Truth and Worship Outreach Ministries

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #5?s (employed 1 month) national criminal background check was not obtained before hire.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #5 (employed 1 month) did not have central registry checks requested prior to the employee’s first day.”

22.1-289.035-B-4

“Out of state sex offender registry check if the individual has resided outside of Virginia within the proceeding 5 years. Staff #5 (employed for 1 month), who has lived outside of the state of Virginia, did not have an out of state sex offender registry check or an out of state child abuse and neglect registry check requested prior to employment.”

8VAC20-790-560-B

“Subsequent tuberculosis screenings are required at least every 2 years from the date of the initial screening. Staff #1?s tuberculosis screening was overdue by 3 months.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle with cleaning solution was located on a low table in the toddler classroom within reach of the children present.”

8VAC20-790-670-E

“The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. The center did not have a written policy and procedure for consistent staff.”

22.1-289.035-B-1

“A sworn statement must be completed prior to employment. Staff #5 (employed 1 month) did not have a sworn statement completed.”

8VAC20-790-630-A

“COMPLAINT RELATED Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The approximately 5 feet tall plastic partitions used to separate Classroom 1 and Classroom 2 were pushed over by children twice within 30 minutes. The partitions fell over into the play area of Classroom 2 that was occupied by children aged 16 months-2 years.”

8VAC20-790-770-D

“Medications shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was in an unlocked storage bin in the diapering area in Classroom 1.”

8VAC20-790-770-A-2

“Staff administers only medications that were dispensed by a pharmacy and maintained in the original, labeled container. A portion of Medication 1 had been placed in a liquid medication measuring cup which was being stored in the windowsill of Classroom 1. Medication 1 has been administered by center staff.”

8VAC20-790-630-C-2

“REPEAT VIOLATION In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were 3 uncovered electrical outlets on a power strip in Classroom 1 and an uncovered electrical outlet in Classroom 2. The children in the classrooms were aged 7 months-2 years.”

8VAC20-790-630-C-1

“In areas used by children of preschool age or younger, fans, when used shall be out of reach of children. There was a fan within the reach of the children (ages 7 months-16 months) in Classroom 1.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name if more than one infant is in care. There was an unlabeled bottle in Classroom 1 where there was more than one infant in care.”

22.1-289.031-A-9 Complaint related: Yes

“COMPLAINT RELATED The child day center shall comply with all safe sleep guidelines recommended by the American Academy of Pediatrics. Child 2 (age 7 months) was placed on a Boppy Pillow in a crib. The American Academy of Pediatrics Safe Sleep Guidelines recommends keeping pillows out of the sleep space.”

8VAC20-790-630-A

“COMPLAINT RELATED Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The approximately 5 feet tall plastic partitions used to separate Classroom 1 and Classroom 2 were pushed over by children twice within 30 minutes. The partitions fell over into the play area of Classroom 2 that was occupied by children aged 16 months-2 years.”

8VAC20-790-770-D

“Medications shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was in an unlocked storage bin in the diapering area in Classroom 1.”

8VAC20-790-770-A-2

“Staff administers only medications that were dispensed by a pharmacy and maintained in the original, labeled container. A portion of Medication 1 had been placed in a liquid medication measuring cup which was being stored in the windowsill of Classroom 1. Medication 1 has been administered by center staff.”

8VAC20-790-630-C-2

“REPEAT VIOLATION In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were 3 uncovered electrical outlets on a power strip in Classroom 1 and an uncovered electrical outlet in Classroom 2. The children in the classrooms were aged 7 months-2 years.”

8VAC20-790-630-C-1

“In areas used by children of preschool age or younger, fans, when used shall be out of reach of children. There was a fan within the reach of the children (ages 7 months-16 months) in Classroom 1.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name if more than one infant is in care. There was an unlabeled bottle in Classroom 1 where there was more than one infant in care.”

22.1-289.031-A-9 Complaint related: Yes

“COMPLAINT RELATED The child day center shall comply with all safe sleep guidelines recommended by the American Academy of Pediatrics. Child 2 (age 7 months) was placed on a Boppy Pillow in a crib. The American Academy of Pediatrics Safe Sleep Guidelines recommends keeping pillows out of the sleep space.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. There was no one on duty on 03/26/2025 that has obtained instruction in performing a daily health observation of children.”

