First Shiloh Baptist Church

A child day center operated or conducted under the auspices of a religious institution, shall post the fact that it is exempt from licensure in a visible location and post the qualifications of the personnel employed.

“The fact that the center is exempt from licensure was not posted.”

Rule 22.1-289.031-A.

Repeat Violation: 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.

“Staff #2 had a staff health report that expired eight months ago.”

Rule 22.1-289.031-A-4.

The center is required to have employees undergo a background check every five years.

“The most recent sworn statement for staff #2 was overdue by seven months. The most recent sworn statement for staff #1 was overdue by 10 months.”

Rule 22.1-289.035-A.

The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“There was no list of allergies, sensitivities and dietary restrictions posted at the time of the inspection. Child #6, present at the time of the inspection, had a prescribed food allergy.”

Rule 8VAC20-790-520-F.

A written allergy care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #6 had a prescribed food allergy and did not have an allergy care plan.”

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

Repeat Violation: All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #2 had current CPR certification that did not include an in-person competency demonstration. Staff #2 was alone working with children at the time of the inspection.”

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

Staff members who worked directly with children annually attend at least 16 hours of training to include the department’s health and safety update course.

“The record for staff #2 contained documentation of completing 11 of the 16 hours of annual training for 2025. Staff #2?s annual health and safety update course training was overdue by two weeks.”

Rule 8VAC20-790-600-F.

Repeat Violation: 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.

“Staff #3, employed for one month, did not have a complete TB screen at the time of the inspection.”

Rule 8VAC20-790-560-A.

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 #3, employed for one month, did not have a complete orientation training in their record at the time of the inspection.”

Rule 8VAC20-790-600-C.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff # 1 and staff #2 had current CPR certification that did not include an in-person competency demonstration.”

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

Repeat Violation: 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.

“Staff #3, who had been employed for one month, did not have a completed staff health report.”

Rule 22.1-289.031-A-4.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #3, who had been employed for one month, did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #3, who had been employed for one month, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

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 screening for Staff #1 was missing from the file and the screening for Staff #3 was not completed before hire.”

Rule 8VAC20-790-560-A.

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.

“Staff #1 had an annual staff health report that expired 7 months ago. Staff #2 had an annual staff health report that expired 7 months ago. Staff #3 had an annual staff health report that expired over 2 years ago.”

Rule 22.1-289.031-A-4.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #3, who had been employed for six months, did not have a central registry search requested. Staff #1, who has been employed for over five years, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child. The regulated child day program shall also require that the person enrolling the child present the regulated child day program with the proof of the child’s identity and age.

“Child #1, who has been enrolled for over two months, was missing documentation of proof of age and identity.”

Rule 22.1-289.049-A.

8VAC20-790-550-1

“Based on review of two staff records, the vendor did not ensure two staff records contained the required information. Evidence: The records for Staff #1 and Staff #2 did not document the first day of employment.”

Rule 8VAC20-790-550-1.

8VAC20-790-550-2-f

“Based on review of two staff records and interview, the vendor did not ensure one staff member obtained documentation of subsequent background checks at least every five years. Evidence: 1. The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

Rule 8VAC20-790-550-2-f.

8VAC20-790-560-B

“Based on review of five staff records, the vendor did not ensure subsequent tuberculosis (TB) screenings were required at least every two years from the date of the initial screening for one staff member. Evidence: 1. The record for Staff #2 contained a TB screening dated 10/13/2017. 2. Staff #1 confirmed this information during the inspection.”

Rule 8VAC20-790-560-B.

8VAC20-790-600-F

“Based on review of two staff records and interview, the vendor did not ensure one staff member who worked directly with children annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Evidence: 1. The records for Staff #1 and Staff #2 did not contain documentation of completing at least 16 hours of annual training. 2. Staff #1 stated staff needed to complete the annual training requirements during the inspection.”

Rule 8VAC20-790-600-F.

22.1-289.035-A

“Based on review of five staff records and interview, the center did not ensure one employee completed background check at least every five years for staff or volunteer. Evidence: 1.The record for Staff #2 contained a fingerprint based national criminal record check dated 09/19/2018 and a central registry finding dated 11/08/2017. 2. Staff #2 confirmed the information during the inspection.”

Rule 22.1-289.035-A.

Based on a review of records, observation and interview, the vendor did not ensure there was at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

“Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

Rule 8VAC20-790-600-I.

Based on record review and interview, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily.

“Evidence: 1) The record of Staff #1, employed 03/08/21, did not contain documentation that the staff has daily health observation training. 2) Staff #1 was the only staff on duty during the inspection on 10/25/22. 3) During interview, Staff #1 reported there are no staff members with current daily health observation training.”

Rule 22.1-289.031-B-3.