Worship and Praise United Methodist Church

(Complaint related) 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.

“There was no written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred for the 5-6 year old classroom on 6/29/2026 or 6/30/2026.”

Rule 8VAC20-790-530-B. From a complaint.

(Complaint related) Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; protruding nails, bolts, or other components that entangle clothing or skin; and unstable heavy equipment, furniture, or other items that a child could pull down on himself.

“A table with a broken leg was observed in the classroom for 5 and 6 year old children. Children in the classroom had access to the table.”

Rule 8VAC20-790-630-A. From a complaint.

Children less than 10 years of age shall always be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that: 1. There is a system to ensure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children; and 2. Staff checks on a child who has not returned from the restroom after five minutes. Depending on the location and layout of the restroom, staff may need to provide intermittent sight supervision of the children in the restroom area during this five-minute period to assure the safety of children and to provide assistance to children as needed.

“At approximately 10:00 a.m., Child #1 (age 6) was observed walking alone down the hallway back to the classroom after visiting the restroom. Staff #1did not have the ability to hear the child due to the distance between the classroom and the bathroom, and the noise level in the classroom. Staff #1 did not provide intermittent sight supervision of Child #1 in the restroom area.”

Rule 8VAC20-790-670-H. From a complaint.

(Repeat Violation/systemic deficiency) The center shall ensure that the ratio requirement of one staff member to four children from ages birth to 16 months is maintained.

“At nap time there were 21 children together in one room with two staff. One of the children was under 16 months. The required ratio of staff to children from ages birth to 16 months is one staff member to four children. After nap, Staff #3 was observed alone in the infant room with six children. One of the children was under 16 months. The required ratio of staff to children from ages birth to 16 months is one staff member to four children.”

Rule 22.1-289.031-A-3-a.

The center shall establish and implement procedures for 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. Documentation of additional immunizations once every six months for children less than two years of age shall be obtained.

“Additional immunizations were not obtained for Child #1 (under 2 years old) and are overdue buy more than 5 months. Additional immunizations were not obtained for Child #3 (under 2 years old) and are overdue by 5 days.”

Rule 22.1-289.031-B-4.

22.1-289.031-B-6

“(Systemic deficiency) The center shall establish and implement procedures for ensuring that all staff are able to recognize the signs of child abuse and neglect. No procedure was established or implemented to ensure all staff are able to recognize the signs of child abuse and neglect. Staff #2, #3, #4, #5 and #6 did not have training regarding child abuse and neglect.”

Rule 22.1-289.031-B-6.

(Repeat Violation systemic deficiency) The center is required to have employees undergo a background check every five years.

“There was no current sworn statement for Staff #5. It is overdue by more than 3 years and 4 months. There was no current central registry search for Staff #5. It is overdue by more than 2 years and 9 months.”

Rule 22.1-289.035-A.

(Repeat Violation/systemic deficiency) Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #2, who has been employed for over two and a half years, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“(Systemic deficiency) The center must request a search of the central registry prior to the employee’s first day of employment. Staff #6, who has been employed for over 3 weeks, did not have a central registry search requested prior to the first day of employment. Staff #6 was working alone with children.”

Rule 22.1-289.035-B-3.

(Repeat Violation/systemic deficiency) For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee within 30 days of service.

“There were no central registry search results in the record of Staff #2 who has been employed at the center for over two and a half years. There were no central registry search results in the records of Staff #7 and Staff #8 who have both been employed at the center for over two years.”

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

(Repeat Violation/systemic deficiency) Children’s records shall include: 1) Name, home address, and telephone number for each parent who has custody 2) Name, address, and telephone number for each custodial parent’s place of employment 3) Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached 4) Names of persons other than the custodial parent who are authorized to pick up the child; 5) Written authorization for emergency medical care 6) A written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor

“The record of Child #4 did not include the address of an emergency contact. The record of Child #5 did not contain any of the required information listed above. The records for Child #1,#2,#3, and #4 did not include a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor.”

Rule 8VAC20-790-540-B.

(Repeat Violation/systemic deficiency) The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #2 has been working at the center for over two and a half years. There was no TB screening in the record of Staff #2. Staff #6 has been working at the center for over three weeks. There was no TB screening in the record of Staff #6.”

