Braddock Street United Methodist Church

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #1 has been employed for over 90 calendar days and did not have completed preservice training in the record. Staff #2 has been employed for over four months and did not have completed preservice training in the record.”

Rule 8VAC20-780-240-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment. Staff #2 has been employed more than four months and did not have current CPR certification.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current first aid certification within 90 days of the date of employment. Staff #2 has been employed more than four months and did not have current first aid certification.”

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

All staff who work directly with children shall have current CPR certification within 90 days of employment.

“Staff #1 has been employed over five months and does not have current CPR certification.”

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

All staff who work directly with children shall have current first aid certification within 90 days of employment.

“Staff #1 has worked over five months and does not have current first aid certification.”

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

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff #1, was employed for at least three weeks before the center requested an out of state central registry check for one state.”

Rule 22.1-289.035-B-4.

All staff who work directly with children shall have current CPR certification within 90 days of employment.

“Staff #1has worked for five months and does not have current CPR certification.”

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

All staff who work directly with children shall have current first aid certification within 90 days of employment.

“Staff #1has worked for five months and does not have current first aid certification.”

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

REPEAT VIOLATION Based on review of staff records, the center failed to ensure that all staff had certification in cardiopulmonary resuscitation (CPR) by the 90th day of employment.

“Evidence: 1. Staff #8’s date of hire was 09/18/2023. There was no documentation that CPR certification had been completed. The certification was required by 12/18/2023. 2. Administration verified that Staff #8 did not have a current certification in CPR.”

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

REPEAT VIOLATION Based on review of staff records, the center failed to ensure that all staff had certification in first aid by the 90th day of employment.

“Evidence: 1. Staff #8’s date of hire was 09/18/2023. There was no documentation that First Aid certification had been completed. The certification was required by 12/18/2023. 2. Administration verified that Staff #8 did not have a current certification in First Aid.”

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

REPEAT VIOLATION Based on review of staff records, the center failed to ensure that the three hour annual health and safety update was completed annually.

“Evidence: 1. Staff #1,#4,#5,and #6 did not complete the annual health and safety update for 2023. 2. Administration verified that the training had not been completed.”

Rule 8VAC20-790-600-F.

Based on observation, the center failed to ensure that children washed their hands with soap and running water or disposable wipes after eating meals.

“Evidence: 1. In the Pioneer II’s classroom the children did not wash their hands with soap and running water or a disposable wipe after eating lunch. 2. The children got up form the lunch table and went to their cots and started playing with poppers. 3. Staff #1 verified that the children did not wash their hands with soap and running water or a disposable wipe after eating lunch.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that the diapering table was sprayed with soap and water first, and then be sanitized after each use.

“Evidence: 1. In the Waddler II’s classroom, Staff #2 was completing a diaper change. Staff #2 did not spray the diapering pad with soap and water to clean the surface. Staff #2 only sprayed the diapering pad with sanitizing solution. 2. In Waddler I’s classroom, Staff #3 was completing a diaper change. Staff #3 did not spray the diapering pad with soap and water to clean the surface. Staff #3 only sprayed the diapering pad with sanitizing solution.”

Rule 8VAC20-780-500-B.

Based on review of staff records, the center failed to ensure that all children who work directly with children shall have certification in cardiopulmonary resuscitation (CPR) within 90 days of employment.

“Evidence: 1. Staff #8’s date of employment was 08/16/2022. Certification in CPR was not obtained until 02/24/2023. Certification was required by 11/16/2022. 2. Staff #9’s date of employment was 10/10/2022. Certification in CPR was not obtained until 02/02/2023. Certification was required 01/02/2023.”

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

Based on review of staff records, the center failed to ensure that all children who work directly with children shall have certification in first aid appropriate to the ages of children in care..

“Evidence: 1. Staff #8’s date of employment was 08/16/2022. Certification in First Aid was not obtained until 02/24/2023. Certification was required by 11/16/2022. 2. Staff #9’s date of employment was 10/10/2022. Certification in First Aid was not obtained until 02/02/2023. Certification was required 01/02/2023.”

