Jubilee Family Development Center

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children.

“Staff #1?s TB was dated nine days after date of employment and was working with children during that time.”

Rule 8VAC20-780-160-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies. This list shall be dated and kept confidential in each room or area where children are present.

“At the time of the inspection, none of the classrooms serving children with documented allergies had an allergy list posted or otherwise available within the classroom.”

Rule 8VAC20-780-40-M.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due five months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

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 a medal plate on the edge of the door that had sharp edges.”

Rule 8VAC20-780-270-A.

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

“A container of sanitizing Clorox wipes with warning labels, ?Keep out of reach of children,? were unlocked at the front desk where children enter the building and accessible to the children.”

Rule 8VAC20-780-280-B.

A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #2, who has been enrolled for six weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

Based on observation, the center failed to ensure that all areas and equipment of the center was maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all medications were locked.

“Evidence: 1.The upstairs first aid kit was sitting on the banister of the stairs it contained several medication packets that were unlocked and accessible to the children in care.”

Rule 8VAC20-780-510-L.

Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard.

“Evidence: Child # 4 did not have the address for one of the two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1. A container of sanitizing wipes were sitting on a table in the cafeteria that was accessible to the children that were eating dinner.”

Rule 8VAC20-780-280-B.

Based on interviews and observation, the center failed to ensure that all children under the age of 10 years.

Rule 8VAC20-780-340-F.

Based on observation and interview, the center failed to ensure that the center scheduled all snacks or meals so that there is a period of at least 1-1/2 hours but no more than three hours between each meal or snack unless there is a scheduled rest or sleep period for children between the meals and snacks.

“Evidence: 1.The last school bus arrived at 4:20 PM and as they arrive the children are served dinner. At 5:00 PM snack is served.”

Rule 8VAC20-780-560-K.

3rd REPEAT VIOLATION

“Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 3 had a documented employment date of 2/12/2024 and the two required references were missing. 2.Staff # 4 had a documented employment date of 1/17/2024 and the two required references were missing.”

Rule 8VAC20-780-70.

Based on review of three staff’s records, the center failed to ensure that all required out of state background checks were obtained.

“Evidence: Staff # 3 had a documented employment date of 10/09/2023. Staff # 3 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. The state on the sworn statement does not participate in the National Fingerprint File which requires a criminal check prior to starting. The CPS check was completed on 5/11/2023”

Rule 22.1-289.035-B-4.

Systemic Deficiency

“Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 3 had a documented employment date of 10/09/2023 and the date of the TB screening was completed on 06/07/2023.”

Rule 8VAC20-780-160-A.

Based on review of the most recent fire inspection, the center failed to ensure that is was completed annually.

“Evidence: The date of the most recent fire inspection was 08/22/2022.”

Rule 8VAC20-780-260-B.

Based on review of required policies, the center failed to ensure that all components were developed in writing.

“Evidence: The written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness did not include the following: shaken baby syndrome, coping with crying babies, safe sleeping practices and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.

Based on review of emergency drills, the center failed to ensure the documentation obtained for emergency evacuation, shelter-in-place, and lockdown drills that includes all components required by the standard.

“Evidence: The documentation of the emergency drills were missing the following components: Number of staff and children participating in the drill, time to complete the drill, any problems encountered, and special conditions stimulated.”

Rule 8VAC20-780-550-G.

Systemic Deficiency

“Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing the parents contact phone number. 2. The record for Child # 3 was missing documentation of the father’s work information, allergies and action to take. 3. Child # 5 had a parent for one of the two emergency contacts. Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Systemic Deficiency

“Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 8 had a documented employment date of 10/19/2023 and the first required references was missing the date of contact. The second required reference was missing the signature of the person making the contact.”

Rule 8VAC20-780-70.

2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY

“Based on review of five staff’s records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: Staff # 1 had a documented employment date of 01/12/2023. A returned letter of eligibility was not provided. Staff # 1 left the program on 8/15/2019. Staff # 4 did not provide documentation when requested.”

Rule 22.1-289.035-B-2.

Repeat violation systemic deficiency

“Based on review of five staff’s records, the center failed to ensure that all required out of state background checks were obtained. Evidence: Staff # 3 had a documented employment date of 08/22/2022. Staff # 3 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state criminal search findings was not in the record.”