Rule 8VAC20-790-560-A.

(Repeat Violation/systemic deficiency) A tuberculosis (TB) screening is required every two years from the last screening.

“The updated screening for Staff #4 was due 8 days ago. The updated screening for Staff #10 was due more than 2 months ago.”

Rule 8VAC20-790-560-B.

(Repeat Violation/systemic deficiency) Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“There was no record of Virginia Preservice Training for Staff #3, who has been working at the center for three years.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-C

“(Repeat Violation/systemic deficiency) Orientation training for staff shall be completed on required facility specific topics within seven days of their employment and prior to working alone with children. There was no documentation of orientation training in the records of Staff #2, #3, #4, #5, #6, #7, #8, #9, and #10 who have all been working for more than seven days.”

Rule 8VAC20-790-600-C.

(Repeat Violation/systemic deficiency) 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.

“There was no documentation of completion of the department’s health and safety update course for Staff #5. Staff #5 has been working at the center for more than 4 years. Staff #2 who has been working at the center for over two and a half years did not attend 16 hours of training annually. Staff #2 attended 11 hours of training in the last year.”

Rule 8VAC20-790-600-F.

8VAC20-790-700-A

“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. In an interview on 2/26/26, Staff #1 acknowledged that she was involved in a physical ?tussle? with Child #1 (age 12) in December when the child refused to hand over his cell phone.”

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

8VAC20-790-710-1

Rule 8VAC20-790-710-1. From a complaint.

22.1-289.031-A-3-d

“(Systemic deficiency) The center shall ensure that the ratio requirement of one staff member to 10 children from ages 36 months to five years is maintained. Volunteer #1 was observed alone in a classroom with 12 children ages three to five years on 2/25/26. Staff #4 later came back into the room with Volunteer #1. The period of time that the children were alone with Volunteer #1 is unknown.”

Rule 22.1-289.031-A-3-d.

22.1-289.031-A-9

“(Systemic deficiency) The child day center shall comply with all safe sleep guidelines recommended by the American Academy of Pediatrics. The guidelines require that soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and nonfitted sheets, be kept away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation.’ Three infants were observed sleeping in their cribs at nap time with fleece blankets.”

Rule 22.1-289.031-A-9.

22.1-289.031-B-5

Rule 22.1-289.031-B-5.

22.1-289.035-A

“(Repeat Violation systemic deficiency) The center is required to have employees undergo a background check every five years. The most recent national criminal background check for staff #1, who works directly with children, was overdue by a year and three months.”

Rule 22.1-289.035-A.

22.1-289.035-B-1

“(Systemic deficiency) The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. There was no sworn statement for Volunteer #1, who was observed on 2/25/26, directly supervising children when she was not in sight and sound supervision of a staff member and was counted in the staff-to-children ratio.”

Rule 22.1-289.035-B-1.

(Repeat Violation/systemic deficiency) Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #3, who had been employed for over two years, did not have a completed national criminal background check.

“There was no national criminal background check for Volunteer #1, who was observed on 2/25/26, directly supervising children when she was not in sight and sound supervision of a staff member and was counted in the staff-to-children ratio.”

Rule 22.1-289.035-B-2.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

(Repeat Violation/systemic deficiency) For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

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

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. The attendance record for the classroom of Staff #3 was observed to be blank at approximately 12:30 p.m. on 2/25/2026 even though three children from that classroom were present.”

Rule 8VAC20-790-530-B.

8VAC20-790-540-B-16

“Children’s records shall include a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. This statement was not in the records for Child #1,#2,#3,#4, or #5.”

Rule 8VAC20-790-540-B-16.

(Repeat Violation/systemic deficiency) The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #3 and Staff #4 have been working at the center for two years. There were no TB screenings in their records.

“There was no TB screening for Volunteer #1, who was observed on 2/25/26, directly supervising children when she was not in sight and sound supervision of a staff member and was counted in the staff-to-children ratio.”

Rule 8VAC20-790-560-A.

8VAC20-790-560-B

“(Systemic deficiency) A subsequent tuberculosis (TB) screening is required every two years from the date of the initial screening. The screening for Staff #2 was due more than five years ago.”

