Trinity Baptist Church

The center shall establish and implement procedures ensuring that a daily simple health screening and exclusion of sick children by a person trained to perform such screenings.

“There were no staff at the center that were formally trained in daily health screenings at the time of inspection.”

Rule 22.1-289.031-B-3.

Staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted atthe time of employment and prior to coming into contact with children and have been completed within the last 30 calendar days of the date of employment.

“Staff #1, employed for four months, had a TB screening completed 11 months prior to date of employment.”

Rule 8VAC20-790-560-A.

The child’s record shall include all required information.

“Child #1 was missing the address for each custodial parent’s place of employment. Child #2 was missing the address of the emergency contact.”

Rule 8VAC20-790-540-B.

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #2 had completed six of the 16 required hours for 2024. The 2025 annual health and safety update course for Staff #2 was due four months ago. Staff #3 had completed 12 of the 16 required hours for 2024. The 2025 annual health and safety update course for Staff #3 was due three months ago. Staff #5 had completed 1.5 of the 16 required hours for 2024. Staff #5?s most recent health and safety update course was dated 9/19/2023.”

Rule 8VAC20-790-600-F.

The vendor shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all required information.

“Out of five injury reports viewed, four were missing the date and time the parent was notified.”

Rule 8VAC20-790-720-C.

Each person in a supervisory position is required to be certified annually by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

“Evidence: Staff #4 had a staff health form dated 09/02/2023. A new staff health form was due 17 days ago.”

Rule 22.1-289.031-A-4.

8VAC20-790-550-2-f

“Based on review of five staff records and interview, the vendor did not ensure one staff member obtained documentation of subsequent background checks at least every five years. Evidence: 1. The record for Staff #2 (first day of employment 10/27/2017) contained a fingerprint based national criminal record check dated 08/22/2028. 2. Staff #2 confirmed as of 09/21/2023 an appointment to obtain an updated background check had not been completed.”

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

8VAC20-790-560-A

“Based on review of five staff records, the vendor did not ensure one staff member obtained a negative tuberculosis (TB) screening within the required timeframe. Evidence: The record for Staff #4 did not contain documentation of a TB screening.”

Rule 8VAC20-790-560-A.

Based on observation and interview, the vendor did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

“Evidence: 1. Several areas of exposed landscaping fabric were observed on the children’s playground. The exposed fabric created a tripping hazard. 2. A member of management was shown the hazards during the inspection. The member of management confirmed these observations.”

Rule 8VAC20-790-630-A.

8VAC20-790-640-A

“Based on observation, the vendor did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. Containers of cleaning products were in an unlocked cabinet in the Threes classroom. 2. Cleaning chemical were located on the floor in the director’s office. 3. Children were present in the Threes classroom and the director’s office during the inspection.”

Rule 8VAC20-790-640-A.

Based on interviews, the center did not ensure during designated daily rest periods for children ages 16 months to six years, one staff member was present with the children under supervision. In such cases, at least one staff member needed to be always physically present in the same space as the children under supervision.

“Evidence: Staff #2 stated occasionally a staff member would monitor and walk between two separate classrooms when the center was short staffed. Children would be asleep in both classrooms.”

Rule 22.1-289.031-A-3-f.

22.1-289.031-B-5

Rule 22.1-289.031-B-5.

Based on review of five staff records and interview, the center did not ensure one employee completed background check at least every five years for staff or volunteer.

“Evidence: 1. The record for Staff #2 (first day of employment 10/27/2017) contained a fingerprint based national criminal record check dated 08/22/2028. 2. Staff #2 confirmed as of 09/21/2023 an appointment to obtain an updated background check had not been completed.”

Rule 22.1-289.035-A.

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

“Evidence: 1) The record of Staff #1, employed 09/08/2022, did not contain the results of the Virginia Child Protective Services Central Registry check. 2) During interview, management confirmed the Central Registry findings were not received within 30 days of employment for Staff #1. The record did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff member had been continuously employed.”

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

Based on a review of five staff records and interview, the vendor did not obtain a repeat central registry check every five years for one staff.

“Evidence: 1) The central registry check in the record of Staff #3, employed 09/04/2012, expired on 04/18/2022. 2) During interview, management reported the central registry check for Staff #3 was not completed every five years as required.”

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

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 central registry check in the record of Staff #3, employed 09/04/2012, expired on 04/18/2022. 2) During interview, management reported the central registry check for Staff #3 was not completed every five years as required.”

Rule 22.1-289.035-A.

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 the center is not equipped with a carbon monoxide detector.”

Rule 22.1-289.058.

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

“Evidence: 1) The record of Staff #1, employed 09/08/2022, did not contain the results of the central registry check. 2) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1. The record did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff member had been continuously employed.”

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