Winchester Grace Brethren Church

22.1-289.057-A

“REPEAT VIOLATION The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 years, did not have an out of state sex offender check. Staff #2, employed more than five years, did not have documentation of requesting a central registry check from two states and an out of state sex offender check.”

22.1-289.035-A

“REPEAT VIOLATION The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #8 was overdue by over seven months.”

22.1-289.035-B-3

“The program is required to conduct a central registry background check prior to the first day of employment. Staff #2 working more than five months did not have central registry background check results on file. Staff #3 working more than six months did not have central registry background check results on file.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

22.1-289.058

“Programs that serve preschool age children and operate in a building that was built before 2015 must be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector on site.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #6, employed for more than 2 years, did not have documentation of requesting a central registry check from one state. Staff #8, employed more than five years, did not have documentation of requesting a central registry check from one state.”

22.1-289.031-B-6

“Based on review of documentation and interviews with staff, it was determined that the center failed to ensure that every staff could identify signs of abuse and neglect. Evidence: There was no documentation of a child abuse and neglect training for staff.”

22.1-289.035-A

“Based on review of documentation, the center failed to obtain repeat background checks every five years as required. Evidence: Staff #2 most recent national fingerprint background check was dated 8/24/2018.”

22.1-289.035-B-2

“Based on review of documentation and interviews with staff, it was determined the center failed to obtain a national fingerprint background check results prior to the first day of employment. Evidence: Staff #1 was hired on 6/10/2024 and national fingerprint check results are dated 6/24/2024 Staff #3 was hired on 11/6/2019 and national fingerprint check results are dated 11/8/2019 Staff #4 was hired on 11/6/2019 and national fingerprint check results are dated 11/8/2019 Staff #6 was hired 5/8/2023 and national fingerprint check results are dated 5/9/2023 Staff #7 was hired on 2/19/2024 and national fingerprint check results are dated 2/20/2024”

22.1-289.031-B-3

“Based on review of documentation and interviews with staff, it was determined that the center failed to ensure that daily simple health screening was conducted by a person trained to perform such screenings. Evidence: There was no documentation of a staff trained to perform daily simple health screenings.”

22.1-289.035-B-4

“Based on review of documentation, it was determined the center failed to request out of state central registry background checks within 30 days of hire. Evidence: Staff #4 indicated out of state residence in Maryland and West Virginia on the sworn statement dated 11/6/2019. There was no documentation of requesting out of state central registry background checks. Staff #6 indicated out of state residence in North Carolina on the sworn statement dated 7/23/2023. There was no documentation of requesting out of state central registry background check. Staff #7 indicated out of state residence in California on the sworn statement dated 6/25/2024. There was no documentation of requesting out of state central registry background check.”

8VAC20-770-40-D-2

“Based on review of documentation, it was determined the center failed to obtain central registry background checks within 30 days of hire and sworn statement or affirmation prior to the first day of employment. Evidence: Staff #1 hired on 6/10/2024 did not have central registry background check results in the record. Staff #4 hired on 11/6/2019 did not have central registry background check results in the record. Staff #6 hired on 5/8/2023 and the sworn statement was dated 7/27/2023. Staff #7 hired on 2/19/2024 and the central registry background check was dated 6/25/2024 and sworn statement was dated 6/25/24. Staff #8 hired on 6/30/22 and the central registry background check was dated 12/4/2022”

22.1-289.035-B-2

“Based on record review, the center failed to obtain fingerprints for three staff members prior to date of hire. Evidence: 1. Four staff records were reviewed. 2. Staff #1 did not have documentation of obtaining fingerprints prior to the first date of hire. Date of hire was documented as 8/15/2022. 3. Staff #2's fingerprint determination letter was dated 10/25/2022. Date of hire was documented 9/20/2022. 4. Staff #4's fingerprint determination letter was dated 10/14/2022. Date of hire was documented 08/11/2022.”