Prevailing Word Ministries

(Repeat Violation) Based on interviews conducted, the vendor did not ensure that behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Evidence: During interview, Staff #1 reported that on 4/10/24, she pinched Child #1 (4-year-old), after he said to Staff #2 ?you better not pinch me.? Staff #1 reported she did not like the child’s tone, so she decided to pinch him. The staff and management acknowledged this was not constructive in nature or age and stage appropriate.”

Rule 8VAC20-790-700-A. From a complaint.

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

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

Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of subsequent background check conducted every five years.

“Evidence: 1) The results of the fingerprint-based national criminal background check in the record of Staff #3, employed on 01/04/14, were dated 03/29/18. A subsequent fingerprint-based national criminal background check should have been conducted no later than 03/29/23. 2) During interview, a member of management confirmed the subsequent background check for Staff #3 was not conducted every five years as required.”

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

Based on a review of five staff records and interview, the vendor did not ensure two staff were evaluated by a health professional and be issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: 1) The TB test in the record of Staff #1, employed on 07/03/23, was completed on 01/18/23. 2) The record of Staff #5, employed on 06/27/22, does not contain documentation that the staff has been determined to be free of communicable TB. 3) During interview, a member of management confirmed the TB test in the record of Staff #1 was completed more than 30 days prior to the date of employment. Management acknowledged Staff #5 does not have the documentation of a negative TB screening on file.”

Rule 8VAC20-790-560-A.

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

“Evidence: 1) The record of Staff #5, employed on 06/27/22, did not contain documentation that the staff completed the Virginia Preservice Training for Child Care Staff. 2) During interview, a member of management confirmed Staff #5 has not completed the Virginia Preservice Training for Child Care Staff to date.”

Rule 8VAC20-790-600-B.

Based on a review of five staff records and interview, the vendor did not ensure one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The record of Staff #5, employed on 06/27/22, did not contain documentation that the staff has current certification in CPR. 2) During interview, a member of management reported Staff #5 does not have current certification in CPR and the training was not completed within 90 days of the date of employment.”

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

Based on a review of five staff records and interview, the vendor did not ensure one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The record of Staff #5, employed on 06/27/22, did not contain documentation that the staff has current certification in first aid. 2) During interview, a member of management reported Staff #5 does not have current certification in first aid and the training was not completed within 90 days of the date of employment.”

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

Based on a review of five staff records and interview, the vendor did not ensure one staff who works directly with children completed the department’s health and safety update course annually.

“Evidence: 1) The record of Staff #5, employed on 06/27/22, did not contain documentation that the staff completed the department’s health and safety update course. The course should have been completed no later than 06/27/23. 2) During interview, a member of management acknowledged Staff #5 did not complete the health and safety update course annually as required.”

Rule 8VAC20-790-600-F.

Based on a review of documentation and interview, the vendor did not ensure the evacuation procedures were practiced at least monthly.

“Evidence: 1) The emergency response drill log was reviewed. The most recently documented evacuation drill was dated 04/11/23. 2) During interview, a member of management reported the evacuation procedures were not practiced in May 2023 or June 2023.”

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

Based on a review of five staff records and interview, one staff did not obtain the required staff health report within the required timeframe.

“Evidence: 1) The record of Staff #5, employed on 06/27/22, did not contain a staff health report. 2) During interview, a member of management reported Staff #5 does not have a complete staff health report on file. The staff health report for the staff member should have been obtained prior to the staff supervising children.”

Rule 22.1-289.031-A-4.

Based on a review of five staff records and interview, the center did not ensure one staff had documentation of subsequent background check conducted every five years.

“Evidence: 1) The results of the fingerprint-based national criminal background check in the record of Staff #3, employed on 01/04/14, were dated 03/29/18. A subsequent fingerprint-based national criminal background check should have been conducted no later than 03/29/23. 2) During interview, a member of management confirmed the subsequent background check for Staff #3 was not conducted every five years as required.”

Rule 22.1-289.035-A.

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

“Evidence: 1) The fingerprint-based national background check in the record of Staff #1, employed on 07/03/23, was completed on 07/06/23. 2) The record of Staff #5, employed on 06/27/22, did not contain the results of the fingerprint-based national criminal background check. 3) During interview, a member of management acknowledged the results of the fingerprint-based national criminal background check for Staff #1 were obtained after the staff started employment. Management acknowledged the results of the fingerprint-based national criminal background check for Staff #5 were not obtained at the time of employment.”

Rule 22.1-289.035-B-2.

Based on a review of documentation and interviews, the vendor did not ensure that behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Evidence: 1) During interview, Staff #1 reported that on 7/11/23, she swatted a child’s hand when the child tried to reach for her cup. Staff #1 reported it was a “natural instinct,” but she was trying to redirect him. 2) In a written Incident Report dated 7/11/23, Staff #1 stated: “[Child #1] was reaching for my water cup and I swatted his hand before he touched it. I then told him to swat my hand back.””

Rule 8VAC20-790-700-A. From a complaint.

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

“Evidence: 1) The Virginia Preservice Training certificate in the record for Staff #2, employed 07/22/21, was dated 03/28/22. 2) During interview, management confirmed the training was completed more than 90 days after employment.”

Rule 8VAC20-790-600-B.

Based on a review of five staff records, the vendor did not ensure one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within the required timeframe.

“Evidence: The CPR certification in the record for Staff #2, employed 07/22/21, was completed on 02/12/22. All staff who work directly with children should have within 90 days of the date of employment current certification in CPR.”

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

Based on a review of five staff records, the vendor did not ensure one staff had current certification in first aid appropriate to the ages of children in care within the required timeframe.

“Evidence: The first aid certification in the record for Staff #2, employed 07/22/21, was completed on 02/12/22. All staff who work directly with children should have within 90 days of the date of employment current certification in first aid.”

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

Based on observation and interview, the child day program, which was build before 2015, was not equipped with at least one carbon monoxide detector.

“Evidence: 1) A carbon monoxide detector was not observed during the walk-through of the facility. 2) During interview, management stated that they have not yet installed a carbon monoxide detector.”

Rule 22.1-289.058.