, or triangular bandages. The Director confirmed that the first aid kit did not contain tweezers, adhesive tape, antiseptic tape, or triangular bandages.”

8VAC20-790-670-I

“Based on observation, the vendor failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff. Evidence: Child #4, age 3 years, was observed walking out of the classroom and into the large playroom to throw trash away on three separate occasions. The trash can was located in the middle of the playroom approximately 50 feet diagonally from the door of the classroom. Staff did not stand in the doorway to supervise the child and there were no other staff present in the playroom at the time. Child #4 was not within actual sight and sound supervision of staff.”

8VAC20-790-630-C-2

“Based on observation, the vendor did not ensure that electrical outlets shall have protective covers. Evidence: Classroom #2 had an electrical outlet without a plate on it. The wall surrounding the electrical outlet was exposed. There was not a protective cover on the outlets. The youngest child in the room was 12 months old.”

8VAC20-790-550-5

“Based on interview, the vendor failed to maintain 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. Evidence: When asked to see documentation of trainings for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-4

“Based on interview, the vendor failed to maintain documentation certifications of first aid and cardiopulmonary resuscitation and other certifications as required by the responsibilities held by the staff member. Evidence: When asked to see the documentation of certifications of first aid and cardiopulmonary resuscitation and other certification as required by the responsibilities held by the staff members for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-3

“Based on interview, the vendor failed to maintain documentation of tuberculosis screening results. Evidence: When asked to see the tuberculosis screening results for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-1

“Based on interview, the vendor failed to keep the name, address, verification of age, and date of employment or volunteering for all staff. Evidence: When asked to see the records for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-2-d

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the individual's sworn statement or affirmation as to whether the individual has ever been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth or convicted of a crime or is the subject of any pending criminal charges within the Commonwealth or any equivalent offense outside the Commonwealth. Evidence: When asked to see the individual sworn statements for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-550-2-a

“Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the Virginia Child Protective Services Central Registry Check. Evidence: When asked to see the results of the Virginia Child Protective Services Central Registry Check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.”

8VAC20-790-810-C-1

“Based on observation, and interview, the vendor did not ensure that when food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. Evidence: There were three lunch boxes sitting on the counter outside of the classrooms. When asked who the lunch boxes belonged to the vendor stated that they belonged to the children at the center. The vendor acknowledged that they were not labeled in a way that identifies the owner.”