Bank Street Memorial Baptist Church

22.1-289.036-A

“Repeat Violation Centers are required to obtain a five-year repeat check for all required background checks. The record for Staff #1 did not contain a repeat central registry search.”

Rule 22.1-289.036-A.

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On the day of the inspection, two of 12 children were not signed in on the daily attendance.”

Rule 8VAC20-790-530-B.

8VAC20-790-540-B

“Repeat Violation Children’s record shall include all the required information. The record for Child #1 did not include all the information required to be in a child’s record.”

Rule 8VAC20-790-540-B.

8VAC20-790-560-B

“Repeat Violation Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. The TB screenings for Staff #1 and Staff #2 were expired on the day of the inspection.”

Rule 8VAC20-790-560-B.

8VAC20-790-630-A

“Areas of the center, inside, shall be maintained in a safe condition. In a bathroom that children use, wall siding was detached from the wall and there was peeling paint observed on the floor.”

Rule 8VAC20-790-630-A.

8VAC20-790-540-B

“Children’s record shall include all the required information. The records for Child #1, Child #2, Child #3, and Child #4 did not include all the information required to be in a child’s record.”

Rule 8VAC20-790-540-B.

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. The TB screening for Staff #2 was expired on the day of the inspection.”

Rule 8VAC20-790-560-B.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The records for Staff #1 and Staff #2 did not have current CPR certification, which is required for all staff.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. The records for Staff #1 and Staff #2 did not have current CPR certification, which is required for all staff.”

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

8VAC20-790-600-F

“Repeat Violation Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The records for Staff #1, Staff #2, and Staff #3 did not contain documentation that 16 hours of annual training was completed from September 2024-May 2025, which is the center’s annual training schedule. In addition, the department’s health and safety course was not completed in 2024 for Staff #1, Staff #2, and Staff #3.”

Rule 8VAC20-790-600-F.

8VAC20-790-640-A

“Repeat Violation 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. There was a container of disinfectant wipes on a desk and paint spray on top of a refrigerator. Both substances were left unlocked and had a manufacturer’s label that stated “keep out of reach of children.””

Rule 8VAC20-790-640-A.

22.1-289.031-A-5-d

“The center’s vehicle shall meet all vehicle requirements regarding vehicle inspections. The center’s vehicle inspection stickers were expired on the day of the inspection.”

Rule 22.1-289.031-A-5-d.

22.1-289.035-B-3

“Centers are required to obtain central registry search. There was no documentation at the center to show that Staff #2 and Staff #3 have a central registry search on file.”

Rule 22.1-289.035-B-3.

22.1-289.036-A

“Repeat Violation Centers are required to obtain a five-year repeat check for all required background checks. The records for Staff #1, Staff #2, and Staff #3 did not contain a repeat sworn statement. The records for Staff #2 did not contain a repeat criminal history search. The records for Staff #2 and Staff #3 did not contain a repeat central registry check. All three staff members were observed working on the day of the inspection.”

Rule 22.1-289.036-A.

8VAC20-790-520-F

“Based on observation the vendor did not ensure to have a written list of all children’s allergies, sensitivities, and dietary that is dated and kept confidential in each room or area where children are present. Evidence: 1. The written list of children’s allergies was not dated. 2.The written list of children’s allergies was posted in a way that was not kept confidential.”

Rule 8VAC20-790-520-F.

8VAC20-790-540-B

Rule 8VAC20-790-540-B.

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

8VAC20-790-600-I

“Based on record review the vendor did not ensure that there shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: 1.There was no documentation that Staff #1 or Staff #2 completed daily health observation training within the last three years. a. Staff #1 and Staff #2 were observed working at the time of the inspection. There was no other staff on duty with a daily health observation training.”

Rule 8VAC20-790-600-I.

8VAC20-790-640-A

“Based on observation and interview the vendor did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.There were two tubes of heavy duty glue on a desk in the main classroom that children use. These substances were unlocked and accessible to children. a. The manufacturer’s label for both tubes of heavy duty glue stated, ?Keep out of reach of children.? 2.Staff #1 confirmed that these tubes of heavy duty glue were left unlocked.”

Rule 8VAC20-790-640-A.

8VAC20-790-770-D

“Based on observation and interview the vendor did not ensure that medication, including refrigerated medication and staff’s personal medication, is kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.There was an albuterol inhaler unlocked sitting on a desk in the main classroom that children use. 2.Staff #1 confirmed that the albuterol inhaler was not in a locked place that prevents access by children.”

