Restoring America’s Families Ministries

The vendor shall maintain and keep at the center a record for each enrolled child, which shall be made accessible to the department’s representative upon request.

“The center did not maintain copies of any child’s records onsite at the center.”

Rule 8VAC20-790-540-A.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training.

“Staff #1, Staff #2, Staff #3 did not have any documented training for 2024.”

Rule 8VAC20-790-600-F.

There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

“The center did not have documentation of any employee certified in daily health observation.”

Rule 8VAC20-790-600-I.

Exemption from licensure is to be posted in a visible location on the premises that is available to the public.

“The center did not have the religious exemption certificate posted anywhere in the public vicinity of the building.”

Rule 22.1-289.031-A.

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 one month.”

Rule 22.1-289.035-A.

Based on review of children records, the center failed to maintain and keep enrolled children’s records onsite and available upon request.

“Evidence: During annual subsidy inspection, staff stated all children, staff, and drill log files were not present in the building. Staff stated the center moved to the current location in June and were awaiting the paper files from the main office.”

Rule 8VAC20-790-540-A.

Based on a review of children records, the provider failed to have a written statement to notify parents of an ill child and pick up procedures.

“There was not a written statement in the record for Child #1, Child #2, Child #3, and Child #4 regarding the policy regarding a child when they become and ill and the pick up procedures.”

Rule 8VAC20-790-540-B-16.

Based on a review of staff the records, the center failed to ensure staff maintained a minimum of 16 hours of training annually.

“Evidence: 1. Staff #1 (DOH 03/2020) and Staff #3 (DOH 01/1999) did not complete any annual training hours within the last year. Staff #1 and Staff #3 did not have record of completing the annual subsidy training for the fiscal year of 2023-2024 updated in their files.”

Rule 8VAC20-790-600-F.

Based on review of documentation of emergerency response drills, the provider failed to provide emergency response drill logs for the previous year.

“Evidence: During record review, provider failed to provide documentation of emergency response drills for the 2023-2024 year. Emergency response drills for the fiscal year 2023-2024 were not available for review.”

Rule 8VAC20-790-800-B.

Based on tour of the facility, the facility failed to post exemption from licensure in a visible location.

“Evidence: The facility did not have any postings in the main lobby or anywhere visible to the general public the facility was exempt from licensure.”

Rule 22.1-289.031-A.

Based on a review of staff records, the provider failed to ensure all staff had updated Central Registry checks every five years.

“Evidence: Based on staff record review, Staff #3 had a central registry check that expired 8/30/2024. Central Registry check was completed on 8/30/2019.”

Rule 22.1-289.035-A.

Repeat Violation Based on interview, facility did not ensure for each group of children there is a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: One child was present during inspection. Staff stated a second child was present earlier on this date but left due to illness. Staff stated there was not documentation of attendance that day.”

Rule 8VAC20-790-530-B.

Repeat Violation Based on review, facility did not ensure 2 of 2 child records have documentation of required information.

“Evidence: The records for child #1 and child #2, present on this date, did not have documentation of emergency contact address.”

Rule 8VAC20-790-540-B.

Based on review and interview, facility did not ensure 2 of 2 staff complete the department’s health and safety update course annually.

“Evidence: The records for staff #1 and staff #2 did not have documentation of completing the department’s health and safety update course in 2022. The administrator stated she did not know they needed to do that.”

Rule 8VAC20-790-600-F.

Repeat Violation Based on observation, facility did not ensure hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: A large bottle of hand sanitizer labeled “Caution and Keep out of Reach of Children” was observed on a table in the cafeteria used by children.”

Rule 8VAC20-790-640-A.

Based on observation, facility did not ensure diapering areas have a leak proof covered receptacle for soiled linens.

“Evidence: Administrator stated a mesh pail is available to be used for soiled linens in the infant room. The receptacle is not leak-proof.”

Rule 8VAC20-790-760-B-3-e.

Repeat Violation Based on observation and interview, facility did not ensure they have the required nonmedical emergency supplies.

“Evidence: The radio was not operable with batteries during the inspection. Staff stated the batteries were dead.”

Rule 8VAC20-790-780-C-2.

Based on interview, facility did not ensure there is a record of the dates of the practice emergency drills for one year.

“Evidence: Administrator stated they did not have documentation of emergency drills conducted in 2022. Administrator stated the information was in storage.”

Rule 8VAC20-790-800-B.

Based on observation and interview, vendor did not ensure there is a written hard copy record of daily attendance for each group of children.

“Evidence: Staff stated they did not have an attendance record at the facility. Staff stated they call to the central location and report their attendance where it is entered into an electronic system.”

Rule 8VAC20-790-530-B.

Based on review, vendor did not ensure 2 of 3 children’s records have documentation of required information.

“Evidence: The records for child #1 and child #3 did not have the emergency contact address.”

Rule 8VAC20-790-540-B.

Based on observation, vendor did not ensure hazardous substance such as cleaning materials, insecticides, and pesticides shall be kept in a locked place suing a safe locking method that prevents access by children.

“Evidence: Alcohol wipes labeled ?Caution? and ?keep out of reach of children? were stored on the counter between the sinks in the hall women’s bathroom that is used by children.”

Rule 8VAC20-790-640-A.

Based on observation, vendor did not ensure there was a working battery-operated radio.

“Evidence: The radio would not operate with the batteries.”

Rule 8VAC20-790-780-C-2.

Based on observation, facility did not have required written statement available to parents, guardians and the general public.

“Evidence: Facility did not have the written statement regarding physical facilities, enrollment capacity, food services, health requirements for staff and public liability insurance available for parents, guardians and the general public.”

Rule 22.1-289.031-A-6.