Fifth Street Baptist Church

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1?s updated screening was due one year ago and Staff #5?s updated screening was due two months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On 5/8/2026, Child #1, (2 years old), suffered a fractured arm after falling on the playground. At the time of the incident there were two staff supervising four children. During interviews on 5/12/2026 Staff #1 and Staff #2 confirmed that both staff were positioned on the same side of the playground, and were facing away from Child #1. Neither Staff #1 or Staff #2 observed the Child #1 fall.”

Rule 8VAC20-780-340-A. From a complaint.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“Based on review of the center’s playground policy, it states that “staff will position themselves at all times during playground activities so that children are within staffs? sight at all times. During staff interviews on 5/12/2026, it was confirmed by Staff #1 and Staff #2 that during the playground activity, both staff members were positioned on the same side of the playground and were unable to observe Child #1 for a few moments. As a result, staff did not witness Child #1 fall, which subsequently resulted in a fractured arm.”

Rule 8VAC20-780-40-E. From a complaint.

The center shall notify the parent by the end of the day of any known minor injuries.

“On 4/1/2026, Child #1, 2 years old, was observed with a bruise on his right eye when picked up by a parent. The attending teacher , Staff #1, did not inform the parent of the injury at pickup. No report was provided until the following day, after the parent inquired and spoke with the director.”

Rule 8VAC20-780-550-O. From a complaint.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“On 4/1/2026, Child #1, 2 years old, received a bruise on his right eye while in care. The attending teacher , Staff #1, did not record the injury until instructed by the Director, due to the parent’s concern.”

Rule 8VAC20-780-550-P. From a complaint.

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

“The most recent national fingerprint check for staff #6 was overdue by one year.”

Rule 22.1-289.036-A.

Staff shall annually complete the department’s health and safety update course.

“Five staff records were reviewed and none of the staff completed the health and safety update training for 2024.”

Rule 8VAC20-790-600-F.

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

“The most recent central registry check for staff #3 was overdue by eight months, and the most recent national fingerprint check for Staff #2 was overdue by one year and 11 months and was overdue by one year for Staff #3.”

Rule 22.1-289.035-A.

Repeat violation

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due two months ago The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #1, Staff #4 and Staff #5 obtained seven of the 16 required hours in 2024 and Staff #2 and Staff # 3 obtained none of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“The records for Staff #2, did not have documentation of their education in the file. Staff #2 has been employed for 12 years.”

Rule 8VAC20-780-70.

Communication; If asked by parents, staff shall provide feedback about daily activities, physical well- being, and developmental milestones.

“Parent #1 of Child #1 requested information on his child; regarding his enrollment, tuition cost, daily activities, incident reports and educational progress. The parent was not provided any documentation and was informed by staff that it would need to be confirmed by Parent #2 before providing specific information requested since Parent #2 was the one who enrolled Child #1.”

Rule 8VAC20-780-420-E-2. From a complaint.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #2 had no documentation and had been employed for four months.”

Rule 8VAC20-780-160-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due two months ago The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-160-C

“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 (TB) screening. Staff 5 did not have documentation of a current TB test or screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-330-B

“Based on observation, the facility failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. There was not six inches of mulch in the fall zones surrounding the playground equipment.”

Rule 8VAC20-780-330-B.

8VAC20-780-510-P

“Based on review of seven medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for one medication for Child A expired 5/09/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

Rule 8VAC20-780-510-P.