Pittsylvania County Community Action - Refuge Temple 1a and 1b

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present.

“Child 5, with a diagnosed food allergy, was present and no list was available.”

Rule 8VAC20-780-40-M.

A written care plan is required 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 5 (enrolled for six months) has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

A copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“The special order issued by the Department on 02/26/2026 was not posted.”

Rule 8VAC20-821-270-6-f.

No center shall hire for compensated employment or continue to employee any person who has been convicted of any barrier crime as defined by the Code of Virginia.

“The criminal history check for Staff 2, employed for 6 months, had a disqualifying result. Staff 2 was providing direct care and supervision during the inspection on 11/13/2025.”

Rule 22.1-289.035-A.

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 TB was dated 7 months prior to date of employment.”

Rule 8VAC20-780-160-A.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #2, who has been actively working at the center for over 7 months, had only 1 completed reference verifications on file; that reference verification was obtained after the date of hire. Staff #5, who has been actively working at the center for over 1 year, had only 1 completed reference verifications on file; that reference verification was obtained after the date of hire.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: One of the bottom doors on a storage cabinet located next to the entrance in Class 10 had a broken hinge. The door was hanging off and loose screws were exposed. Children were observed in this area during the inspection.”

Rule 8VAC20-780-270-A.

Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There were 4 containers of Clorox wipes and 1 spray bottle of glass cleaner located in an unlocked storage cabinet located next to the entrance in Class 10 accessible to children. Children were observed in this area.”

Rule 8VAC20-780-280-B.

Based on observation, the center 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.

Rule 8VAC20-780-330-B.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

22.1-289.035-B-2

“Based on the record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The hire date for Staff 4 was 08/08/2022. The employment eligibility letter was dated 08/17/2022.”

Rule 22.1-289.035-B-2.

Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: The record for Staff 5 contained a documented hire date of 09/13/2021. The employment eligibility letter was dated 09/23/2021.”

Rule 22.1-289.035-B-2.

Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment.

“Evidence: The record for Staff 5 contained a documented hire date of 09/13/2021. The findings from the search of the central registry was dated 11/29/2021.”

Rule 8VAC20-770-60-C-2.

Based on observations and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. There were 2 aerosol spray bottles of disinfectant on a shelf in the restroom of Classroom 10; the disinfectants were accessible to children. 2. The closet that contained the cleaning supplies in the restroom of Classroom 10 was found unlocked and open; the closet contained cleaning supplies such as disinfectant sprays, disinfectant wipes, jugs of Clorox, Ajax, etc.”

Rule 8VAC20-780-280-B.

Based on observation and discussion with staff, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.

“Evidence: There were 2 aerosol spray bottles of disinfectant and a bottle of Tide laundry detergent on the same shelf as peanut butter, jelly, Nutella, and oranges in the restroom of Classroom 10.”

Rule 8VAC20-780-280-D.

Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: The children in Classroom 10 were observed during breakfast. The children were observed finishing their breakfast, throwing away their trash and immediately going to the carpet for Circle Time. The children did not wash their hands after breakfast.”

Rule 8VAC20-780-500-A.

Based on observation and discussion, the center failed to ensure that tables are sanitized before and after each use for feeding.

“Evidence: The children in Classroom 10 were observed during breakfast. Following breakfast two of the three tables that were used for the meal were sprayed with a Bleach and Water solution and the solution was immediately wiped off; the solution was not allowed to air dry for the minimum requirement of 2 minutes to meet the definition of sanitizing. The third table used for breakfast was not sanitized after the meal, the table was observed to still have spilled juice on it approximately 20 minutes after breakfast was finished.”

Rule 8VAC20-780-560-J.

Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. The children of Classrooms 10 and 19 were observed during breakfast and the attendance had not yet been taken; the written attendance record did not document the arrival of each child as it occurred. 2. The attendance record for Classroom 10 did not have documentation of the departure of each child for the month of April 2022.”

Rule 8VAC20-780-80-A.

Based on record review and discussion with staff, the center failed to ensure that a person must not be employed until the agency has the person completed sworn statement or affirmation.

“Evidence: The record for Staff 1 had a documented hire date of 08/09/2021; the date on the sworn statement was 08/10/2021.”

Rule 22VAC40-191-60-B.

Based on record review and discussion with staff, the center failed to obtain findings from a search of the central registry within 30 days of employment.

“Evidence: The record for Staff 1 had a documented hire date of 08/09/2021; there were no central registry findings available for review during the 11/10/2021 record review inspection.”

Rule 22VAC40-191-60-C-2.

Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: The record for Staff 1 had a documented hire date of 08/09/2021; the date on the employment eligibility letter was 08/13/2021.”

Rule 63.2(17)-1720.1-B-2.