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

Based on review of staff records, the center failed to ensure that the annual three hour health and safety update was completed annually.

“Evidence: 1. There was no documentation that the Health and Safety Update for 2022 had been completed for Staff #1, Staff #3, Staff #4, Staff #5, and Staff #6. 2. Administration verified the training had not been completed.”

Rule 8VAC20-790-600-F.

Based on a review of children records, the center failed to ensure that immunizations were obtained before the first day of attendance.

“Evidence: 1. Child #4’s first day of attendance was 11/21/2022. The immunizations in the record were dated 01/18/2023. 2. Administration verified the date of attendance, and the date on the immunization record.”

Rule 8VAC20-780-130-A.

Based on a review of children records, the center failed to obtain a physical examination within 30 days after the first day of attendance.

“Evidence: 1. Child #4’s first date of attendance was 11/21/2022. The physical examination was date 01/18/2023. 2. Administration verified the first date of attendance, and the date on the physical examination.”

Rule 8VAC20-780-140-A.

Based on observation, the center failed to ensure that all areas of the center were maintained in a safe and operable condition.

“Evidence: 1. In Room 109 the molding is loose and coming of the one wall and completely missing on another wall. 2. In Waddler Room 1 there is broken tile and tile missing near the door that leads to the outdoor play area.”

Rule 8VAC20-780-270-A.

Based on review of evacuation drills and interview, the center failed to ensure that a lockdown drill was practiced at least annually.

“Evidence: 1. There was no documentation of a lockdown drill being completed for 2022. 2. Administration verified that a lockdown drill had not been completed for 2022.”

Rule 8VAC20-780-550-F.

Based on review of children records, the center failed to ensure all required information was in children records.

“Evidence: 1. Child #2’s file was missing the following information if there were any chronic physical problems, pertinent developmental information, and any special accommodations needed, and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. Child #5 and Child #6’s file was missing if there were any chronic physical problems, pertinent developmental information, and any special accommodations needed.”

Rule 8VAC20-780-60-A.

Based on review of staff files, the center failed to ensure that the Virginia Department of Education sponsored orientation course was completed within 90 calendar days of employment.

Rule 8VAC20-780-240-A.

Based on review of six children’s files, the facility failed to have documentation of viewing the proof of identity and age as required in 22.1-289.049 in the Code of Virginia.

“Evidence: 1. Child #2’s file did not contain documentation of viewing proof of identity and age. Date of enrollment for Child #2 was 11/07/2022. 2. Child #3’s file did not contain documentation of viewing proof of identity and age. Date of enrollment for Child #3 was 11/14/2022. 3. Administration verified that they had not viewed or obtained proof of identity and age for Child #2 and Child #3.”

Rule 8VAC20-780-40-G.

Based on observation and interview, the center failed to ensure that at least two staff who were certified with CPR and First Aid were on a field trip with children.

“Evidence: 1. Classroom #1 was observed leaving the building to go on a walking field trip. Staff #1 is not currently certified in CPR & First Aid. 2. Administration verified that Staff #1 is not currently certified in CPR and First Aid.”

Rule 8VAC20-780-530-C.

Based on review of staff records, the center failed to ensure that all staff had current certification in CPR.

“Evidence: 1. Staff #1’s CPR certification expired on 06/23/2022. 2. Administration verified that the CPR certification was expired.”

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

Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid.

“Evidence: 1. Staff #1’s first aid certification expired on 06/23/2022. 2. Administration verified that the first aid certification had expired.”

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

Based on observation, interview, and review of staff records, the center failed to ensure that at least two staff who are certified with CPR and First Aid were on a field trip with a group of children.

“Evidence: 1. Classroom #1 was observed on a walking field trip. Staff #1 is not currently certified in CPR and First Aid. 2. Staff verified that they were not currently certified in CPR and First Aid.”

