Cool Spring Baptist Church

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 at the time of employment and prior to coming into contact with children.

“Staff # 3, employed for 11 months, did not have a completed TB screen for review at the time of inspection.”

Rule 8VAC20-790-560-A.

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.

“In classroom #3, cleaning materials were observed underneath the sink in a cabinet that was unlocked, accessible to children.”

Rule 8VAC20-790-640-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“In the 3-5 year old classroom, a group of children were observed finishing morning snack and did not wash hands or use disposable wipes after eating.”

Rule 8VAC20-790-760-A-1.

When a child is placed in an infant seat, high chair, or feeding table, the protective belt shall be fastened securely.

“A child in the infant room was sitting at the feeding table for morning snack and was not wearing a protective belt.”

Rule 8VAC20-790-820-A.

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 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.

“The screening for Staff #1 was completed six days after hire and the screening for Staff #4 was completed 74 days before hire.”

Rule 8VAC20-790-560-A.

The vendor may administer prescription medication to a child with written permission of the parent, provided the staff administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“A prescription emergency medication was observed on-site for a child. The medication was in a bag and there was no box or prescription label with the medication.”

Rule 8VAC20-790-770-A-2.

8VAC20-790-560-A

Rule 8VAC20-790-560-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. Several containers of cleaning chemicals were in a cabinet in the Twos & Threes classroom. 2. The lock on the cabinet was broken.”

Rule 8VAC20-790-640-A.

Based on a review of five children’s records and interview, the vendor did not have a written allergy care plan for two children with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergy and steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1) The record for Child #2, enrolled 09/06/22, and the record for Child #3, enrolled 09/06/22, indicated the children had diagnosed food allergies, but the records did not contain a written allergy care plan. 2) During interview, management confirmed a written allergy care plan was not on file for each child.”

Rule 8VAC20-790-540-B-11.

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 Virginia Child Protective Services Central Registry check in the record for Staff #1, employed 11/01/21, was dated 12/21/21. 2) The Virginia Child Protective Services Central Registry check in the record for Staff #5, employed 04/01/22, was dated 06/29/22. 3) During interview, management reported the checks were received more than 30 days of the individuals beginning employment. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.”

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

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

“Evidence: 1) The record for Staff #1, employed 11/01/21, did not contain a certificate of the Virginia Preservice Training for Child Care Staff. 2) The record for Staff #5, employed 04/01/22, did not contain a certificate of the Virginia Preservice Training for Child Care Staff. 3) During interview, management confirmed the staff have not completed the training.”

Rule 8VAC20-790-600-B.

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

“Evidence: 1) The CPR certification in the record for Staff #3, employed 01/18/17, expired on 09/09/22. 2) The record for Staff #5, employed 04/01/22, did not contain current certification in CPR. All staff who work directly with children should have CPR certification within 90 days of the date of employment.”

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

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

“Evidence: 1) The first aid certification in the record for Staff #3, employed 01/18/17, expired on 09/09/22. 2) The record for Staff #5, employed 04/01/22, did not contain first aid documentation. 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 a review of documentation and interview, the vendor did not practice lockdown procedures at least annually.

“Evidence: 1) The emergency drill log reviewed did not have documentation of a lockdown drill for 2021. 2) During interview, management reported the lockdown procedures were not practiced a last annually in 2021.”

Rule 8VAC20-790-800-A-3.

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 results of the central registry check in the record for Staff #1, employed 11/01/21, were dated 12/21/21. 2) The results of the central registry check in the record for Staff #5, employed 04/01/22, were dated 06/29/22. 3) During interview, management confirmed the results were not received within 30 days of employment and the center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.”

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