Rule 8VAC20-790-560-B.

(Repeat Violation/systemic deficiency) Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. There was no record of Virginia Preservice Training for Staff #3, who has been working at the center for two years.

“There was no record of Virginia Preservice Training for Volunteer #1, who was observed on 2/25/26, directly supervising children when she was not in sight and sound supervision of a staff member and was counted in the staff-to-children ratio.”

Rule 8VAC20-790-600-B.

(Repeat Violation/systemic deficiency) Orientation training for staff shall be completed on required facility specific topics within seven days of their employment and prior to working alone with children. There was no documentation of orientation training in the records of Staff #1, #2, #3, #4, #5, who have all been working for more than seven days.

“There was no documentation of orientation training for Volunteer #1, who was observed working alone with children on 2/25/26.”

Rule 8VAC20-790-600-C.

8VAC20-790-600-D-1

“(Repeat Violation/systemic deficiency) All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #6 is overdue for certification in cardiopulmonary resuscitation (CPR) by more than two months.”

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

8VAC20-790-600-D-2

“(Repeat Violation /systemic deficiency) All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #6 is overdue for certification in first aid by more than two months.”

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

(Repeat Violation/systemic deficiency) 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.

Rule 8VAC20-790-600-F.

8VAC20-790-730-F-2

“(Systemic deficiency) Cots, rest mats, or beds shall be provided for children older than 12 months of age. Child #5 and Child #6 (age 18 months) were observed sleeping on the floor during nap time on large U shaped pillows.”

Rule 8VAC20-790-730-F-2.

8VAC20-790-760-C-2

“(Systemic deficiency) Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. Staff #3 reported that she uses wipes to sanitize the toilet chairs rather than sanitizing them by spraying or dipping them into sanitizing solution and then allowing them to air dry for a minimum of two minutes or according to the sanitizing solution instructions.”

Rule 8VAC20-790-760-C-2.

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.

“There were six children present in the Infant classroom, but only five were checked in. There were three children present in the Toddler classroom, but the record of daily attendance did not have any children checked in. There were four children present in the Preschool classroom, but the record of daily attendance did not have any children checked in.”

Rule 8VAC20-790-530-B.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“Staff #3 and Staff #4 did not have documentation of a negative tuberculosis screening and have been employed for seven months.”

Rule 8VAC20-790-560-A.

Staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Staff #1 completed the training nine months after employment, and Staff #5, who has been employed for eight months, did not have documentation that the staff completed the training.”

Rule 8VAC20-790-600-B.

Orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment.

“Staff #2, Staff #3, and Staff #5 did not have documentation of completing orientation training. The staff have been employed more than seven days and were observed working alone with children during the inspection.”

Rule 8VAC20-790-600-C.

All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #2, who had been employed for a year and six months, did not have current certification in CPR. Staff #3, Staff #4, and Staff #5, obtained certification in CPR more than six months after the date of employment.”

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

All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.

“Staff #2, who had been employed for a year and six months, did not have current certification in first aid. Staff #3, Staff #4, and Staff #5, obtained certification in first aid more than six months after the date of employment.”

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

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.

“Staff #1 was missing eight hours of annual training and the department’s health and safety update course. Staff #2 did not have documentation that the staff completed 16 hours of annual training or the department’s health and safety update course.”

Rule 8VAC20-790-600-F.

Each person in a supervisory position should be 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.

“Staff #3 and Staff #4 were in a supervisory position for two and three months prior to having a completed staff health report. The staff health report in the record of Staff #5, who is in supervisory position, was not completed annually. The staff health report was expired by more than one month.”

Rule 22.1-289.031-A-4.

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

“The most recent national fingerprint criminal background check for Staff #1 was overdue by a year and six months and their most recent central registry check was overdue by a year and two months.”

Rule 22.1-289.035-A.

The center must obtain a completed national fingerprint criminal background check prior to the individual’s first day of employment.

“The national fingerprint criminal background check for Staff #2 was completed more than seven months after their first day of employment. Staff #5, who had been employed for over eight months, did not have a completed national fingerprint criminal background check.”

Rule 22.1-289.035-B-2.

For staff hired before July 1, 2024, the center must obtain the results of a central registry search for an employee, within 30 days of employment.

