Mount Vernon Baptist Church

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #4 had an immunization record that was dated three weeks after date of enrollment.”

Rule 8VAC20-780-130-A.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The record for Staff #4, employed for over six months, did not have documentation of a completed tuberculosis screening.”

Rule 8VAC20-780-160-A.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“The records for staff #2 (employed for over two years), staff #3 (employed for over one year), and staff #10 (employed for over one year) did not contain documentation to show that staff completed 16 hours of annual training for 2025.”

Rule 8VAC20-780-245-A.

The medication authorization shall be available to staff during the entire time it is effective.

“There was no medication authorization for medication that was on site for child #15, child child #18, child #19 and child #20 at the time of inspection.”

Rule 8VAC20-780-510-F.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets all requirements.

“Staff #11 was the only MAT trained staff in the building and had a MAT certification that expired 10 days ago. The center had emergency medication on site at the time of the inspection.”

Rule 8VAC20-780-245-J-3.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“There were no staff on duty at the time of inspection who had current training in performing daily health observation of children.”

Rule 8VAC20-780-245-L.

Annual approval from the health department is required.

“The center’s health inspection was three weeks past due.”

Rule 8VAC20-780-260-B.

The center is required to have applicants undergo a background checks every five years.

“The most recent national criminal background check for officer #1 was overdue by two years. The most recent national criminal background check for officer #2 was overdue by one year. The most recent sworn statement background check for officer #1 was overdue by two years. The most recent sworn statement background check for officer #2 was overdue by one year. The most recent central registry background check for officer #1 was overdue by two years. The most recent central registry background check for officer #2 was overdue by one year.”

Rule 22.1-289.036-A.

(Repeat Violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The screening for Staff #2 was completed three weeks after employment. The screening for Staff #6 was completed 44 days before employment. Staff #7 updated screening was due four months ago. The screening for Staff #9 was completed nine days after employment.”

Rule 8VAC20-780-160-A.

Staff records must be kept for each staff person with all the required information.

“Staff # 1, employed for two years and 6 months, did not have the Virginia Department of Education-sponsored orientation course. Staff #2, employed for one year and five months, did not have the Virginia Department of Education-sponsored orientation course. Staff #6, employed for one year, did not have the Virginia Department of Education-sponsored orientation course. Staff # 9, employed for six months, did not have the Virginia Department of Education-sponsored orientation course. Staff #9 did not have a completed orientation training on file.”

Rule 8VAC20-780-70.

Based on record review and interview, the center did not ensure to obtain a sworn statement prior to the first day of employment.

“Evidence: 1. Staff #10 (hire date 03/27/2023) had a sworn statement dated 07/10/2023. 2. Director acknowledged the sworn statement was late.”

Rule 22.1-289.035-B-1.

8VAC20-780-160-A

“Based on review of staff records, the center did not ensure documentation of a negative tuberculosis screening be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The documentation for staff #10 (hire date 03/27/2023) was dated for 03/09/2024. 2. Director acknowledged the tuberculosis screen was late.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: 1. Staff #10 (hire date 03/27/2023) did not have a completed orientation course. 2. Director acknowledged the training was not completed.”

Rule 8VAC20-780-240-A.

8VAC20-780-70

“Based on record review, the center did not ensure staff records contained required documentation for each staff. Evidence: 1. Staff # 10 (hire date 03/27/2023) did not have documentation on file that shows they have completed orientation training within the set time frames. 2. Director acknowledged the orientation was missing.”

Rule 8VAC20-780-70.

Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for staff #1 (employed: 08/29/22), had TB screening documentation on 09/02/22. The record for staff #2 (employed: 08/29/22), had TB screening documentation on 09/02/22. The record for staff #3 (employed: 08/22/22), had TB screening documentation on 09/02/22. Staff shall submit documentation at time of employment. 2. A member of management confirmed that the screening was not completed at the time of employment.”

Rule 8VAC20-780-160-A.

Based on record review, the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate for to the age of the children in care.

“Evidence: 1.The record for staff #4 (employed 8/16/01) had documentation of 15 hours of annual training. 2.The record for staff #5 (employed 9/01/15) had documentation of 13 hours of annual training. 3.The record for staff #7 (employed 6/22/20) had documentation of 11.5 hours of annual training. 4.The record for staff #8 (employed 4/25/09) had documentation of 6 hours of annual training. 5.The record for staff #10 (employed 1/01/17) had documentation of 11 hours of annual training.”

Rule 8VAC20-780-245-A.

8VAC20-780-500-A

“Based on observation, the center did not ensure that children’s hands are washed with soap and running water or disposable wipes before and after eating meals. Evidence: In classroom #16, children finished eating snack and began the next activity without washing their hands with soap and running water or disposable wipes.”

Rule 8VAC20-780-500-A.

Based on a review of medication, the facility failed to ensure that there is written parent authorization for each medication at the center.

“Evidence: Child #4, child #10, child #11, and child #12 had emergency medications on site. The medication consent forms did not have a signed parental authorization granting the center permission to administer the medications to the child.Based on a review of medication, the facility failed to ensure that there is written parent authorization for each medication.”

Rule 8VAC20-780-510-B.

Based on record review, the center did not ensure there were a minimum of two shelter-in-place practice drills, yearly.

“Evidence: The center did not have documentation of shelter in place drills for 2022. The center is required to practice shelter-in-place drills two times per year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-P

“Based on a review of the facility’s injury reports, all required information was not documented. Evidence: A sample of child injury reports did not include; date and time parents were notified, and staff and parent signatures or two staff signatures and documentation of how parent was notified.”

Rule 8VAC20-780-550-P.

Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding.

“Evidence: 1. In room #16, children finished snack and went to other activities on the carpet. 2. Staff did not sanitize the table after use.”

Rule 8VAC20-780-560-J.

Based on a review of children’s records, the center did not ensure that each record contains all required information.

“Evidence: The records for child #4, did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-C.

Based on a review of five staff records and interview, the center did not ensure that one out of five staff obtained fingerprint results prior to hire.

“Evidence: 1. The record for Staff #3, hired on 08/30/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2. During interview, a member of management confirmed the fingerprint-based background check results for Staff #3 were not received at the time of training.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center did not ensure to obtain the results of a tuberculosis screening for each staff within the required time frame.

“Evidence: 1. The record of staff #1 (start date: 09/07/21) and staff #3 (start date: 09/09/21) did not have documentation of a negative tuberculosis screening. 2. The Director acknowledged that the screening was missing. 3. The record for staff #5 had a TB screening dated 03/24/2015.”

Rule 8VAC20-780-160-A.