Warwick River Mennonite Church

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff #3 did not have the required training and it was overdue by more than 2 months.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-C

“Orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Staff #1 did not have he required training and it was overdue by more than 6 weeks.”

Rule 8VAC20-790-600-C.

8VAC20-790-600-F

“Staff who work directly with children shall annually obtain the department’s health and safety update course. Staff #2 did not have the required training and it was overdue by more than 6 weeks.”

Rule 8VAC20-790-600-F.

8VAC20-790-540-B-11

“The vendor shall ensure a child’s record shall includes a written allergy care plan for each child with a diagnosed food allergy. Child #1 has food allergies and does not have an allergy action plan.”

Rule 8VAC20-790-540-B-11.

8VAC20-790-560-A

“The vendor shall ensure staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The health evaluation and TB screening for Staff #5 was conducted approximately 1 week after they began employment.”

Rule 8VAC20-790-560-A.

8VAC20-790-800-A-1

“The vendor shall ensure evacuation procedures shall be practiced at least monthly. There was not documentation indicting drills were conducted in December 2025 and January 2026.”

Rule 8VAC20-790-800-A-1.

22.1-289.031-B-2

“Appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children is required. The established procedures for daily intake of children was not implemented and followed on 9-4-2025 for child #1.”

Rule 22.1-289.031-B-2.

8VAC20-790-540-A

“The vendor shall maintain and keep at the center a record for each enrolled child and shall include all the required information. 1.The record for Child #1 did not include the address for the emergency contact listed and the employment phone number for one parent listed 2.The record for Child #2 did not include the employment phone numbers for both parents listed”

Rule 8VAC20-790-540-A.

8VAC20-790-560-A

Rule 8VAC20-790-560-A.

8VAC20-790-600-B

“The vendor shall ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. 1.Staff #3 training was overdue by 2 months. 2. Staff #6 training has not yet been obtained and is overdue by 7 months.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-C

“The vendor did not ensure that orientation training for staff shall be completed on the required facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. The following staff did not have their orientation training in the required timeframe 1.Staff #5?s orientation training was overdue by 2 months. 2. Staff #T6?s orientation training was overdue by 1 month”

Rule 8VAC20-790-600-C.

8VAC20-790-630-A

Rule 8VAC20-790-630-A.

8VAC20-790-800-A-1

“The vendor did not ensure the emergency response drills for evacuation procedures shall be practiced at least monthly. There was not documentation of practicing a drill February 2024.”

Rule 8VAC20-790-800-A-1.

22.1-289.031-A-4

Rule 22.1-289.031-A-4.

Repeat

“Based on record review, the licensee did not ensure training required for orientation has been documented, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization Evidence: The Staff #1 confirmed there was no documentation of the orientation training for staff for playground procedures. Staff #1 is still work on creating documentation for orienation training for all staff records. There was not documentation of Playground procedures but center confiremd they do go over the procedures.”

Rule 8VAC20-790-550-5. From a complaint.

Based on staff interview, the vendor did not ensure to develop and implement a written policy and procedure that describes how each group of children receives care by consistent staff or team of staff members.

“Evidence: Staff #1 confirmed they did not have a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members.”

Rule 8VAC20-790-670-E. From a complaint.

Based on record review and staff interview , the vendor did not ensure all required information is maintained in a written record of children’s serious and minor injuries.

“Evidence: Injury report from 4-2-2024 for Child #1 was missing one of the two staff signatures. Injury report from 3-20-204 for Child #1 was missing one of the two staff signatures.”

Rule 8VAC20-790-720-C. From a complaint.

REPEAT Based on record review and staff interview, the vendor did not have completed documentation of orientation training including the dat completed, the total hours of session and the names of the trainer and of any sponsoring organization.

“Evidence: Staff #1 ( hire date 01/23/2024) , Staff #2 ( hire date 6/12/2023) and Staff #3 ( hire date 09/18/2023) did not have documentation of orientation training.”

Rule 8VAC20-790-550-5.

REPEAT Based on record review and staff interview, the vendor did not ensure documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment .

