Rejoice Christian Center Ministries

A written allergy care plan shall be maintained for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #6, age five years, had a food allergy listed but did not have an allergy care plan.”

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

Systemic Deficiency: 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 #3 had orientation training completed eight weeks after date of employment. Staff #4 had orientation training completed seven weeks after date of employment. Staff #5 had orientation training completed four weeks after date of employment.”

Rule 8VAC20-790-600-C.

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.

“Cleaning materials were observed on a shelf in the school age room that were unlocked and accessible to children.”

Rule 8VAC20-790-640-A.

Cleaning and sanitizing materials shall not be located above food, food equipment, utensils, or single-use articles and shall be stored separate from food.

“In the kitchen area, bottles of cleaning materials were observed next to utensils and single-use equipment.”

Rule 8VAC20-790-640-C.

Complaint Violation:

Rule 22.1-289.031-B-2. From a complaint.

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.

“Staff #5 had a TB screen that expired over 2 years ago.”

Rule 8VAC20-790-560-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.

“Staff #4, employed for one year and eight months, had seven of 16 hours of training documented for 2024.”

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 the date and time when parents were notified.

“Out of four injury reports reviewed, four were missing the date and time parents were notified.”

Rule 8VAC20-790-720-C.

Cribs, cots, rest mats, or beds shall be provided for children during the designated rest periods and shall not be occupied by more than one child at a time.

“In the toddler classroom, a child was observed sleeping on the floor and not on a cot or rest mat as required.”

Rule 8VAC20-790-730-F.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #2, who had been employed for six months, had a central registry search requested two days after date of employment.”

Rule 22.1-289.035-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 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.

“Staff #3 TB was dated four months prior to date of employment and has been employed for over one year. Staff #4 is currently working and has a TB screening that was dated two weeks after their first day of employment.”

Rule 8VAC20-790-560-A.

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.

“Staff #5 updated screening was due 14 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-790-560-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 #4, who is working with children, had a completed orientation training dated over one month after the hire date.”

Rule 8VAC20-790-600-C.

In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Children in the toddler room were located next to an uncovered outlet that was within their reach.”

Rule 8VAC20-790-630-C-2.

Evacuation procedures shall be practiced at least monthly.

“The vendor was missing evacuation drills for March of 2024 and May of 2024.”

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

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

“Staff #2 had a staff health report dated two weeks after date of employment. Staff #4 had a staff health report dated two weeks after date of employment.”

Rule 22.1-289.031-A-4.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff #5, who has been employed for over two years, has no sworn statement on file.”

Rule 22.1-289.035-B-1.

8VAC20-790-540-B

“Based on review of five children’s records, the vendor did not ensure the records of three children’s records contained the required information. Evidence: 1. The records for Child #1, Child #2, and Child #3 did not contain the address for the listed emergency contact. 2. A member of management confirmed this information while the licensing inspector was onsite.”

Rule 8VAC20-790-540-B.

8VAC20-790-550-1

“Based on review of six staff records and interview, the vendor did not ensure four staff records contained the required information. Evidence: 1. The records for Staff #2 (Date of Employment 06/10/2020), Staff #3 (Date of Employment 05/30/2023), Staff #4 (Date of Employment 04/28/2023), and Staff #5 (Date of Employment 06/12/2023) did not contain documentation of orientation. 2. A member of management stated orientation was completed with the staff. 3. The documentation of orientation could not be located during the inspection.”

Rule 8VAC20-790-550-1.

8VAC20-790-550-2-a

“Based on review of six staff records, observation and interview, the vendor failed to obtain satisfactory results of the Virginia Child Protective Services Central Registry check for one staff member. Evidence: 1. The record for Staff #2 (Date of Employment 06/10/2020) did not contain results of the Virginia Child Protective Services Central Registry check. 2. The staff were observed working with children in the center during the inspection. 3. A member of management confirmed this information during the inspection.”

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

8VAC20-790-560-A

Rule 8VAC20-790-560-A.

8VAC20-790-580-A

Rule 8VAC20-790-580-A.

8VAC20-790-600-B

“Based on review of six staff records and interview, the vendor did not ensure within the first 90 days of employment one staff who worked directly with children completed Virginia Preservice Training for Child Care Staff. Evidence: 1.The record for Staff #5 (Date of Employment 06/12/2023) did not contain documentation of completing Virginia Preservice Training for Child Care Staff. 2. Staff #5 was observed working with children during the inspection. 3. A member of management confirmed this information during the inspection.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-C

“Based on review of six staff files and interview, the vendor did not ensure orientation training for one staff was completed prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1. The record for Staff #6 (Date of Employment 09/25/023) did not contain documentation of orientation that was partially completed. 2. A member of management stated orientation was initiated with Staff #6 but was not finished due to an emergency.”

