Mt. Olive Brethren Church Building Blocks Children’s Center

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #1 completed 11 hours of annual training for the last annual year.”

Rule 8VAC20-780-245-A.

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #3 and 6, who did not meet lead teacher qualifications, was alone with a group of infants as the lead teacher was out for the morning.”

Rule 8VAC20-780-340-D.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: Water supply; Sewage disposal system; and Food service, if applicable. The center did not have documentation of a Report of Environmental Sanitation from the Health Department as required.”

Rule 8VAC20-780-260-B.

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The resilient surfacing on the playground does not comply with minimum safety standards. The ground is exposed under the slides.”

Rule 8VAC20-780-330-B.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. There was no medication authorization for child #6 who has an emergency medicine on-site.”

Rule 8VAC20-780-510-F.

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. In the Pre-k room, medication was in an unlocked bag, and was accessible to children.”

Rule 8VAC20-780-510-L.

8VAC20-780-560-J

“Tables shall be sanitized before and after each use for feeding. After lunch in the Pre-k room tables were not sanitized.”

Rule 8VAC20-780-560-J.

8VAC20-780-70

“Staff records are required to be kept for each staff and contain all required information. The record for staff #2, who has been actively working at the center as a program leader, for 11 months, did not have program leader qualifications in the record.”

Rule 8VAC20-780-70.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was visible dirt and crumbs under the diaper pad on the changing table in the infant room.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before preparing or serving food or beverages. Staff #6 did not wash hands before serving a beverage where a straw was opened and inserted. Staff in the two-year-old class did not wash hands before preparing food.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. The diaper pad in the infant room was ripped in several areas making it absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. In the two-year-old classroom a child was served whole grapes during lunchtime. The American Academy of Pediatrics identifies whole grapes as a choking hazard.”

Rule 8VAC20-780-560-F-4.

8VAC20-780-560-G

“When food is brought from home it shall be clearly labeled with the name and date. In the 4-year-old classroom there were four cups and one lunch with no name or date.”

Rule 8VAC20-780-560-G.

8VAC20-780-380-A-2

Rule 8VAC20-780-380-A-2. From a complaint.

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #1, hired 1/9/23, contained documentation of the orientation dated 8/21/23. 2. The record of staff #3, hired 3/8/22, contained documentation of the orientation dated 7/3/22. 3. Staff #6 confirmed the orientation was not completed timely.”

Rule 8VAC20-780-240-A.

8VAC20-780-550-P

“Based on a review of incident reports and interview, the center failed to ensure a written record of children’s serious and minor injuries contained all the required information. Evidence: Four injury reports reviewed did not contain documentation of the time the parent was notified. Staff #6 confirmed the time was not documented.”

Rule 8VAC20-780-550-P.

22.1-289.011-F

“Based on observation and interview, the center failed to ensure the violation notice provided with the Notice of Intent required by the Superintendent was posted in a conspicuous place on the licensed premises. Evidence: The violation notice in relation to the Notice of Intent that was issued to the center by the Superintendent was not posted. Administration confirmed the violation notice was not posted.”

Rule 22.1-289.011-F.

8VAC20-780-280-B

“Repeat Violation Based on observation, the center failed to ensure hazardous substances, such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: An unlocked cabinet in the infant room contained bleach, Clorox, Goof Off and Lysol with labels that state “keep out of the reach of children” and “caution.””

Rule 8VAC20-780-280-B.

8VAC20-780-160-A

“Based on a review of staff records and interview, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #3, hired 08/22/2023, contained documentation of a tuberculosis screening dated 09/18/2023. Administration confirmed that staff #3 had a late tuberculosis screening and came into contact with children on 08/22/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #2, hired 01/31/2023, contained documentation of the Virginia Department of Education sponsored orientation dated 07/25/2023. Administration acknowledged it was late.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Repeat Violation Based on observation and interview, the center failed to ensure that all areas of the center shall be kept in a safe and operable condition. Evidence: 1. On the playground, the step 2 slide, which is made of plastic, contained approximately 11 cracks on the base. 2. The large slide had broken steps. 3. Administration confirmed the plastic slide and steps were broken.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-E

“Based on a review of records, the center failed to ensure to implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: There was documentation of only one shelter-in-place drill practiced in 2022.”

