Wright's Chapel United Methodist Church

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, who has been employed for over seven months, did not documentation that a central registry search had been requested.”

22.1-289.031-B-4

“The center shall establish and implement procedures ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Compliance with immunization provisions was not ensured for Child #1 who has been enrolled for 19 months.”

22.1-289.031-A-4

“(Repeat Violation) Each person in a supervisory position should be certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision. The staff health report for Staff #3 was obtained 15 days after they were in a supervisory position.”

22.1-289.035-A

“(Repeat Violation) The center is required to have employees undergo a background check every five years. The repeat sworn statement in the record of Staff #2 was overdue by 19 months.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent sworn disclosure for Staff #4 was overdue by more than two years. The most recent national fingerprint-based criminal background check in the record for Staff #4 was overdue by a year and three months.”

22.1-289.031-A-4

“Each person in a supervisory position should be certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision. Staff #3 was in a supervisory position effective 08/01/24, but their staff health report was completed on 08/20/24.”

22.1-289.031-B-6

“Based on a review of six staff records, the center did not establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: The records of Staff #3, Staff #4, and Staff #5 did not contain documentation that the staff have received training to be able to recognize the signs of child abuse and neglect.”

8VAC20-770-40-D-2

“Based on a review of six staff records and interview, the center did not ensure four staff had two required background checks within the required timeframes. Evidence: 1) The record of Staff #1, employed 08/15/22, did not contain the results of the central registry check. 2) The record of Staff #3, employed 08/15/22, did not contain the results of the central registry check or a complete sworn statement or affirmation. 3) The record of Staff #4, employed 02/14/18, did not contain the results of the central registry check or a complete sworn statement or affirmation. 4) The results of the central registry check in the record of Staff #5, employed 09/06/21, were dated 11/10/21. The sworn statement was completed on 09/26/21. A complete sworn statement or affirmation is required before employment. A search of the central registry check is required within 30 days of employment.”

22.1-289.035-B-2

“Based on a review of six staff records and interview, the center did not ensure two staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: 1) The results of the fingerprint-based national criminal background check in the record of Staff #3, employed 08/15/22, were dated 10/21/22. 2) The results of the fingerprint-based national criminal background check in the record of Staff #5, employed 09/06/21, were dated 10/04/21. 3) During interview, management confirmed the fingerprint-based national criminal background check for Staff #3 and Staff #5 were not obtained prior to employment.”

22.1-289.031-B-4

“Based on a review of five children's records, the center did not ensure that two children in the center were in compliance with the of 32.1-46 regarding the immunization of children against certain diseases. Evidence: The center had not verified that the immunizations for Child #1, enrolled 09/06/22, and for Child #3, enrolled 09/06/22, were in compliance.”

22.1-289.035-A

“Based on a review of six staff records and interview, the center did not ensure one staff completed a required background check every five years. Evidence: 1) The record of Staff #4, employed 02/14/18, contained documentation of a fingerprint-based national criminal background check dated 02/14/2018. The repeat background check should have been obtained prior to 02/14/2023. 2) During interview, a member of management acknowledged the fingerprints were not completed every five years as required.”