First United Methodist Church

Repeat violation

“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 them from caring for children under their supervision. There was not a record of a health exam on file for Staff 2. The health exam for Staff 3 was 2 years overdue.”

Rule 22.1-289.031-A-4.

The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present.

“There was not a list of all children’s allergies, sensitivities, and dietary restrictions in each room or area where children were present.”

Rule 8VAC20-790-520-F.

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, prior to coming into contact with children, and shall be been completed within the last 30 days.

“There was not a TB screening available for Staff 1 nor Staff 2. The TB screening for Staff 5 was completed 9 months before being employed.”

Rule 8VAC20-790-560-A.

Subsequent tuberculosis (TB) screenings are required at least every two years from the date of the initial screening.

“The subsequent TB screening for Staff 3 was 11 months overdue. The subsequent TB screening for Staff 4 was 11 months overdue.”

Rule 8VAC20-790-560-B.

The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.

“Child 1 (age 18 months) last documented immunization was over 12 months ago. Child 4 (age 14 months) last documented immunization was over 12 months ago. Child 5 (age 2 years) last documented immunization was over 24 months ago.”

Rule 8VAC20-790-580-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.

“There were 10 children observed in the 3 year old classroom but only 8 children marked present on the attendance record. There were 10 children observed in the 4 year old classroom and 13 children marked present on the attendance record. There were 14 children observed in the school-age classroom but only 3 children marked present on the attendance record.”

Rule 8VAC20-790-530-B.

When children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group.

“There were 14 children and 1 staff member observed in the school-age group; the school-age group of children ranged in age from 4 years-8 years. The required ratio for this on-going mixed age group was based on the 4 year old ratio of one staff per 10 children; two staff members were required for this group of children.”

Rule 8VAC20-790-670-G.

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.

“The annual health exam for Staff 5 was overdue by 2 months.”

Rule 22.1-289.031-A-4.

The center shall be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics.

“Child 4 (2 months old) was in a crib laying on a Boppy Pillow. The American Academy of Pediatrics recommends keeping pillows out of the sleep space.”

Rule 22.1-289.031-A-9.

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

“The most recent sworn statement for Staff 1 was overdue by 3 months. The most recent central registry for Staff 1 was overdue by 2 months. The most recent criminal record check for Staff 1 was overdue by 2 months.”

Rule 22.1-289.035-A.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff 3, employed for more than 3 years, did not have documentation of requesting a child abuse and neglect check from one state.”

Rule 22.1-289.035-B-4.

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

“Child 1 sustained injuries on 11/13/2024 and 11/18/2024; there was not a written record of the injuries available for review.”

Rule 8VAC20-790-720-C. From a complaint.

Based on record review, the Vendor failed to have a written allergy care plan for each child with a diagnosed food allergy.

“EVIDENCE: Licensing Inspector reviewed 5 children records. Record for Child #2 indicated that the child has a diagnosed food allergy; Record did not include documentation of a allergy action plan.”

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

Based on record review, the Vendor failed to ensure each staff members submit documentation that each staff has been evaluated by a health professional and a statement that the individual is believed to be free of communicable tuberculosis.

“EVIDENCE: Licensing Inspector reviewed 5 staff records. Records for Staff #1, #2, #3, #4, and #5 did not have documentation that each staff has been evaluated by a health professional and is believed to be free of communicable tuberculosis.”

Rule 8VAC20-790-560-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 receives care by consistent staff or team of staff members.

“EVIDENCE: Center has not developed plan of continuity of care procedures for the center.”

Rule 8VAC20-790-670-E.

Based on record review, the Vendor failed to ensure each staff person completes a fingerprint-based criminal history background check prior to 1st day of employment

“EVIDENCE: Licensing Inspector reviewed 5 staff records. Record for Staff #4 did not include a fingerprint-based criminal history determination letter. Date of hire for Staff #4 is 3/14/2022.”

Rule 22.1-289.035-B-2.