“Evidence: During the inspection on Febuary 14, 2024 , Staff #1 hire date 1/23/2024, Staff #5 hire date 2/12/2024 and Staff #6 hire date 10/30/2023 did not have documentation of a completed TB test. Staff #2 hire date 6/12/2023, the tuberculosis test results were completed 7/28/2023. Staff #3 hire date 09/18/2023, the tuberculosis test results were completed 09/23/2023. Staff #2 and Staff #3 did not have results submitted the time of employment and completed witin the last 30 calendar day of of the date of employment.”

Rule 8VAC20-790-560-A.

Based on record review and staff interview, the vendor did not ensure at least every two years from the date of the initial screening, a tb screenings are completed.

“Evidence: Staff #8 most recent TB test was 11/03/2021 . The TB test is more than 2 years old.”

Rule 8VAC20-790-560-B.

REPEAT Based on record review, the vendor did not ensure within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff .

“Evidence: The following staff did not have Va Preservice Training within the first 90 days Staff #2 (hire date 6/12/2023), and Staff #3 (hire date 9/18/23) .”

Rule 8VAC20-790-600-B.

Repeat

“Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current CPR within 90 days of employment.”

Rule 8VAC20-790-600-D-1.

REPEAT Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.

“Evidence: Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current first aid within 90 days of employment.”

Rule 8VAC20-790-600-D-2.

Based on record review, the vendor did not ensure annually include in your 16 hours of training the health and safety update.

“Evidence: The staff #4 did not complete the annual health and saftey update course for 2023.”

Rule 8VAC20-790-600-F.

Based on record review and staff interview, the vendor did not ensure a evacuation drill was conducted at least monthly.

“Evidence: The center did not have a evacuation drill in the month of March , April ,June, August, November and December.”

Rule 8VAC20-790-800-A-1.

Based on record review and staff interview, the vendor did not ensure the shelter in place procedures shall be practiced twice a year.

“Evidence: Staff confirmed they did not conduct a shelter in place drill in 2023.”

Rule 8VAC20-790-800-A-2.

Based on staff interview, the vendor did not ensure lockdown procedures shall be practiced at least annually.

“Evidence: The staff confirmed they did not conduct a lockdown.”

Rule 8VAC20-790-800-A-3.

Based on record review, the center did not ensure 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.

“Evidence: Staff #6 ( hire date 10/30/2023) does not have a health report to ensure to be free from any disability which would prevent him from caring for children under supervision.”

Rule 22.1-289.031-A-4.

Based on record review and staff interview, the center di dnot ensure background checks are completed every five years.

“Evidence: Staff #8 most recent fingerprint results were completed 7/17/2018. The results are more than 5 years old.”

Rule 22.1-289.035-A.

Based on record review and staff interview, the center did not ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: Staff #9 hire date 4/06/2023. Staff #9 lived in Utah in the past five years. The center did not have a Utah Child Abuse and Neglect registry background check for the state of Utah.”

Rule 22.1-289.035-B-4.

Based on staff interview, the licensee did not ensure the parent was notified by the end of the day of any known minor injuries.

“Evidence: Staff #2 confirmed the center staff did not report child #1’s thumb injury to the parent by the end of the day. The center did provide first aid to child #1 after the incident happened.”

Rule 8VAC20-790-720-B.

Based on staff interview, the licensee did not ensure the vendor maintain written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“Evidence : Child #1 thumb was injured on 10/11/2023. The written record of child’s serious injury was completed on 10/12/2023. Staff #2 confirmed the center did not complete written record on the day of occurence.”

Rule 8VAC20-790-720-C.

Based on staff interview and review of record, the vendor did not enure a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: Staff confirmed that there was not a written record of daily attendance that document departure of each child as it occured in the Preschool room.”

Rule 8VAC20-790-530-B.

Based on staff interview, the vendor did not enure that there is documentation of Orientation that includes date completed total hours of a session , and names of the trainer and any sponsoring organizaiton.

“Evidence: Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6 and Staff #7 did not have documentation in record of completeion of orientaiton.”

Rule 8VAC20-790-550-5.

Based on record review and staff interview, the licensee did not ensure documentation of a tuberculosis screening was submitted at the time of employment and completed within the last 30 days of the date of employment .

“Evidence: Staff #1 hire date 08/29/2022, Staff #3 hire date 07/08/2022 and Staff #7 hire date 6/6/2022, did not have documentation TB test results. Staff #4 hire date 10/18/22 TB test documentation did not have results of the TB test. Staff # 8 hire date 01/16/2023 TB test was completed 05/30/2022 which is more than 30days prior of employment.”