Rule 8VAC20-790-770-D.

8VAC20-790-800-A-1

“Based on record review the vendor did not ensure that evacuation drills were practiced the minimally required amount per year. Evidence: 1. There was no documentation that evacuation drills were completed monthly from July 2023-December 2023, as required. 2.Staff #1 confirmed that they did not document when the evacuation drills identified in evidence #1 were completed.”

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

8VAC20-790-800-A-2

“Based on record review the vendor did not ensure that shelter in place procedures were practiced the minimally required amount per year. 1.There was no documentation that shelter in place procedures were practiced twice in 2023, as required. 2.Staff #1 confirmed that they did not document when the shelter in place procedures identified in evidence #1 were completed.”

Rule 8VAC20-790-800-A-2.

22.1-289.031-A

“Based on record review and interview the center did not ensure to post the fact that it is exempt from licensure in a visible location on the premises, as required. Evidence: 1. There was no posting visible on the premises to demonstrate that the center has posted the fact that it is exempt from licensure. 2.Staff #1 confirmed there was nothing posted that confirmed that the center is exempt from licensure.”

Rule 22.1-289.031-A.

22.1-289.031-B-4

“Based on record review and interview the center did not ensure that the center is in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1.The record for Child #2 did not contain documentation of immunizations. 2.Staff #1 confirmed that documentation of immunizations was not in the record of Child #2.”

Rule 22.1-289.031-B-4.

22.1-289.035-A

“Based on record review the center did not ensure that all background checks are completed every five years. Evidence: 1.The record for Staff #1 contained an expired sworn statement and criminal history check. a. Staff #1 was observed working with children during the inspection. 2.The record for Staff #2 had an expired sworn statement and central registry search. b. Staff #2 was observed working with children during the inspection.”

Rule 22.1-289.035-A.

22.1-289.049-A

“Based on record review and interview the center did not ensure that each child’s record contained all the required information. Evidence: 1.The record for Child #1 did not contain proof of identification (ID). 2. Staff #1 confirmed that the record for Child #1 did not contain proof of ID.”

Rule 22.1-289.049-A.

8VAC20-790-540-B

“Based on a review of children’s records, it was determined that the vendor did not ensure that a complete record containing all the required information for each child enrolled was maintained and kept at the center. Evidence: 1. The record for Child #1 did not contain the immunization record. 2. The record for Child #5 did not include a permission to transport signed by the parent. The center provides transportation and takes children on weekly field trips.”

Rule 8VAC20-790-540-B.

8VAC20-790-550-2-b

“Based on a review of staff records, it was determined that the vendor did not ensure that staff records include the satisfactory result of child abuse and neglect registry from any other state in which the individual has resided in the preceding 5 years. Evidence: The record for Staff #2, working during the time of the inspection, did not contain documentation of a child abuse and neglect registry check from out of state. The staff member confirmed she had resided in another state in the proceeding 5 years.”

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

8VAC20-790-550-2-c

“Based on a review of records the center did not ensure that staff records include results of a sex offender registry check from any state in which the person has resided in the preceding 5 years. Evidence: The record for Staff #2 did not include a sex offender registry check from out of state. Staff #2 stated she had lived in Colorado in 2021.”

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

8VAC20-790-550-2-f

“Based on review of records the vendor did not ensure that background checks were conducted every five years. Evidence: 1. The fingerprint based criminal history background check for staff #2 was completed 6/4/2018. This was more than five years ago. 2. The Virginia Child Protective Services Central Registry check was completed 6/6/2018. This was more than five years ago.”

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

8VAC20-790-550-3

“Based on a review of records the center did not ensure that staff records include Tuberculosis (TB) screening results. Evidence: The records for Staff #1, #2, #3 did not include TB screening results. Staff #2 said she had not had a TB screening.”

Rule 8VAC20-790-550-3.

8VAC20-790-600-C

“Based on records review the vendor did not ensure that staff complete orientation training prior to the staff member working alone with children and within seven days of the date of assuming job responsibilities. Evidence: The employee record for Staff #1 did not have documentation of orientation training.”

Rule 8VAC20-790-600-C.

8VAC20-790-630-A

Rule 8VAC20-790-630-A.

