Abundant Life World Outreach Ministries

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

“The criminal background check for Staff 3 (employed 3 months) was dated three days after their first day of employment and the criminal background check for Staff 4 (employed 3 months) was dated one day after their first day of employment.”

Rule 22.1-289.035-B-2.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not request a search of the child abuse and neglect registry or conduct a sex offender registry search from one state, for Staff 1 (employed 3 years), Staff 2 (employed 3 months), Staff 4 (employed 3 months) and Staff 5 (employed 2 months).”

Rule 22.1-289.035-B-4.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“In Room 1, there were 6 children present and 5 were marked present on the attendance record. In Room 2, there were 6 children present and 5 were marked present on the attendance record. In room 6, there were 2 children present and 0 were marked present on the attendance record. In Room 7, there were 3 children present and 0 were marked present on the attendance record. The attendance record did not document arrival as it occurred.”

Rule 8VAC20-790-530-B.

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 3 was completed three weeks after hire and the screening for Staff 4 was completed three weeks after hire.”

Rule 8VAC20-790-560-A.

Orientation training for staff shall be completed on the required topics prior to staff member working alone with children and within seven days of the date of employment.

“There was no documentation of orientation training for Staff 1 (employed 3 years), Staff 2 (employed 3 months), Staff 3 (employed 3 months), Staff 4 (employed 3 months) and Staff 5 (employed 2 months).”

Rule 8VAC20-790-600-C.

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

“There was no staff on duty who has obtained instruction in performing a daily health observation.”

Rule 8VAC20-790-600-I.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“In Room 1, staff changed three diapers without cleaning and sanitizing after each use. In Room 2, staff cleaned with soap and water but did not sanitize after each use.”

Rule 8VAC20-790-760-B-8.

Tables and high chair trays shall be sanitized before and after each use for feeding and cleaned at least daily. “Sanitized” requires the surface to be sprayed or dipped into a sanitizing solution and allowed to air dry for a minimum of two minutes.

“In Room 2 and 3, the tables were cleaned with soap and water and not sanitized with a sanitizing solution before lunch. In Room 4 and 5, the tables were wiped with a disinfectant wipe, before lunch. A disinfectant wipe does not meet the definition of sanitizing.”

Rule 8VAC20-790-810-G.

Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician.

“The subsequent TB screening for Staff 4 was overdue by 4 days.”

Rule 8VAC20-790-560-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.

“Hazardous substances were observed unlocked under the diaper changing table.”

Rule 8VAC20-790-640-A.

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

“The criminal background check for Staff 2, who has been employed for one year and nine months, was dated 5 weeks after their first day of employment. The criminal background check for Staff 4, who has been employed for two years, was dated three days after their first day of employment.”

Rule 22.1-289.035-B-2.

8VAC20-790-580-A

“The vendor shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There were no documentation of immunizations for Child 1 and Child 2.”

Rule 8VAC20-790-580-A.

For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“A written record of daily attendance was unavailable for each group of children.”

Rule 8VAC20-790-530-B.

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, 2, 3, and 4 have not completed center orientation.”

Rule 8VAC20-790-600-C.

Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities.

“Staff 1, 2, 3, and 4 did not complete at least 16 hours of annual training during 2023.”

Rule 8VAC20-790-600-F.

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

“There was not at least one person present who has completed daily health observation training.”

Rule 8VAC20-790-600-I.

The vendor shall ensure that all areas of the premises accessible to children are free of obvious injury hazards.

“On the outdoor school age playground there were tree stumps that created a tripping hazard.”

Rule 8VAC20-790-660.

A first aid kit must contain scissors, tweezers, gauze pads, adhesive tape, assorted bandages types and sizes, antiseptic cleansing solution and pads, digital thermometer and single use examination gloves.

“The first aid supplies in the school age building did not contain all required items.”

Rule 8VAC20-790-780-A-1.

Based on inspection, the Center failed to ensure pillows and filled comforters are not used by children less than 12 months of age while sleeping resting including quilts, sheepskins or stuffed toys.

“EVIDENCE: In the infant classroom, Licensing Inspector observed boppy pillows used in all infant cribs.”

Rule 8VAC20-790-730-I.

Based on inspection, the Center failed to ensure the diapering area has access to a sink with running water.

“EVIDENCE: In the infant classroom, the diapering area did not have access to a sink with running water. Sink was inoperable.”

Rule 8VAC20-790-760-B-3-a.

Based on inspection, the Vendor failed to us a foot-operated storage system to dispose diapers; system when used neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“EVIDENCE: Licensing Inspector observed staff member using a diaper disposal unit with their hands. Storage system was equipped to be used without the staff members hands.”

Rule 8VAC20-790-760-B-6.