The Father’s House Community Outreach Center

The child’s record shall include the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached.

“The records of Child #1, enrolled for over one year, Child #2, enrolled for over two weeks, Child #3 and Child #4, both enrolled for over one week and Child #5, enrolled for over one month, did not contain an emergency contact address.”

Rule 8VAC20-790-540-B.

Upon enrollment, the center shall require information from the person enrolling the child regarding previous child day care and schools attended by the child.

“The records of Child #1, enrolled for over one year, Child #2, enrolled for over two weeks, Child #3 and Child #4, both enrolled for over one week and Child #5, enrolled for over one month, did not contain information regarding previous child day care and schools attended by the children.”

Rule 22.1-289.049-A.

During the designated daily rest period at least one staff member shall be physically present in the same space as the resting or sleeping children at all times and other staff members counted for purposes of staff-to-child ratio shall be present on the same floor as the resting or sleeping children and shall have no barrier to their immediate access to the resting or sleeping children.

“There were ten children ages 24 months to 36 months and nine children ages three to four years combined and sleeping in the preschool classroom with two staff. One additional staff member was required to be present on the same floor as the resting or sleeping children with no barrier to their immediate access for purposes of staff-to-child ratio. Interview with staff #8 revealed that the additional staff members needed to meet required ratios left the building at approximately 11:30 am for their lunch break.”

Rule 22.1-289.031-A-3.

The center is required to obtain documentation of a negative tuberculosis (TB) screening 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 TB documentation for staff #1 was dated 6 weeks prior to the date of employment.”

Rule 8VAC20-790-560-A.

22.1-289.031-A-3

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

22.1-289.031-A-3-a

“Based on observation, interview, and record review, the center failed to maintain a ratio of 1 staff member to every 4 children under the age of 16 months. Evidence: Upon arrival at the center there were 5 children in the infant area with one staff member. The youngest child in the grouping was 13 months old.”

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

22.1-289.031-B-2

Rule 22.1-289.031-B-2. From a complaint.

8VAC20-790-720-C

“Based on documentation review, the vendor failed to include the required items on the written record of children’s serious and minor injuries. Evidence: 1. 5 out of 5 injury reports viewed did not contain a staff signature. The injury reports contained a parent signature. Injury reports must contain a staff and parent signature or two staff signatures. 2. 5 out of 5 injury reports viewed did not contain the date and time when parents were notified of the injury.”

Rule 8VAC20-790-720-C. From a complaint.

8VAC20-790-560-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening at the time of employment. Evidence: 1. The record for staff #1, date of employment 10/20/2023, contained documentation of tuberculosis screening dated 01/08/2024.”

Rule 8VAC20-790-560-A.

8VAC20-790-600-B

“Based on record review, the center failed to ensure that all staff shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained documentation of Virginia Preservice Training for Child Care Staff dated 03/10/2024.”

Rule 8VAC20-790-600-B.

22.1-289.031-A-3-d

“Based on observation, and interview, the center failed to follow the staff to children ratio of 1 staff to 10 children for children ages 36 months to five years. Evidence: Classroom #2 had 15 children with 1 staff. The youngest child in classroom #2 was 3 years old. One additional staff was required. Administration confirmed that there was 1 staff with 15 children.”

Rule 22.1-289.031-A-3-d.

22.1-289.031-A-4

“Based on record review, the center failed to obtain a staff health report certified by a practicing physician or physician assistant that the staff member is free from any disability which would prevent them from caring for children under their supervision prior to employment. Evidence: The record for staff #1, date of employment 10/20/2023, contained a staff health report dated 01/05/2024.”

Rule 22.1-289.031-A-4.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

22.1-289.031-B-5

“Based on observation, the center failed to ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or cushioning material under playground equipment. Evidence: 1. The playground contains playground equipment that was directly on the ground and does not have sand or cushioning material under it.”

Rule 22.1-289.031-B-5.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-790-520-F

“Based on interview, the vendor failed to keep a current written list of all children’s allergies, sensitivities, and dietary restrictions in each room or area where children are present. Evidence: Interviews with staff revealed that there are children with allergies, sensitivities, and dietary restrictions that attend the center. There was not a current written list of children’s allergies, sensitivities, and dietary restrictions in each room where children were present.”

Rule 8VAC20-790-520-F.