8VAC20-790-630-C-2

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were 2 uncovered electrical outlets in Classroom 1 and 5 uncovered electrical outlets in Classroom 2; all of the children in care were of preschool age or younger.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There were various unlocked cleaning products sitting around Classroom 1; the cleaning products were accessible to the 17 children, ages 3 months-2 years, in the room. There were various unlocked cleaning products sitting around Classroom 2; the cleaning products were accessible to the 11 children, ages 2 years-5 years, in the room. There were various unlocked cleaning products sitting around Classroom 3; the cleaning products were accessible to the school-aged children that used the room for before school care on 03/26/2025.”

8VAC20-790-830-D-5

“The vendor shall ensure that during transportation of children staff has a list of the names of the children being transported. Staff 7 verified that they did not have a list of the names of children when the children are being transported to and from school.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name if more than one infant is in care. There was an unrefrigerated, undated, unlabeled bottle on the table in Classroom 1. There were multiple infants in care on 03/26/2025.”

8VAC20-790-730-C

“If personal articles are used, they shall be individually assigned. There were multiple pacifiers laying around Classroom 1 that were not individually assigned.”

8VAC20-790-760-A-3

“Staff shall wash their hands with soap and running water before and after changing a diaper and before preparing or serving foods or beverages. Staff 6 did not wash their hands after each diaper change. Staff did not wash their hands before preparing bottles.”

8VAC20-790-580-B

“The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age. Child 1, who has been attending for more than 20 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 4, who has been attending for more than 22 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 5, who has been attending for more than 4 years, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old.”

8VAC20-790-600-C

“Orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment. There was no documentation that Staff 1, Staff 2, Staff 3, Staff 4 and Staff 5, all of which been employed for more than 7 days, have completed orientation training.”

8VAC20-790-770-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The unlocked first aid kits in Classroom 1, Classroom 2, and Classroom 3 contained individual packets of aspirin, non-aspirin, and antacids. Medication 1 was in a basket on a shelf of Classroom 2.”

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 9:30 am, there were 15 children present in Classroom 1 but only 8 children were marked present on the attendance record.”

8VAC20-790-560-B

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff 2 was overdue by 6 months.”

8VAC20-790-810-B-2

“When vendors provide meals or snacks, children three years of age or younger shall not be offered foods that are considered to be potential choking hazards. The children in care on 03/26/2025, ages 5 years and younger, were served pork-n-beans and hotdog slices for lunch. The hotdogs had been sliced into small circles which are a potential choking hazard.”

8VAC20-790-800-A-3

“Evacuation procedures shall be practiced at least monthly and lockdown procedures shall be practiced at least annually. The lockdown procedures were not practiced in 2024.”

8VAC20-790-670-D-1

“Vendors, operated by a religious institution that are exempt from licensure and operate more than 6 hours per day, shall ensure that the required maximum group size are maintained. There were a total of 17 children, ages 3 months-2 years, in Classroom 1; the maximum group size for children from birth to two years of age is 12 children.”

8VAC20-790-800-A-1

“Evacuation procedures shall be practiced at least monthly. Evacuation procedures were not practiced in November 2024, December 2024, January 2025 or February 2025.”

22.1-289.049-A

“Upon enrollment of a child in a regulated child day program, the child day program shall require that the person enrolling the child present proof of the child’s identity and age. There was no documentation of proof of identify for Child 4 who has been enrolled with the child day program for more than 2 years.”

22.1-289.035-B-1

“The provider shall obtain a completed sworn statement prior to the employees first day of employment. The record for Staff 3, who has been in employed for 15 months, did not contain a completed sworn statement.”

22.1-289.031-A-3

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. There were 17 children, ages 3 months- 2 ? years of age, and 3 staff in Classroom 1. The required staff-to-child ratio for this group would be based on children aged birth to 16 months, which is a ratio of 1 staff member to 4 children. A total of 5 staff members was required for this group of children.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. There was no one on duty on 03/26/2025 that has obtained instruction in performing a daily health observation of children.”

8VAC20-790-630-C-2

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were 2 uncovered electrical outlets in Classroom 1 and 5 uncovered electrical outlets in Classroom 2; all of the children in care were of preschool age or younger.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There were various unlocked cleaning products sitting around Classroom 1; the cleaning products were accessible to the 17 children, ages 3 months-2 years, in the room. There were various unlocked cleaning products sitting around Classroom 2; the cleaning products were accessible to the 11 children, ages 2 years-5 years, in the room. There were various unlocked cleaning products sitting around Classroom 3; the cleaning products were accessible to the school-aged children that used the room for before school care on 03/26/2025.”