Rule 8VAC20-780-550-E.

63.2-1509-A*

Rule 63.2-1509-A*. From a complaint.

8VAC20-780-280-B

“Repeat Violation Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: Two children were observed in the director’s office. Located on a shelf in the office were Lysol wipes, Steramine tablets, Dawn dish soap, 2 bottles of disinfect spray, activated charcoal and wood glue. The labels of each stated “keep out of reach of children” and/or “caution” “warning.””

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-40-E

Rule 8VAC20-780-40-E. From a complaint.

8VAC20-780-400-B

Rule 8VAC20-780-400-B. From a complaint.

8VAC20-780-400-C

Rule 8VAC20-780-400-C. From a complaint.

8VAC20-780-410-1

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-410-5

“Based on a review of video footage, the center failed to ensure the use of the forbidden action of forcing rest. Evidence: The following was determined from watching video footage recorded by the center on April 17, 2023. Between approximately 12:46pm to 1:04pm, staff #1 physically forced child #1 (age 5) to lay down on a cot approximately 30 times.”

Rule 8VAC20-780-410-5. From a complaint.

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to ensure each staff record contained the required information. Evidence: 1. The record of staff #1 did not contain documentation of the staff’s date of separation. Staff #6 confirmed the date of separation was not documented.”

Rule 8VAC20-780-70. From a complaint.

8VAC20-770-40-D-1-a

“Based on a review of records on April 11, 2023, the center failed to ensure to obtain a central registry check from each Officer of the Board before the end of the 30 days after the change of officer. Evidence: The record of board member #1, took office October 1, 2022, contained a central registry finding dated January 13, 2023.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-780-240-E

“Based on a review of staff records and interview on April 11, 2023, the center failed to ensure within 30 days of employment staff orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care. Evidence: The records of staff #4 (hired 02/09/23) and staff #5 (hired 02/21/23), and staff #6 (hired 01/24/23) did not contain documentation of first aid and cpr orientation training. Staff #2 confirmed the training was not completed.”

Rule 8VAC20-780-240-E.

8VAC20-780-40-J

“Based on a review of the injury prevention plan and interview on April 11, 2023, the center failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: A review of documentation of the injury prevention plan indicated it was last updated January 1, 2019. Staff #2 confirmed the plan had not been updated.”

Rule 8VAC20-780-40-J.

8VAC20-780-50-A

“Based on observation and interview on April 11, 2023, the center failed to ensure staff and children’s records are treated confidentially. Evidence: The supplemental page of the inspections dated October 27, 2022 and May 31, 2023 were posted on the parent bulletin board. This page is to be kept confidential. Staff #2 confirmed the supplemental pages were posted.”

Rule 8VAC20-780-50-A.

8VAC20-780-550-F

“Based on a review of the log for procedures for emergencies and interview on April 11, 2023, the center failed to ensure lockdown procedures are practiced at least annually. Evidence: There was no documentation of a lockdown drill being practiced in 2022. The last lockdown drill recorded on the log was dated October 18, 2021. Staff #2 confirmed the center did not practice a lockdown drill in 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-70

“Based on a review of staff records and interview on April 11, 2023, the center failed to ensure that each staff record contains all required information to be kept at the center. Evidence: The records of staff #4 and staff #5 did not contain documentation about any health problems that may interfere with fulfilling the job responsibilities. Staff #2 confirmed that they were not completed.”