8VAC20-790-730-F-2

“Based on observation, and interview, the vendor failed to provide cots, rest mats, or beds for children older than 12 months of age. Evidence: Classroom # 3 contained children older than 12 months that were sleeping in cribs. When asked if a cot or rest mat was provided for the children older than 12 months staff stated that rest mats are not provided until the children transition to the older classroom at 24 months.”

Rule 8VAC20-790-730-F-2.

8VAC20-790-730-G

“Based on observation, and interview, the vendor failed to ensure that there shall be at least 12 inches of space between occupied cribs, cots, beds, and rest mats. Evidence: Classroom #2 had 20 children sleeping on cots. Several cots were touching and several others were less than 12 inches apart. Interview with staff revealed that classroom #1 and classroom #2 were combined during nap due to staffing.”

Rule 8VAC20-790-730-G.

8VAC20-790-780-A

“Based on observation, and interview, the vendor failed to maintain the minimum required supplies in the first aid kit. Evidence: The first aid kit did not contain an ice pack or adhesive tape. Staff #6 confirmed that the first aid kit did not contain an ice pack or adhesive tape.”

Rule 8VAC20-790-780-A.

8VAC20-790-780-C-1

“Based on interview, the vendor failed to have the required nonmedical emergency supplies. Evidence: Staff #6 stated that the center did not have a working, battery-operated flashlight.”

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

8VAC20-790-780-C-2

“Based on interview, the vendor failed to have the required nonmedical emergency supplies. Evidence: Staff #6 stated that the center did not have a working, battery-operated radio.”

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

8VAC20-790-800-A-2

“Based on documentation review, and interview, the vendor failed to practice emergency response drills the required minimum times per year. Evidence: Documentation review and interview revealed that the vendor did not practice shelter-in-place procedures twice a year.”

Rule 8VAC20-790-800-A-2.

8VAC20-790-800-A-3

“Based on documentation review, and interview, the vendor failed to practice emergency response drills the required minimum times per year. Evidence: Documentation review and interview revealed that the vendor did not practice lockdown procedures at least once a year.”

Rule 8VAC20-790-800-A-3.

8VAC20-790-550-2-a

“Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.”

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

8VAC20-790-550-2-c

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

8VAC20-790-550-2-d

“Based on record review, the vendor did not ensure three of five staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of a completed sworn statement or affirmation dated 10/6/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of a completed sworn statement or affirmation dated 4/7/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of a completed sworn statement or affirmation dated 1/24/2023.”

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

8VAC20-790-580-A

“Based on observation, the vendor did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

Rule 8VAC20-790-580-A.

8VAC20-790-640-A

“Based on observation, the vendor did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

Rule 8VAC20-790-640-A.

8VAC20-790-730-I

“Based on observation, the vender did not ensure pillows and filled comforters were not used by children less than 12 months of age while sleeping or resting including quilts, sheepskins, or stuffed toys. Evidence: The inspector observed an infant sleeping in a crib with a blanket underneath the infant’s head as if it were a pillow. The same infant also had a blanket on top of the infant and another blanket and cloth bib on the side of the infant.”

Rule 8VAC20-790-730-I.

8VAC20-790-760-B-3-d

“that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The infant classroom used a trashcan located outside of the infant rooms back door. The trash can was not foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

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

8VAC20-790-820-B

“Based on observation, the vendor did not ensure when a child is placed in an infant seat, highchair,` or feeding table, the protective belt shall be fastened securely. Evidence: The licensing inspector observed two children sitting in a feeding table without the protective belt fastened. There were no protective belts installed in the feeding table seats as required by the manufacturer.”

Rule 8VAC20-790-820-B.

22.1-289.031-A-4

“Based on observation, the center did not ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.”

Rule 22.1-289.031-A-4.

22.1-289.031-A-9

Rule 22.1-289.031-A-9.

22.1-289.031-B-5

“Based on observation, the center did not ensure to implement the center’s established procedures regarding hazardous substances. Evidence: 1. The center requires that all cleaners and hazardous substances be locked. 2. There were several containers of cleaners located in the center’s closet and kitchen. Both the closet and the kitchen were unlocked.”

Rule 22.1-289.031-B-5.

22.1-289.035-A

“Based on record review, the facility failed to obtain repeat sworn statement or affirmation for one staff within five years since the date of the last completed sworn statement or affirmation. Evidence: The record of staff #3 (employment date: 4/14/2017) had documentation of sworn statement or affirmation dated 9/19/2017.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

22.1-289.058

“Based on observation and an interview, the center did not ensure that the building serving preschool aged children was equipped with at least one carbon monoxide detector. Evidence: The licensing inspector did not observe a carbon monoxide detector installed in the center.”

