First Baptist Church of Ashland

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 a staff health form that expired three months ago. Staff #2, employed for six days, did not have a staff health form present at the time of the inspection. Staff #8 had a staff health form that expired one month ago. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a staff health form at the time of the inspection.”

Rule 22.1-289.031-A-4.

The center shall establish and implement procedures for appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children.

“It was reported that the center uses a staff placement agency that provides individuals to work at the center. The center stated they do not have any required documentation for the individuals that work with children. The center stated that up to seven people have come to work at the center that were counted in ratio, which started approximately one month ago.”

Rule 22.1-289.031-B-2.

The center shall establish and implement procedures for a daily simple health screening and exclusion of sick children by a person trained to perform such screenings.

“Staff discussed procedures over daily health screenings, but no one at the center has been formally trained.”

Rule 22.1-289.031-B-3.

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

“Staff #2, employed for six days, did not have a completed sworn statement available to view at the time of inspection. Staff #2 was working alone with a group of children. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a completed sworn statement available to view at the time of inspection.”

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 #2, employed for six days, did not have a criminal background check available to view at the time of inspection. Staff #2 was working alone with a group of children. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a criminal background check available to view at the time of inspection.”

Rule 22.1-289.035-B-2.

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

Rule 22.1-289.035-B-3.

Systemic Deficiency: 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 records for child #1, child #2, child #3, child #4 and child #5, who were all present at the time of the inspection, did not contain previous child day care and schools attended by the child.”

Rule 22.1-289.049-A.

The child’s record shall include all required information.

“The record for child #2 was missing a work phone number for a parent. The records for child #4 and child #5 were missing a work phone number and work address for a parent.”

Rule 8VAC20-790-540-B.

The following records shall be kept for each staff person: Name, address, verification of age, and date of employment or volunteering.

“Staff #5, employed for one month, and staff #6, employed for eight days, did not have verification of age in their record. Staff #9, identified as staff and was counted in ratio at the time of the inspection, did not have documentation of name, address, verification of age or the date of employment or volunteering.”

Rule 8VAC20-790-550-1.

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 #6, employed for six days, did not have documentation of a screening at the time of the inspection. Staff #9, identified as staff and counted in ratio at the time of the inspection, did not have a TB screening at the time of the inspection.”

Rule 8VAC20-790-560-A.

The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.

“The record for child #3, 23 months old, did not have documentation of updated immunization records. Updated immunization records were due three months ago.”

Rule 8VAC20-790-580-B.

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.

“Staff #2, who was alone working with a group of children, did not have documentation of completed orientation training. Staff #4, employed for three weeks and was alone working with a group of children, did not have documentation of completed orientation training.”

Rule 8VAC20-790-600-C.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1?s health and safety update course was due five months ago. Staff #7?s health and safety update course was due six months ago.”

Rule 8VAC20-790-600-F.

The following actions or threats thereof are forbidden: roughly handling a child.

“On 09/01/2026, staff #1 was observed holding child #4, age two years, by the upper arms to keep the child from leaving the staff’s grasp. The child was crying and wanted to leave the room. Child #4 fell to the ground and staff #1 picked up the child from the ground by the upper arms to prevent the child from attempting to leave.”

Rule 8VAC20-790-710-1.

The following nonmedical emergency supplies shall be required: One working, battery-operated radio.

“The center did not have a battery-operated radio at the time of the inspection.”

Rule 8VAC20-790-780-C-2.

Systemic Deficiency:

“Evacuation procedures shall be practiced at least monthly. Evacuation drills were not conducted for May 2026, June 2026 or July 2026.”

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

Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name if more than one infant is in care.

“Prepared bottles in the infant room for two children were observed without dates.”

Rule 8VAC20-790-820-E.

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.

“The allergy lists present in each room were not dated and not kept confidential.”

Rule 8VAC20-790-520-F.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.

“In classroom #1, the windowsill had chipped paint. In classroom #2, there was an electric wire accessible to children and was sharp to the touch.”

Rule 8VAC20-790-630-A.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“In classroom #2, a cabinet with cleaning materials was observed unlocked.”

Rule 8VAC20-790-640-A.

The child day center employs supervisory personnel according to one staff member to four children from ages zero to 16 months.

“On 11/15/2024 at approximately 8:22am, 13 children were observed ages 6 months through 18 months under the care of three staff. The center did not maintain ratios of 1 staff for every 4 children. At approximately 8:30am, a 4th staff arrived.”

Rule 22.1-289.031-A-3-a. From a complaint.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“In the toddler room, a bottle of bleach water was next to the changing station unlocked and within reach of children.”

Rule 8VAC20-790-640-A.

Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name if more than one infant is in care.

“In the infant room, two separate infant bottles were observed without a date.”

Rule 8VAC20-790-820-E.

8VAC20-790-560-B

Rule 8VAC20-790-560-B.

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to child ratios of one staff member to 10 children from ages 36 months to five years. Evidence: Classroom #1 contained 1 staff with 13 children ages four to five years. Staff #1 and staff #2 confirmed that there were 13 children with 1 staff member.”

Rule 22.1-289.031-A-3-d.

22.1-289.031-B-3

“Based on interview, the center failed to ensure to implement a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Evidence: Administration confirmed that there are not any staff trained to perform a daily simple health screening.”

Rule 22.1-289.031-B-3.

22.1-289.031-A-3-d

“Based on interview, and documentation review, the center failed to follow staff to child ratio of one staff member to 10 children from ages 36 months to five years. Evidence: Review of daily attendance for the months of September and October 2023 revealed that there were multiple days where there were up to 15 children, age 4 years, that attended. Interview with staff #1 and administration confirmed that classroom #1 frequently has 1 staff member with up to 15 children, age 4 years, at a time.”

Rule 22.1-289.031-A-3-d. From a complaint.

Based on a review of five staff records, the vendor did not ensure one staff member had a statement that the individual was determined to be free of communicable tuberculosis (TB) within the required timeframe.

“Evidence: The TB screening in the record of Staff #1, employed 03/21/22, was dated 02/16/22. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-790-560-A.

Based on a review five staff records, the vendor did not ensure one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1) The CPR certification in the record of Staff #1, employed 03/21/22, was completed on 08/10/22. 2) During interview, management acknowledged Staff #1 did not have CPR certification within 90 days of employment.”

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

Based on a review five staff records, the vendor did not ensure one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1) The first aid certification in the record of Staff #1, employed 03/21/22, was completed on 08/10/22. 2) During interview, management acknowledged Staff #1 did not have first certification within 90 days of employment.”

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

Based on a review of five staff records, the center did not obtain the required staff health report for one staff within the required timeframe.

“Evidence: The staff health report in the record for Staff #1, employed 03/21/22, was dated 04/21/22. The staff health report should have been obtained prior to the staff beginning employment.”

Rule 22.1-289.031-A-4.

Based on observation and interview, the child day program, which was build before 2015, was not equipped with at least one carbon monoxide detector.

“Evidence: 1) A carbon monoxide detector was not observed during the walk-through of the facility. 2) During interview, management stated the center is not equipped with a carbon monoxide detector.”

Rule 22.1-289.058.