Rule 8VAC20-780-530-C.

Based on observation and interview, the center failed to ensure that a first aid kit was taken on walking field trips.

“Evidence: 1. Classroom #1 was observed leaving the center for a walk. The did not have their emergency backpack which contains the first aid kit with them. 2. Staff #1 and Staff #2 verified that they did not have a first aid kit with them on the walk.”

Rule 8VAC20-780-540-A.

Based on review of children records, the center failed to ensure that all information was in the children’s records.

“Evidence: 1. The records for Child #2, Child #3 and Child #6 did not contain information regarding who has legal custody of the child. 2. Administration verified that the information was left blank and not completed on the registration form.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that the National Fingerprint background check was on file before the first day of employment.

“Evidence: 1. Staff #2’s date of hire was 08/16/2022. The fingerprints on file were dated 08/17/2022. Orientation documentation was dated 08/15/2022. 2. Staff #3’s date of hire was 08/16/2022. The fingerprints on file were dated 08/17/2022. Orientation documentation was dated 08/16/2022. 3. Administration verified the date of employment for Staff #2 and Staff #3, and the dates that the fingerprints were obtained.”

Rule 22.1-289.035-B-2.

Based on observation and review of medication, the center failed to ensure that all medication was kept in a locked location.

“Evidence: 1. In Classroom #1 there was a pack of albuterol vials in a child’s backpack. The backpack was not locked and was accessible to children. 2. Staff #1 confirmed that there was medication in the child’s backpack.”

Rule 8VAC20-780-510-L.

Based on staff interviews and confirmation from staff, the staff failed to ensure the care and protection of one child.

Rule 8VAC20-780-340-A.

Based on a observation and review of staff files, the center failed to ensure that in each grouping of children there was one staff member present who was certified in First Aid and CPR.

“Evidence: 1. In Classroom #1, Staff #6 and Staff #3 were observed working with a group of children, ages 2 1/2 to 3 years of age, neither staff were certified in First Aid and CPR. 2. Administration verified that both staff members currently were not certified in First Aid and CPR.”

Rule 8VAC20-780-530-A.

Based on review of staff records, the center failed to obtain documentation that a staff member possesses the education required by the job position.

“Evidence: 1. Staff #6 file did not contain documentation of the education required for the job position being held. Staff #6 was observed working with a group of children on 5/19/22 as a Lead Teacher. 2. Administration verified that the file did not contain documentation of the education required for the job position being held.”

Rule 8VAC20-780-70.

Based on a review of staff files, the center failed to ensure that within 90 days of employment that all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: 1. Staff #12’s date of employment was 07/14/2021. There was not a completed Virginia Preservice Training Certificate on file. The training was required to be completed by 10/14/2021. 2. Staff verified the date of employment for Staff #12 and verified that training had not been completed.”

Rule 8VAC20-790-600-B.

Based on review of staff files, the center failed to ensure that all staff had CPR within 90 days of employment.

“Evidence: 1. Staff #5’s first date of employment was 11/11/2021. There was no documentation on file that Staff #5 had completed CPR certification. CPR certification was required by 02/11/2022. 2. Staff #12’s first date of employment was 07/14/2021. There was no documentation on file that Staff #12 had completed CPR certification. CPR certification was required by 10/14/2022. 3. Staff verified the date of employment for Staff #5 and Staff #12, and that the CPR certification had not been completed.”

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

Based on review of staff records, the center failed to ensure that all staff members had certification in first aid within 90 days of hire.

“Evidence: 1. Staff #5’s first date of employment was 11/11/2021. There was no documentation on file that Staff #5 had completed first aid certification. Certification in first aid was required by 02/11/2022. 2. Staff #12’s first date of employment was 07/14/2021. There was no documentation on file that Staff #12 had completed first aid certification. Certification in first aid was required by 10/14/2022. 3. Staff verified the date of employment for Staff #5 and Staff #12, and that first aid certification had not been completed.”

