Mount Vernon United Methodist Church

The child day center employs supervisory personnel according to the following ratio of staff to children. One staff member to five children from ages 16 months to 24 months. When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to children ratio that applies to that group.

“In Room 3, Staff 4 was the only staff supervising 7 children (22 months- 2 years) for approximately 30 minutes. Two staff were required.”

Rule 22.1-289.031-A-3.

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

“There was no documentation of orientation for Staff 5 (employed two weeks).”

Rule 8VAC20-790-600-C.

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

“The CPR certification for Staff 4 expired 30 days ago.”

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

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

“The first aid certification for Staff 4 expired 30 days ago.”

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

Children less than 10 years of age shall always be within actual sight and sound supervision of staff.

“Children were observed arriving at the center and walking upstairs to their classrooms out of actual sight and sound supervision of staff. Children were observed leaving their classrooms and walking to the restroom out of actual sight and sound supervision of staff.”

Rule 8VAC20-790-670-H.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff 4 was observed cleaning but not sanitizing the diapering surface after a diaper change.”

Rule 8VAC20-790-760-B-8.

The vendor may administer over-the-counter or nonprescription medication to a child with written permission from the parent, provided the medication is: Given only at the dose, duration, and method of administration specified on the manufacturer’s label for the age or weight of the child needing the medication.

“On four occasions between 05/18/2026- 7/16/2026, Medication 2 was given to Child 7 (14 months). The manufacture’s label for Medication 2 reads ?Under 2-years-old, ask a doctor?. There were no physician instructions in the record for the medication.”

Rule 8VAC20-790-770-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.

“The documentation of a negative TB screening for Staff 2 was obtained 3 days after employment and Staff 5 was obtained 4 days after employment.”

Rule 8VAC20-790-560-A.

Staff shall be evaluated by a health professional to determine to be free of tuberculosis at least every two years from the date of the initial screening.

“The TB screening for Staff 4 was overdue by 7 weeks.”

Rule 8VAC20-790-560-B.

The vendor shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The documentation for Child 3 was obtained over 2 weeks after the child first attended the center.”

Rule 8VAC20-790-580-A.

Based on record review, the Vendor failed to obtain documentation of additional immunizations once every six months for children under 2 years of age.

“EVIDENCE: 1 Immunizations were not updated for Child #1 (date of birth 9/18/2022 - immunizations last updated 10/05/2023). 2 Immunizations were not updated for Child #2 (date of birth 9/30/2022- immunizations last updated 10/02/2023).”

Rule 8VAC20-790-580-B.

Based on record review, the Vendor failed to ensure staff members complete the 3 hour annual pre-service training.

“EVIDENCE: The 3 hour annual Pre-Service training was not completed for Staff #2”

Rule 8VAC20-790-600-H.

Based on record review, the Center failed to ensure 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.

“EVIDENCE: A current health report was unavailable for Staff #5.”

Rule 22.1-289.031-A-4.

Based on record review, the Center failed to obtain Fingerprint Background Check prior to date of hire.

“EVIDENCE: Fingerprint Background Check for Staff #4 was completed (5/13/2024) after the date of hire (5/06/2024).”

Rule 22.1-289.035-B-2.

Based on record review, the Vendor failed to have date of employment for all staff members.

“EVIDENCE: Licensing Inspector reviewed 4 staff records. Records for Staff #2 and Staff #4 did not include date of hire.”

Rule 8VAC20-790-550-1.

Based on record review, the Vendor failed to ensure each staff member obtains a tuberculosis screening at the time of employment.

“EVIDENCE: Licensing Inspector reviewed 4 staff records. Record for Staff #3 (date of hire 12/30/2022) did not include documentation of a negative tuberculosis screening.”

Rule 8VAC20-790-560-A.

Based on inspection, the Vendor failed to have at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

“EVIDENCE: There was not at least 1 staff person present during the inspection who has completed daily health observations of children.”

Rule 8VAC20-790-600-I.

Based on inspection, the Vendor failed to keep hazardous substances in a locked place using a safe locking method that prevents access by children.

“EVIDENCE: Hazardous cleaning agents were not stored in a locked location. Licensing Inspector observed unlock cleaning agents in 3 out of 4 classrooms that were inspected.”

Rule 8VAC20-790-640-A.

Based on inspection, the Vendor failed to develop and implement a written policy and procedure that describes how the Vendor will ensure that each group of children received care by consistent staff or team of staff members.

“EVIDENCE: Plan of continuity policy and procedures have not been developed.”

Rule 8VAC20-790-670-E.

Based on observations, the Vendor failed to ensure staff wash their hands with soap and running water before and after changing a diaper.

“EVIDENCE: Staff member in the infant classroom did not wash her hands after changing an infants’ diaper.”

Rule 8VAC20-790-760-A-3.

Based on observations, the Vendor failed to use a foot-operated container for disposable diapers.

“EVIDENCE: In the infant classroom, staff member was observed using her hand to open the foot operated trash can for disposable diapers. The trash can had a child safety strap attached to the can to prevent children from opening the can.”

Rule 8VAC20-790-760-B-6.