8VAC20-790-830-D-5

“The vendor shall ensure that during transportation of children staff has a list of the names of the children being transported. Staff 7 verified that they did not have a list of the names of children when the children are being transported to and from school.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name if more than one infant is in care. There was an unrefrigerated, undated, unlabeled bottle on the table in Classroom 1. There were multiple infants in care on 03/26/2025.”

8VAC20-790-730-C

“If personal articles are used, they shall be individually assigned. There were multiple pacifiers laying around Classroom 1 that were not individually assigned.”

8VAC20-790-760-A-3

“Staff shall wash their hands with soap and running water before and after changing a diaper and before preparing or serving foods or beverages. Staff 6 did not wash their hands after each diaper change. Staff did not wash their hands before preparing bottles.”

8VAC20-790-580-B

“The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age. Child 1, who has been attending for more than 20 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 4, who has been attending for more than 22 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 5, who has been attending for more than 4 years, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old.”

8VAC20-790-600-C

“Orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment. There was no documentation that Staff 1, Staff 2, Staff 3, Staff 4 and Staff 5, all of which been employed for more than 7 days, have completed orientation training.”

8VAC20-790-770-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The unlocked first aid kits in Classroom 1, Classroom 2, and Classroom 3 contained individual packets of aspirin, non-aspirin, and antacids. Medication 1 was in a basket on a shelf of Classroom 2.”

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 9:30 am, there were 15 children present in Classroom 1 but only 8 children were marked present on the attendance record.”

8VAC20-790-560-B

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff 2 was overdue by 6 months.”

8VAC20-790-810-B-2

“When vendors provide meals or snacks, children three years of age or younger shall not be offered foods that are considered to be potential choking hazards. The children in care on 03/26/2025, ages 5 years and younger, were served pork-n-beans and hotdog slices for lunch. The hotdogs had been sliced into small circles which are a potential choking hazard.”

8VAC20-790-800-A-3

“Evacuation procedures shall be practiced at least monthly and lockdown procedures shall be practiced at least annually. The lockdown procedures were not practiced in 2024.”

8VAC20-790-670-D-1

“Vendors, operated by a religious institution that are exempt from licensure and operate more than 6 hours per day, shall ensure that the required maximum group size are maintained. There were a total of 17 children, ages 3 months-2 years, in Classroom 1; the maximum group size for children from birth to two years of age is 12 children.”

8VAC20-790-800-A-1

“Evacuation procedures shall be practiced at least monthly. Evacuation procedures were not practiced in November 2024, December 2024, January 2025 or February 2025.”

22.1-289.049-A

“Upon enrollment of a child in a regulated child day program, the child day program shall require that the person enrolling the child present proof of the child’s identity and age. There was no documentation of proof of identify for Child 4 who has been enrolled with the child day program for more than 2 years.”

22.1-289.035-B-1

“The provider shall obtain a completed sworn statement prior to the employees first day of employment. The record for Staff 3, who has been in employed for 15 months, did not contain a completed sworn statement.”

22.1-289.031-A-3

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. There were 17 children, ages 3 months- 2 ? years of age, and 3 staff in Classroom 1. The required staff-to-child ratio for this group would be based on children aged birth to 16 months, which is a ratio of 1 staff member to 4 children. A total of 5 staff members was required for this group of children.”

8VAC20-790-670-H

“Based on observations, the Vendor failed to ensure children less than 10 years of age shall always be within actual sight and sound supervision of staff. EVIDENCE: Six children ages 3-5 years old, were observed sleeping in a classroom without sight and sound supervision of a staff member.”

8VAC20-790-820-C

“Based on observations, the Vendor failed to ensure bottles and sippy cups are not propped or used in the child's designated sleeping location. EVIDENCE: Licensing Inspector observed infants in cribs using sippy cups and bottles.”

22.1-289.058

“Based on inspection, the Center failed to have a carbon monoxide detector in each building that was built before 2015 and that houses a child day program. EVIDENCE: Center did not have a carbon monoxide detector installed.”

22.1-289.058

“Based on inspection, the Center failed to have a carbon monoxide detector in each building that was built before 2015 and that houses a child day program. EVIDENCE: Center did not have a carbon monoxide detector installed.”

8VAC20-790-530-C

“Based on inspection, the Center failed to ensure staff and children records are maintained and made accessible to the department representative. EVIDENCE: Staff and children records were unavailable to the Licensing Inspector during the inspection.”

8VAC20-790-800-B

“Based on inspection, the Vendor failed to maintain a record of the emergency drills. EVIDENCE: Documentation of the center's emergency drills (evacuation, shelter-in-place and lock-down) were unavailable.”