Rule 22.1-289.035-B-4.

Systemic deficiency

“Based on review of five staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: Staff # 1 had a documented employment date of 01/12/2023. A return search of the central registry was not in the record. Staff # 1 left the program on 8/15/2019. Staff # 4 did not provide documentation when requested.”

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

Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that substitute containers were clearly labeled to indicate their contents.

“Evidence: 1.In the main storage closet, there were two opaque spray bottles that did not indicate their contents. One bottle had a blue substance, and the other bottle had a purple substance.”

Rule 8VAC20-780-280-G.

Based on observation, the center failed to ensure that each child washed their hands before and after eating.

“Evidence: Observed approximately 25-30 children finish their lunch and proceeded to the next activity without washing their hands or using a disposable wipe.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that all tables were sanitized before and after eating a meal or snack.

“Evidence: Observed a group of approximately 15-20 children eating at the tables in the gym. The tables were not sanitized before the meal or after eating the meal.”

Rule 8VAC20-780-560-J.

Repeat violation

“Based on record review, the Center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia. EVIDENCE: 1. The record for Staff 11 shows employment began on 9/12/2022 and the fingerprint eligibility letter was dated 9/22/2022.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to obtain out-of-state Child Abuse and Neglect Searches by the end of the 30th day of employment, and Criminal History name searches prior to the first day of employment.

“EVIDENCE: 1. The record for Staff 10 shows employment began on 11/5/2022 and the request to North Carolina for an out of state background request was sent on 11/7/2022, after employment began. There were no results on the day of the inspection. The staff record does not have any documentation to show that a Child Abuse and Neglect Search was requested, and the file does not contain any results of a search.”

Rule 22.1-289.035-B-4.

Based on record review and interview with staff, the center failed to ensure that the fingerprint criminal record check did not include a disqualifying background.

“EVIDENCE: Staff 3 had a documented hire date of 9/20/2017. Documentation in the record showed that Staff 3 was convicted of a barrier crime on 6/27/2018. The fingerprint record result letter dated January 22, 2019 had a ?NOT ELIGIBLE? result for Staff 3. Another fingerprint record result letter dated January 21, 2022 had a ?NOT ELIGIBLE? result for Staff 3. Staff 5 stated that center management was aware of the barrier crime conviction but continued the employment of Staff 3.”

Rule 22.1-289.035-A.

Based on record review, the center failed to ensure that the fingerprint criminal record check was completed on a staff person prior to hire as required.

“EVIDENCE: The record for Staff 4 did not have an eligibility letter from the Office of Background Investigation-Criminal Background Unit. Staff 4 was observed working in the center on the day of the inspection. Staff 4 stated they had been working since September 2022 but the exact start date was not recalled or in the record.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center failed to provide new staff orientation no later than seven days of the date of assuming job responsibilities.

“EVIDENCE: Staff 4 began work at the center sometime in September 2022 (exact date unknown). The record for Staff 4 did not have documentation to support that new staff orientation was done.”

Rule 8VAC20-780-240-B.

Based on observation and record review, the center failed to ensure there was a person qualified as a program leader in each group of children.

“EVIDENCE: Staff 4 was observed acting as a program leader in a group of six children. The record for Staff 4 did not have documentation to support they are qualified to be a program leader.”

Rule 8VAC20-780-340-D.

Based on observation and record review, the center failed to ensure that there was a staff in each area where children were present who was currently certified in first aid and CPR.

“EVIDENCE: Staff 4 was observed as being the only staff person with a group of children. Staff 4 did not have documentation of current first aid and CPR certification in the record.”

Rule 8VAC20-780-530-A.

Based on record review and interviews, the center failed to have some required information in a staff record.

“EVIDENCE: The record for Staff 4 did not have a start date. Staff 4 stated they had been working since September 2022 but the exact start date was not recalled. Staff 1 stated Staff 4 has been working since approximately September 2022.”

Rule 8VAC20-780-70.

Based on record review, the Licensee failed to have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician.

“EVIDENCE: Allergy Care Action Plan was unavailable for Child #4. Child #4 has a diagnosed food allergy that was documented in the child record.”

Rule 8VAC20-780-60-A-8.