Greater Brook Road Baptist Church

The center shall establish and implement procedures ensuring that all children in the center are in compliance with the provisions of 32.1-46 regarding the immunization of children against certain diseases.

“The center did not ensure Child #1 was in compliance with immunization provisions. The immunizations were obtained 24 days late.”

Rule 22.1-289.031-B-4.

Subsequent TB screenings are required at least every two years from the date of the initial screening.

“The repeat TB for Staff #2 was obtained a month late and the repeat TB for Staff #3 was obtained 26 days late.”

Rule 8VAC20-790-560-B.

The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.

“The additional immunizations for Child #1 (16-months-old) were overdue by over a month.”

Rule 8VAC20-790-580-B.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and shall include an in-person competency demonstration.

“Staff #2 had a CPR certification that was missing an in-person competency demonstration.”

Rule 8VAC20-790-600-D-1.

Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name if more than one infant is in care.

“Two bottles with prepared formula were observed on a desk and one bottle was observed in the fridge in the infant classroom. Staff reported the bottles belonged to different children. The bottles were not dated or labeled with the children’s names.”

Rule 8VAC20-790-820-E.

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

“Staff #4 was missing 11 hours of annual training from 6/2024 - 6/2025.”

Rule 8VAC20-790-600-F.

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.

“During the inspection, cleaning supplies were observed in unlocked cabinets in the infant room and in the hallway cabinets near the bathrooms and sinks used by preschool children.”

Rule 8VAC20-790-640-A.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“The center’s medication bag with prescription medications for children was observed in an unlocked cabinet in the infant classroom.”

Rule 8VAC20-790-770-D.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 was overdue by three months and the most recent national criminal background check for staff #1 was overdue by five months.”

Rule 22.1-289.035-A.

8VAC20-790-560-B

“Based on review of two staff records, the vendor did not ensure subsequent tuberculosis (TB) screenings were required at least every two years from the date of the initial screening for one staff member. Evidence: The record for Staff #1 (Date of Employment 05/19/2021) contained a TB screening dated 08/19/2021.”

Rule 8VAC20-790-560-B.

8VAC20-790-600-D-1

“Based on review of two staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training must include an in-person competency demonstration. Evidence: 1. The record for Staff #1 (Date of Employment 05/19/2021) did not contain documentation of CPR certification. 2. A member of management stated Staff #1 had not completed the training.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on review of two staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for Staff #1 (Date of Employment 05/19/2021) did not contain documentation of current first aid certification. 2. A member of management stated Staff #1 had not completed the training.”

Rule 8VAC20-790-600-D-2.

8VAC20-790-640-A

“Based on observation and interview, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: During the inspection, the licensing inspector observed an unlocked cleaning chemicals sitting on shelf in two separate classrooms.”

Rule 8VAC20-790-640-A.

8VAC20-790-600-D-1

“Based on review of five staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training must include an in-person competency demonstration. Evidence: 1. The record for Staff #2 (Date of Employment 12/19/2022) did not contain documentation of CPR certification. 2. A member of management stated Staff #2 had not completed the training.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on review of five staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for Staff #2 (Date of Employment 12/19/2022) did not contain documentation of current first aid certification. 2. A member of management stated Staff #2 had not completed the training.”

Rule 8VAC20-790-600-D-2.

8VAC20-790-670-C-1

“Based on observation, the vendor did not maintain the required staff-to-child ratio of one staff member to every four children ages zero to 16 months. Evidence: At approximately 12:05 pm, Staff #1 and Staff #2 were observed supervising six children (five months to 13 months of age) in the classroom. Staff #2 was observed exiting the classroom, going into the adjacent room multiple times.”

Rule 8VAC20-790-670-C-1.

8VAC20-790-820-C

“Based on observation, the vendor did not to ensure bottles were not used while the child is in his/her designated sleeping location. Evidence: Child #1 (15 months of age) was observed lying in the crib, drinking a bottle/cup.”

Rule 8VAC20-790-820-C.

22.1-289.031-A-3-a

“Based on observation, the center did not maintain the required staff-to-child ratio of one staff member to every four children ages zero to 16 months. Evidence: At approximately 12:05 pm, Staff #1 and Staff #2 were observed supervising six children (five months to 13 months of age) in the classroom. Staff #2 was observed exiting the classroom, going into the adjacent room multiple times.”

Rule 22.1-289.031-A-3-a.

8VAC20-790-640-A

“Based on observations, the vendor did not ensure all hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevented access by children. Evidence: A container of disinfecting spray was observed sitting on a shelf in the enclosed Infant outdoor play area.”

Rule 8VAC20-790-640-A.

8VAC20-790-660

“Based on observation, the vendor did not ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. Evidence: Two slides located on the playground was sitting on the bare ground.”

Rule 8VAC20-790-660.

8VAC20-790-770-D

“Based on observation, the vendor did not ensure medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication were kept in a locked place using a safe locking method that prevented access by children. Evidence: A first aid kit was sitting on top of a cabinet in the Two’s classroom. Various individual packets of over the counter medications, including aspirin and antacaids were located in the first aid kit. The first aid kit was not kept in a locked location.”

Rule 8VAC20-790-770-D.

22.1-289.031-B-5

“Based on observation, the center did not ensure all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. Evidence: Two slides were observed sitting on the bare ground on the Preschool playground.”

Rule 22.1-289.031-B-5.