Rule 8VAC20-790-600-C.

8VAC20-790-600-D-1

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

8VAC20-790-600-D-2

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

8VAC20-790-730-I

“Based on observation and documentation review, the vendor failed to ensure pillows were not used by children less than 12 months of age while sleeping or resting. Evidence: Infant #1 (six months of age) was observed sleeping in the crib. A boppy pillow was placed in the crib, underneath the head of Infant #1.”

Rule 8VAC20-790-730-I.

8VAC20-790-800-B

“Based on documentation review and interview, the vendor did not maintain a record of the dates of the practice drills for one year. Evidence: A member of management stated the required emergency drills had been completed but not documented on the drill logs.”

Rule 8VAC20-790-800-B.

8VAC20-790-820-A

“Based on observation and documentation review and interview, the vendor failed to ensure bottles were not used while the child is in his designated sleeping location. Evidence: Infant #1 (six months of age) was observed lying in the crib, drinking a bottle.”

Rule 8VAC20-790-820-A.

22.1-289.031-A-4

Rule 22.1-289.031-A-4.

22.1-289.031-A-8

Rule 22.1-289.031-A-8.

22.1-289.031-A-9

“Based on observations, the center did not ensure compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. Infant #1 (six months of age) was observed sleeping on a boppy pillow placed in the crib. 2. The American Academy of Pediatrics states infants need to sleep on their backs on flat non inclined surfaces without soft bedding.”

Rule 22.1-289.031-A-9.

22.1-289.031-B-4

Rule 22.1-289.031-B-4.

8VAC20-770-40-D-2

“Based on review of six staff records, the center did not ensure that one staff member had a completed search of the central registry within the first 30 days of employment or volunteering. Evidence: 1. The record for Staff #2 (Date of Employment 06/10/2020) did not contain central registry results. 2. Staff #1was observed working with the children during the inspection. 4. A member of management confirmed this information while the licensing inspector was on site.”

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

Based on a review of five children’s records and interview, the vendor did not obtain a written allergy care plan for one child with a diagnosed food allergy .

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

Based on a review of five staff records, the vendor did not ensure four staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of the individual’s beginning date of employment.

“Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2, employed on 01/03/22, was dated 06/23/22. 2) The Virginia Child Protective Services Central Registry check in the record of Staff #3, employed on 03/21/22, was dated 04/26/22. 3) The Virginia Child Protective Services Central Registry check in the record of Staff #4, employed on 03/09/22, was dated 04/21/22. 4) The Virginia Child Protective Services Central Registry check in the record of Staff #5, employed on 03/10/22, was dated 04/21/22.”

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

Based on a review of five staff records, the vendor did not ensure five staff had 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 obtain satisfactory results of the child abuse and neglect registry from any other state in which one individual has resided in the preceding five years.

“Evidence: 1) The record of Staff #1, employed on 02/07/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #1 has not been obtained.”

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

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

“Evidence: 1) The record of Staff #1, date of employment 02/07/22, contained a TB test that was completed on 09/13/21. The documentation should have been completed within the last 30 calendar days of the date of employment. 2) The record of Staff #2, date of employment 01/03/22, did not contain a TB screening. 3) During interview, management reported the TB screening for Staff #2 was not on file. The documentation of the screening should have been submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-790-560-A.

Based on a review of five staff records, the vendor did not ensure four staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

Rule 8VAC20-790-600-B.

Based on a review of five staff records and interview, the vendor did not ensure five staff completed orientation training within the required timeframe.

“Evidence: 1) The following staff records did not contain documentation that the staff received orientation training: Staff #1 (employed on 02/07/22); Staff #2 (employed 01/03/22); Staff #3 (employed 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22). Orientation training for staff should be completed prior to the staff member working alone with children and within seven days of the date of employment. 2) During interview, management reported orientation training has not been completed to staff.”

Rule 8VAC20-790-600-C.

Based on a review of five staff records and interview, the vendor did not ensure three staff 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 following staff records did not contain documentation of current certification in CPR: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22). 2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in CPR.”

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

Based on a review of five staff records and interview, the vendor did not ensure three staff 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 following staff records did not contain documentation of current certification in first aid: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22). 2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in first aid.”

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

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

Rule 22.1-289.035-B-2.

Based on a review of five staff records and interview, the center did not obtain satisfactory results of the child abuse and neglect registry from any other state in which one individual has resided in the preceding five years.

“Evidence: 1) The record of Staff #1, employed on 02/07/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #1 has not been obtained.”

Rule 22.1-289.035-B-4.

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.

Based on a review of five staff records, the center did not ensure four staff had the search of the central registry check within 30 days of employment.

“Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2, employed on 01/03/22, was dated 06/23/22. 2) The Virginia Child Protective Services Central Registry check in the record of Staff #3, employed on 03/21/22, was dated 04/26/22. 3) The Virginia Child Protective Services Central Registry check in the record of Staff #4, employed on 03/09/22, was dated 04/21/22. 4) The Virginia Child Protective Services Central Registry check in the record of Staff #5, employed on 03/10/22, was dated 04/21/22.”

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

Based on review of six staff records and interview, the center did not ensure that five staff members that were in a supervisory position had 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: 1. The records for Staff #1 (hire date 09/01/2020), Staff #2 (hire date 06/25/2021), Staff #3 (hire date 06/25/2021), Staff #4 (hire date 11/12/2021) and Staff #6 (hire date 11/04/2021) did not contain documentation of a staff health report stating staff were free from any disability which would prevent them from caring for children under their supervision. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22.1-289.031-A-4. From a complaint.

Based on review of six staff records and interview, the center failed to obtain satisfactory results of the fingerprint-based national criminal background check for one staff member.

“Evidence: 1. The record for Staff #4 (hire date 11/12/2021) did not contain results of satisfactory results of the fingerprint-based national criminal background check. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22.1-289.035-B-2. From a complaint.

Based on review of six staff records and interview, the vendor failed to obtain satisfactory results of the fingerprint-based national criminal background check for one staff member.

“Evidence: 1. The record for Staff #4 (hire date 11/12/2021) did not contain results of satisfactory results of the fingerprint-based national criminal background check. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-530-2-a-1. From a complaint.

Based on review of six staff records and interview, the vendor failed to obtain satisfactory results of the Virginia Child Protective Services Central Registry check for three staff members.

“Evidence: 1. The records for Staff #4 (hire date 11/12/2021) and Staff #5 (hire date 11/29/2021) did not contain results of the Virginia Child Protective Services Central Registry check. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-530-2-a-2. From a complaint.

Based on review of six staff records and interview, the vendor did not obtain background checks within the required time frame for two staff members.

“Evidence: 1. The record for Staff #3 (hire date 06/25/2021) contained a sworn statement dated 06/28/2021. 2. The record for Staff #6 (hire date 11/04/2021) contained central registry findings dated 01/18/2022. 3. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-530-2-e. From a complaint.

Based on review of six staff records and interview, the vendor did not ensure five staff members obtained a tuberculosis (TB) screening within 30 calendar days prior to staffs? first date of employment.

Rule 22VAC40-665-540-A. From a complaint.

22VAC40-665-580-B

“Based upon review of six staff records and interview, the vendor has not ensured that within the first 90 days of employment, staff have completed the required Virginia Preservice Training for Child Care Staff. Evidence: 1. The records for Staff #2 (hire date 06/25/2021) and Staff #3 (hire date 06/25/2021) did not contain documentation of staff completing Virginia Preservice Training. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-580-B. From a complaint.

Based on review of six staff records and interview, the vendor did not ensure orientation training for staff was completed on the facility specific topics prior to the staff member working alone with children and within seven days of the date of employment or the date of subsidy vendor approval:.

“Evidence: 1. The records for Staff #1 (hire date 09/01/2020), Staff #2 (hire date 06/25/2021), Staff #3 (hire date 06/25/2021) Staff #4 (hire date 11/12/2021), Staff #5 (hire date 11/29/2021), and Staff #6 (hire date 11/04/2021) did not contain documentation did not contain documentation of required facility specific topics. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-580-D. From a complaint.

Based on review of six staff records and interview, the vendor did not ensure two staff members obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the first date of employment.

“Evidence: 1. The records for Staff #2 (date of hire 06/25/2021) and Staff #3 (date of hire 06/25/2021) did not contain documentation of CPR. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-580-E-1. From a complaint.

Based on review of six staff records and interview, the vendor did not ensure two staff members obtained current certification in first aid training within 90 days of the first date of employment.

“Evidence: 1. The records for Staff #2 (date of hire 06/25/2021) and Staff #3 (date of hire 06/25/2021) did not contain documentation of current first aid certification. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 22VAC40-665-580-E-2. From a complaint.

Based on review of six staff records and interview, the center did not obtain background checks within the required time frame for four staff members.

“Evidence: 1. The record for Staff #3 (hire date 06/25/2021) contained a sworn statement dated 06/28/2021. 2. The record for Staff #4 (hire date 11/12/2021) did not contain central registry finding. 3. Staff #5 (hire date 11/29/2021) did not contain central registry findings. 4. Staff #6 (hire date 11/04/2021) did not contain central registry findings. 5. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.”

Rule 8VAC20-770-40-D-2. From a complaint.