River Road Presbyterian Church

8VAC20-790-770-E

“The vendor shall keep a record of prescription and nonprescription medication given to children as required. Two emergency medications were given to Child 1 on December 16, 2025, but only one was recorded on the medication log.”

Rule 8VAC20-790-770-E.

8VAC20-790-810-F

“A child with a diagnosed food allergy shall not be served any food identified in the written care plan. On December 16, 2025, Child 1 was served a food that was identified as a food allergen on the written allergy action plan. The child showed signs of an allergic reaction. The child was given emergency medications and received outside medical treatment.”

Rule 8VAC20-790-810-F.

8VAC20-790-540-B-11

“The facility shall have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child C has diagnosed food allergies but did not have a written allergy action plan on file.”

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

8VAC20-790-800-A-1

“Evacuation procedures shall be practiced at least annually. There were no documented drills for September 2024 or November 2024.”

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

22.1-289.049-A

“The regulated child day program shall require that the person enrolling the child present the regulated child day program with the proof of the child’s identity and age. Child 3, Child 4, Child 6, and Child 8 did not have documentation of viewing proof of identity and age within 7 days of enrollment as required.”

Rule 22.1-289.049-A.

8VAC20-790-710-1

Rule 8VAC20-790-710-1.

Based on a review of seven staff records and interviews, the vendor did not ensure one staff was determined to be free of communicable tuberculosis (TB) within the required time frame.

“Evidence: The TB screening in the record of Staff #6, employed on 01/09/24, was completed on 04/06/23. An updated TB screening on file was dated 04/06/24. 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.”

Rule 8VAC20-790-560-A.

Based on a review of seven staff records and interviews, the vendor did not ensure one staff member completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence: The training certificate of the Virginia Preservice Training for Child Care Staff in the record of Staff #1, employed on 08/03/23, was dated 04/30/24.”

Rule 8VAC20-790-600-B.

Based on a review of seven staff records and interviews, the vendor did not ensure one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: The CPR certification in the record of Staff #7, employed on 11/24/23, expired on 02/07/24. During interview, a member of management acknowledged the CPR certification for Staff #7 was expired.”

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

Based on a review of seven staff records and interviews, the vendor did not ensure one staff had current certification in first aid appropriate to the ages of children in care.

“Evidence: The first aid certification in the record of Staff #7, employed on 11/24/23, expired on 02/07/24. During interview, a member of management acknowledged the first aid certification for Staff #7 was expired.”

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

Based on documentation reviewed and interviews, the vendor did not maintain a record of the dates of the practice drills for one year.

“Evidence: The center’s practice drills for 2023 were reviewed. Documentation of a second shelter-in-place drill conducted in 2023 and documentation of the lockdown drill conducted in 2023 could not be located. During interview, a member of management reported the drills were conducted, but the documentation could not be located at the time of the inspection.”

Rule 8VAC20-790-800-B.

Based on a review of seven staff record and interviews, the center did not ensure one staff member had a completed sworn statement or affirmation before employment.

“Evidence: The record of Staff #1, employed on 08/04/23, did not contain a complete sworn statement or affirmation. During interview, a member of management reported a complete sworn statement could not be located for Staff #1.”

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

Based on a review of six staff records and interview, the center did not obtain documentation that two staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent the staff from caring for children under their supervision.

“Evidence: 1) The record for Staff #3, employed 08/09/22, did not have a completed staff health report. 2) The record for Staff #5, employed 08/08/22, did not have a completed staff health report. 3) During interview, management reported the staff health reports for Staff #3 and Staff #5 have not been received.”

Rule 22.1-289.031-A-4.