8VAC20-790-640-A

“Based on observation it was determined the center did not ensure that all 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. Evidence: There was a unlocked cabinet in the hallway that contained Clorox bleach, Round Up, and insecticide. Children have access to this cabinet . The cabinet is in the hallway with the three bathrooms used by children.”

Rule 8VAC20-790-640-A.

8VAC20-790-770-D

“Based on observation and interview it was determined that the vendor did not ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: Ibuprofen and acetaminophen were stored in an unlocked first aid kit in the center.”

Rule 8VAC20-790-770-D.

8VAC20-790-780-C-2

“The vendor did not ensure that the center had all of the required nonmedical emergency supplies. Evidence: The battery operated radio did not work.”

Rule 8VAC20-790-780-C-2.

8VAC20-790-800-B

“Based on a review of records and interviews it was determined that the vendor did not maintain a record of the dates of emergency response practice drills for one year. Evidence: Records confirm that 6 monthly practice drills were completed from January through June of 2023. There were no practice drills documented for 2022. The Director confirmed drills were conducted in 2022 and were not documented on the drill log.”

Rule 8VAC20-790-800-B.

8VAC20-790-830-C-4

“Based on observation, record review and interview the center failed to ensure that the vehicle used to transport children met all of the Department of Motor Vehicles Safety requirements. Evidence: 1.The van used to transport children did not have a safety inspection. The Director confirmed that the van did not have a safety inspection. 2.The passenger side of the van had two doors, the door handle on the left was broken. The door could not be opened. Staff #2 confirmed that the door handle did not work.”

Rule 8VAC20-790-830-C-4.

22.1-289.031-A

“Based on observation and interview the center did not ensure that there was a posting that the center was exempt from licensure in a visible location on the premises. Evidence: The center did not post the fact that it is exempt from licensure in a visible location on the premises. Staff #2 stated she did not see this posted on the premises.”

Rule 22.1-289.031-A.

22.1-289.031-A-4

“Based on a records review the center did not ensure that each person in a childcare supervisory role has been certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision. Evidence: The record for Staff #1 did not contain a staff health report certifying that he staff member is free from any disability that would prevent her from caring for children.”

Rule 22.1-289.031-A-4.

Based on a review of five children’s records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

“Evidence 1. The record for child #1 did not contain the verification of proof of identity or an immunization record.. 2. The record for child #3 did not contain address for the emergency contact. 3. The record for child #4 did not contain name. phone number and address for the emergency contact or an immunization record.”

Rule 8VAC20-790-540-B.

Based on a review of three staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: 1. The record for staff #1, contained documentation of TB screening that was dated 11/13/17. 2. The record for staff #2, contained documentation of TB screening that was dated 6/5/19. 3.The record for staff #3, contained documentation of TB screening that was dated 6/28/17. 4. Staff #1 (Director), reviewed the record for the staff listed above and confirmed that an updated TB screening had not been received for any of the staff.”

Rule 8VAC20-790-560-B.

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

“Evidence: 1. There was not an annual health inspection report available for viewing during the inspection . 2. Staff #1 (Director) confirmed that the annual approval from the health department had not been received”

Rule 8VAC20-790-620-B.

Base don a review of three staff records, it was determined that the provider did not ensure that there is a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) will be present at the child day center whenever children are present or at any other location in which children attending the child day center are present.

“Evidence: 1. None of the three records reviewed contained documentation of a current certification in first aid and cardiopulmonary resuscitation (CPR). 2. Staff #1 confirmed that there was no staff present during the inspection with a current certification in first aid and cardiopulmonary resuscitation (CPR).”

Rule 22.1-289.031-A-8.

Based on a review of three staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

“Evidence: 1. The record for staff #2 did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for staff #3, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 3. Staff #1 (Program Director) reviewed the record for the staff #2 and staff #3, and confirmed that she had not received the results of the national criminal record check (finger printing).”

Rule 22.1-289.031-B-2.

Based on a review of three staff records, it was determined that the facility ensure that all staff have a completed search of the central registry finding within 30 days of employment.

“Evidence: 1. The record for staff #3, working during the inspection, did not contain documentation of a completed search of the central registry finding. 2. Staff #1 (program Director) confirmed that staff #1 did not have a completed search of the central registry finding. 2. Staff #6 (Program Director) reviewed the record for the staff #1, and confirmed that the search of the central registry finding has not been received.”

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