Rule 8VAC20-790-560-A.

Based on record review and staff interview, the vendor did not ensure within the first 90 days of employment staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: 7 Staff #1 hire date 9/2/2022, Staff #3 hire date 07/08/2022 and Staff #4 hire date 10/18/2022 and Staff #7 hire date 06/06/2022 did not obtain Virginia Preservice Training with in the first 90 days of employment.”

Rule 8VAC20-790-600-B.

Based on staff interview and record review, the licensee did not ensure all staff who work directly with children within 90 days of the date of employment have Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: Staff #1 hire date 8/29/2022 and Staff #4 hire date 10/18/2022 did not have documentation of completing CPR with in 90 day of the date of employment.”

Rule 8VAC20-790-600-D-1.

Based on staff interview and record review, the licensee did not ensure all staff who work directly with children within 90 days of the date of employment have current certification in first aid appropriate to the ages of children in care.

“Evidence: Evidence: Staff #1 hire date 8/29/2022 and Staff #4 hire date 10/18/2022 did not have documentation of completing First Aid with in 90 day of the date of employment.”

Rule 8VAC20-790-600-D-2.

Based on observation and staff interview, the vendor did not ensure that all areas of the premise acessible to are free of obvious hazard.

“Evidence: Outside on the play ground there was a wooden climbing arch connected to the playground composite. One of the wood slats was splintering which could snag a child or get entangled on a shoelace.”

Rule 8VAC20-790-660.

Based on staff interview, the vendor did not ensure there was documentation of evacuation drills, shelter in place drills and lockdown drills.

“Evidence: Staff confirmed there was not documentaiton completed for the drills.”

Rule 8VAC20-790-800-B.

22VAC40-665-540-A

Rule 22VAC40-665-540-A.

Based on interviews and record review, the licensee did not ensure with in the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: Staff #1 ( hire date 1/29/2021) and Staff #2 ( hire date 05/04/21) did not have documentation of a completion of Virginia Preservice Training with in 90 days of employment.”

Rule 22VAC40-665-580-B.

Based on record review and staff interview, the vendor did not have orientation training for staff completed on specific topics prior to the staff member working alone with children and with in seven days of the date of employment.

“Evidence: There was no documentation in the record for Staff #1 ( hire date 1/29/2021), Staff #2 ( hire date 05/04/21), Staff #3 (hire date 09/08/21) and Staff #4 ( hire date 08/23/2021) orientation training with specific on topic areas. Confirmed with person in charge.”

Rule 22VAC40-665-580-D.

Based on staff interview, the vendor did not inform the department’s representative as soon as practicable, but not more than two business days, of any injury to a child while under the vendor’s supervision when a referral is made for treatment from a medical professional.

“Evidence: Staff#1 contacted the licensing inspector on October 13, 2021 of a incident that occurred on August 27, 2021. Child #1 sprayed pepper spray in his face . The center called 911 for medical assistance. The center flushed his eyes with water . Staff #1 stated in incident report that EMT confirmed they were providing appropriate care . The EMT recommended that a fan is aimed at Child #1 face. Staff #1 stated no other medical treatment was provided.”

Rule 22VAC40-665-550-2.

Based on staff interview, the vendor did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Staff #2 had a carabiner attached to a lunchbox with keys and pepper spray. Child #1 sprayed himself with pepper spray. Staff #1 and Staff #2 confirmed the pepper spray was not kept in a locked place.”

Rule 22VAC40-665-620-A.

Based on staff interview, the vendor did not have written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“Evidence: Staff #1 stated an incident report was not completed on August 27, 2021 in regards to child #1 spraying himself with pepper spray.”

Rule 22VAC40-665-700-C.

Based on staff interview and documentation, the center did not ensure to keep all areas free of obvious injury hazards.

“Evidence: Staff#1 contacted the licensing inspector on October 13, 2021 of a incident that occurred on August 27, 2021. Staff #2 had a carabiner attached to a lunchbox with keys and pepper spray. Child #1 sprayed pepper spray in his face . Staff #1 and Staff #2 confirmed the pepper spray was not kept in a locked place. The center called 911 for medical assistance.”

Rule 22.1-289.031-B-5.