Rule 22.1-289.058.

8VAC20-770-40-D-2

Rule 8VAC20-770-40-D-2.

Based on a review of five staff records and interview, the vendor did not ensure three staff had the results of the Virginia Child Protective Services Central Registry check within 30 days of the individuals beginning employment.

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

Based on a review of five staff records, the vendor did not ensure one staff had satisfactory results of the fingerprint-based national criminal background check prior to employment.

“Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

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

Based on a review of five staff records and interview, the vendor did not obtain satisfactory results of the child abuse and neglect registry from one state in which one staff member had resided in the preceding five years.

“Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The results should have been requested within 30 days of employments.”

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

Based on a review of five staff records and interview, the vendor did not obtain the results of a criminal history record information check and sex offender registry check from one state in which the staff member had resided in the preceding five years.

“Evidence: 1) The record of Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia in the last five years. The record did not contain the results of a criminal history record information check or a sex offender registry check from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment.”

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

Based on a review of five staff records and interview, the vendor did not obtain documentation of subsequent background checks conducted every five years for one staff member.

“Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

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

Based on a review of four staff records and interview, the vendor did not ensure one staff member had documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: 1) The TB screening in the record of Staff #1, employed 09/16/22, was dated 10/02/22. 2) The record of Staff #5, employed 04/07/22, did not contain documentation of a negative TB screening. 3) During interview, management confirmed Staff #5 does not have documentation of a negative TB screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-790-560-A.

Based on a review of five children’s records and interview, the vendor did not obtain documentation that one child had received the immunization required by the State Board of Health before the child attended the center.

“Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child’s attendance.”

Rule 8VAC20-790-580-A.

Based on a review of five staff records, the vendor did not ensure two staff who work directly with children completed the Virginia Preservice Training for Child Care Staff within 90 days of employment.

“Evidence: 1) The Virginia Preservice Training certificate in the record of Staff #2, employed 12/28/20, was dated 10/28/22. 2) The Virginia Preservice Training certificate in the record of Staff #4, employed 04/07/22, was dated 10/02/22.”

Rule 8VAC20-790-600-B.

Based on a review of five staff records and interview, the vendor did not ensure one staff completed orientation training prior to the staff member working alone with children and within seven days of the date of employment.

“Evidence: 1) The record of Staff #1, employed 09/16/22, contained documentation of orientation training that was dated 09/30/22. 2) During interview, management reported the orientation training was not completed within seven days of the date of employment.”

Rule 8VAC20-790-600-C.

Based on a review of five staff records and interview, the vendor did not ensure three staff who work directly with children completed at least annually 16 hours of training and staff development activities, to include the department’s health and safety update course.

Rule 8VAC20-790-600-F.

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

“Evidence: During interviews, management was not able to identify a staff member on duty who has obtained within the last three years instruction in daily health observation of children.”

Rule 8VAC20-790-600-I.

Based on documentation reviewed and interview, the vendor did not ensure the center’s evacuation procedures were practiced at least monthly.

“Evidence: 1)The emergency response drills reviewed for 2022 did not include a practice evacuation drill for February 2022, July 2022, and August 2022. 2) During interview, management reported an evacuation drill was not practiced during those months.”

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

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

“Evidence: 1) The staff health report in the record of Staff #1, employed 09/16/22, was completed on 10/02/22. The staff health report should have been obtained prior to the staff beginning employment.”

Rule 22.1-289.031-A-4.

Based on interviews, 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: During interviews, management was not able to identify a staff member who is trained to perform daily health screening and exclusion of sick children.”

Rule 22.1-289.031-B-3.

Based on a review of five children’s records and interview, the center did not implement the center’s procedure to ensure that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases.

“Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. The center is required to obtain documentation of immunizations prior to the child’s first day of attendance. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child’s attendance.”

Rule 22.1-289.031-B-4.

Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member.

“Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17, expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.”

Rule 22.1-289.035-A.

Based on a review of five staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe.

“Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.”

Rule 22.1-289.035-B-2.

Based on a review of five staff records and interview, the center did not obtain the required out-of-state background checks from one state in which one staff member had resided in the preceding fiver years within the required timeframes.

Rule 22.1-289.035-B-4.

Based on a review of five staff records and interview, the center did not ensure three staff had the results of the central registry check within 30 days of the individuals beginning employment.

Rule 8VAC20-770-40-D-2.