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

Based on review of staff records, the center failed to ensure that documentation of a tuberculosis screening was obtained prior to staff coming into contact with children.

“Evidence: 1. Staff #1’s tuberculosis test/screening was dated 03/09/2022. First day of employment and being in contact with children was 03/04/2022. 2. Staff #2’s tuberculosis test/screening was dated 03/28/2022. First day of employment and being in contact with children was 03/11/2022.”

Rule 8VAC20-780-160-A-1.

Based on review of staff records, the center failed to ensure that tuberculosis screeting/test was within 30 days of employment.

“Evidence: 1. Staff #3’s date of employment was 03/02/2022. The tuberculosis screening/test on file was dated 08/16/2021. 2. Staff verified the date of employment for Staff #3 and the date on the tuberculosis screening/test.”

Rule 8VAC20-780-160-A-2.

Based on a review of medications and interview, the center failed to ensure that all non-prescription drugs were used in accordance with the manufacturer’s recommendations.

“Evidence: 1. On 03/28/2022 Child 7M was administered 3.75ml of a non-prescription medication. The directions on the medication stated if under 24 pounds or under the age of 2 to contact a doctor. 2. The medication authorization form was not completed by the physician, and did not have the correct dosage amount for Child 7M.”

Rule 8VAC20-780-520-A.

Based on observation and interview, the center failed to ensure that all food brought in from home was labeled with the child’s name and date.

“Evidence: 1. In Classroom #1 there were three lunchboxes that did not contain the child’s name or date. 2. In Classroom #2 there were 11 lunch bags in the refrigerator. The lunch bags were not marked with the date.”

Rule 8VAC20-780-560-G.

Based on a review of staff records, the center failed to obtain two reference checks before a staff member’s first day of employment.

“Evidence: 1. Staff #12’s date of employment was 07/14/2021. One reference check for Staff #12 was dated 08/02/2021. 2. Staff verified the date of employment for Staff #12, and the date documented on the reference check.”

Rule 8VAC20-780-70.

Based on interviews, the center failed to ensure the care and protection of a child at all times.

“Evidence: 1. On 11/8/21 Child #1, (age 2), was left on the playground unsupervised for approximately two minutes. 2. Staff #3 stated in an interview on 12/6/2021, when she went out to the playground that Child #1 was screaming for his mom and dad. She yelled for Child #1 to come to her and she gave him a hug. 3. Staff #1 and Staff #2, stated that when Child #1 was returned to them by Staff #3 crying and upset. They gave him a hug and he stopped.”

Rule 8VAC20-780-340-A.

Based on interviews, the center failed to ensure sight and sound supervision for children under the age of 10 at all times.

“Evidence: 1.On 11/8/21 Child #1, (age 2), was left on the playground unsupervised for approximately two minutes. 2.Staff #3 stated in an interview on 12/6/2021, that she was prepping the changing table in her classroom, and looked out on the window and saw and heard Child #1 alone on the playground. Staff #3 went out to the playground and retrieved Child #1 and returned him to his classroom. 3.Staff #1 and Staff #2 verified in interviews that Child #1 was left unsupervised for approximately two minutes.”

Rule 8VAC20-780-340-F.

22VAC40-185-40-E

Rule 22VAC40-185-40-E.

22VAC40-185-410-1

Rule 22VAC40-185-410-1.

22VAC40-185-410-5

Rule 22VAC40-185-410-5.

Based on review of documentation and interview, the center failed to report any suspected incident of child abuse in accordance with Section 63.2-1509 of the Code of Virginia.

“Evidence: 1. Staff #1 was made aware of bruising on Child #1, three-year old, by the parent on 09/15/2021. 2. There is documentation on 09/18/2021 that Staff #1 thought about reporting to Child Protective Services, but stated that an internal investigation needed to be completed before reporting. 3. Staff #1 did not report the incident to Child Protective Services until 9/21/2021 after talking with a board member.”

Rule 22VAC40-185-80-B.