“The results of the central registry search in the record of Staff #2 were obtained nine months after employment. Staff #3 did not have central registry search results during the inspection and has been employed for over seven months. The results of the central registry search in the record of Staff #4 and Staff #5 were obtained more than six months after employment.”

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

8VAC20-790-560-A

“Based on the review of five children’s records, the vendor did not obtain documentation that two of the children had received the immunizations required by the State Board of Health before allowing the children to attend the center. Evidence: 1. The records for Child #3 (first day of attendance 08/15/2023) did not have documentation of immunizations. 2. Staff #4 confirmed this information during the inspection.”

Rule 8VAC20-790-560-A.

8VAC20-790-640-A

“Based on observation and interview, the vendor did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: The cabinet in the children’s bathroom contained cleaning chemicals. The cabinet did not contain a safe locking method.”

Rule 8VAC20-790-640-A.

8VAC20-790-760-A-2

“Based on observation, the vendor did not ensure children’s hand were washed with soap and running water after toileting. Evidence: A staff member in the Infants? classroom was observed changing a child’s diaper. After the diaper change, the staff member did not wash the child’s hand. The child was placed back on the floor to play.”

Rule 8VAC20-790-760-A-2.

22.1-289.031-B-1

“Based on observation, the center did not establish and implement procedures for hand washing by staff and children after diapering. Evidence: A staff member in the Infants? classroom was observed changing a child’s diaper. After the diaper change, the staff member did not wash the child’s hand. The child was placed back on the floor to play.”

Rule 22.1-289.031-B-1.

22.1-289.031-B-4

“Based on the review of five children’s records, documentation and interview, the center did not establish and implement procedures to ensuring that two children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. The records for Child #3 (first day of attendance 08/15/2023) did not have documentation of immunizations. 2. The parent handbook stated ?immunizations must be on file by the first date the child attends the center. 3. Staff #4 confirmed this information during the inspection.”

Rule 22.1-289.031-B-4.

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

“Evidence: 1) The fingerprint-based national criminal background check in the record for Staff #1, employed 09/15/22, was dated 03/27/19. Fingerprint-based national criminal background checks are required to be obtained no more than 90 days prior to employment. 2) The record for Staff #4, employed 09/19/22, and the record for Staff #5, employed 09/26/22, did not contain documentation of satisfactory results of the fingerprint-based national criminal background check. 3) During interview, management confirmed Staff #4 and Staff #5 do not have the results of a fingerprint-based national criminal background check.”

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

Based on a review of five staff records and interview, the vendor did not ensure two 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 for Staff #2, employed 07/09/19, did not contain the results of the Virginia Child Protective Services Central Registry check. 2) During interview, management reported the check was received, but the documentation could not be located at the time of the inspection. 3) The results of the Virginia Child Protective Services Central Registry check in the record for Staff #3, employed 03/16/22, were dated 05/19/22. 4) During interview, management confirmed the results were not received within 30 days of employment.”

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

Based on a review of five staff records, the vendor did not ensure four staff were evaluated by a health professional and were issued a statement that the individuals are determined to be free of communicable tuberculosis (TB) within the require timeframe.

Rule 8VAC20-790-560-A.

Based on observations, the vendor did not ensure 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: During a walk-through of the facility, the inspector observed unlocked cleaning materials in the bathrooms used by children, in the Preschool classroom, and in the classroom where all children nap. The materials were unlocked and were within the reach of children.”

Rule 8VAC20-790-640-A.

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

“Evidence: 1) Staff #2, employed 07/09/19, did not have an updated annual staff health report in the record. The staff health report on file dated 10/01/21 expired 10/01/22. 2)The staff health report in the record for Staff #3, employed 03/16/22, was dated 03/28/22. The staff health report should have been obtained prior to the staff beginning employment.”

Rule 22.1-289.031-A-4.

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

“Evidence: 1) The record for Staff #2, employed 07/09/19, did not contain the results of the central registry check. 2) During interview, management reported the check was received, but the documentation could not be located at the time of the inspection. 3) The results of the central registry check in the record for Staff #3, employed 03/16/22, were dated 05/19/22. 4) During interview, management confirmed the results were not received within 30 days of employment.”

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