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 27, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The records of staff #2 (DOH 8/28/22), staff #3 (DOH 5/17/22), and staff #4 (DOH 9/2/22) did not contain documentation of central registry results. 2. Staff #5 confirmed the central registry results were not complete.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-550-P

“Based on a review of records on October 27, 2022, the center failed to ensure that written records of children’s serious and minor injuries contained all the required information. Evidence: An incident report for child #4 did not contain documentation of any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

Based on review of staff records, the center failed to obtain updated background checks for employees every five years.

“Evidence: 1. Staff #6’s central registry on file was dated 05/19/2017. A new one was required by 05/19/2022. A request for the background check had not been sent out. 2. Staff verified the date on the central registry finding, and verified that a new background check had not been requested.”

Rule 22.1-289.035-A.

Based on a review of staff records, the center failed to ensure that orientation was completed no later than seven days of the date assuming job responsibilities.

“Evidence: 1. Staff #2’s date of hire was 04/19/2022. The orientation documentation on file was signed 05/02/2022. The orientation was due by 04/27/2022. 2. Staff #4’s date of hire was 03/08/2022. The orientation documentation on file was signed 03/22/2022. The orientation was due by 03/17/2022. 3. Staff verified the date of hire for both staff and the dates the orientation documentation was signed.”

Rule 8VAC20-780-240-B.

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

“Evidence: 1. In Classroom #1 the baseboard around the floor was splintering and the paint was peeling. 2. The children in Classroom #1 spend time on the floor and it is accessible to them. 3. Staff verified that the baseboard was splintering and peeling paint.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location.

“Evidence: 1. In Classroom #1 there was a spray bottle of Lysol Disinfectant Spray setting on a shelve near the diapering area. The manufacture’s label read “keep out of reach of children”. 2. Staff verified that the Lysol Disinfectant Spray was not in a locked location.”

Rule 8VAC20-780-280-B.

Based on observation and measurements, the center failed to ensure that resilient surfacing was at least six inches in depth.

“Evidence: On the Two-Five Year old playground the mulch at the bottom of the twisty green slide measured approximately two inches, and at the bottom of the green straight slide the mulch measured approximately three and a half inches.”

Rule 8VAC20-780-330-B.

Based on review of staff records, the center failed to obtain fingerprints prior to the first day of employment.

“Evidence: 1. Staff #1’s date of rehire was 08/30/2021. The were no fingerprints on file. 2. Staff verified that there was not a current fingerprint on file for Staff #1.”

Rule 22.1-289.035-A.

Based on review of staff records, the center failed to complete a central registry finding within in 30 days of employment.

“Evidence: 1. Staff #2’s rehire date was 08/30/3021. The central registry finding on file was dated 01/06/2020. 2. Staff verified the date of rehire and the date on the central registry finding.”

Rule 8VAC20-770-60-C-2.

Based on a review of staff records, the center failed to obtain immunizations prior to the first day of enrollment.

“Evidence: 1. Child #1’s date of enrollment was 08/09/2021. The immunizations on file were dated 08/18/2021. 2. Staff verified the Child #1 date of enrollment and the date on the immunization record.”

Rule 8VAC20-780-130-A.

Based on a review of staff records, the center failed to ensure that follow-up tuberculosis screening or test was completed every two years.

“Evidence: 1. Staff #8’s last documented tuberculosis screening was dated 10/04/2019. 2. Staff verified the date of the tuberculosis screening, and that an update had not been completed.”

Rule 8VAC20-780-160-C.

Based on review of staff records, the center failed to have documentation of required tuberculosis screening with in the required time frame for those employees hired before 10/13/2021.

“Evidence: 1. Staff #1’s tuberculosis screening on file was dated 10/10/2021. Date of employment for Staff #1 was 09/16/2021. The tuberculosis screen should have been completed by 10/07/2021. 2. Staff #2’s tuberculosis screening on file was dated 11/15/2021. Date of employment for Staff #2 was 08/30/2021. The screening should have been completed by 9/20/2021. 3. Staff verified the date of employment for Staff #1 and Staff #2, and the date on the tuberculosis screening on file.”

Rule 8VAC20-780-70.