BridgePoint Church

8VAC20-790-560-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 #4 TB was dated four months prior to date of employment.”

Rule 8VAC20-790-560-A.

8VAC20-790-800-A-1

“Evacuation procedures shall be practiced at least monthly. There was no evacuation drill practiced in June.”

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

8VAC20-790-800-A-2

“Shelter-in-place procedures shall be practiced twice a year. There were no shelter in place drills practiced in the last year.”

Rule 8VAC20-790-800-A-2.

8VAC20-790-800-A-3

“Lockdown procedures shall be practiced at least annually. There was no lockdown drill practiced in the past year.”

Rule 8VAC20-790-800-A-3.

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name. One infants bottle, in the refrigerator, was not dated.”

Rule 8VAC20-790-820-E.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5, employed for 5 months, did not have documentation of requesting a central registry check or criminal history check from one state.”

Rule 22.1-289.035-B-4.

22.1-289.058

“Each building, built before 2015, that houses a child day program that has obtained a religious exemption and serves preschool-age children, shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-790-520-F

“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. The list must be dated and kept confidential. The list in one of the rooms was posted on the front of a cabinet in plain sight.”

Rule 8VAC20-790-520-F.

8VAC20-790-760-A-2

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 4 changed a child’s diaper and did not wash the child’s hands with soap and water.”

Rule 8VAC20-790-760-A-2.

8VAC20-790-760-B-6

“Disposable diapers shall be disposed in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The storage system was not foot operated and would require a staff member to use their hand to open it.”

Rule 8VAC20-790-760-B-6.

8VAC20-790-760-B-8

“The diapering surface shall be used only for diapering or cleaning children. Two bags with items in them were observed sitting on the diaper changing surface.”

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

22.1-289.031-A-6

“The center is required to describe all required aspects of the child day center’s operations in a written statement to the parents or guardians of the children in the center. The physical facilities and public liability insurance had not been provided in writing to the parents/guardians.”

Rule 22.1-289.031-A-6.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. There was no sworn statement for Staff #4, who has been working for a month.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1, who had been employed for 4 months, did not have documentation that a central registry search was requested. Staff #1 was working alone with children. Staff #4, who had been employed for a month, did not have documentation that a central registry search was requested. Staff #4 was not working alone with children.”

Rule 22.1-289.035-B-3.

REPEAT Based on staff interview, behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence:

Rule 8VAC20-790-700-A.

Repeat

“Based on review of documentation and staff interview, the vendor did not ensure the following actions or threats thereof are forbidden physical punishment. Evidence: Staff #1 wrapped both of her arms around child #1 (3 years old) waist and sat down cross legged. As child #1 refuse to calm down and began to struggle against staff #1?s arm staff #1 released him. Staff #1 strapped child #1 in the stroller until a parent arrived to pick up the child.”

Rule 8VAC20-790-710-1.

Repeat

“Based on record review and staff interview, the vendor did not ensure documentation of orientation has been completed, including the date completed, the total hours of session, and the names of the trainer and of any sponsoring organization. Evidence: On November 1, 2023, the vendor was unable to provide orientation training documentation for Staff #1 that contain specific topics. Confirmed with Staff #2 the documentation with all required information was unable to be located.”

Rule 8VAC20-790-550-5.

Based on video footage and staff interview, the center did not ensure that behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-790-700-A.

Based on video footage, review of documentation and staff interview, the vendor did not ensure the following actions or threats thereof are forbidden physical punishment , including striking and roughly handling a child.

Rule 8VAC20-790-710-1.

Based on review of video footage and staff interview, the vendor did not ensure bottles used while the child is in his designated sleeping location. Evidence: 1- On October 3, 2023, in the Toddler room at 11:47 am, child # 3 was sitting on her mat in her designated rest area drinking a bottle.

“2- On October 30, 2023, in the toddler room at 11:09am, child #3 was observed laying on her rest mat in her designated rest area drinking a bottle.”

Rule 8VAC20-790-820-C.

Based on record review and staff interview, the vendor did not ensure staff had Virginia Child Protective Services Central Registry check 30days after employment.

“Evidence: During the inspection on August 10, 2023 the center was not able to provide Central Registry results for Staff # 2 (hire date was 08/19/2022).”

Rule 8VAC20-790-550-2-a.

Based on record review and staff interview, the vendor did not ensure a out of state child abise and neglect search was requested and/or follow up on out of state Child abuse neglect request was completed 45 days after request was submitted.

“Evidence: Staff #1 hire date was 02/02/2023. Staff #1 lived out of the state of Virginia in the past 5 years. During the inspection the center was unable to determine if a out of state centeral registry was submitted to the state he lived in the past 5 years.”

Rule 8VAC20-790-550-2-b.

Based on observation, the vendor did not ensure that areas ogf equipment of the enter insode and outside, is clean, safe and operable.

“Evidence: In the gym, there was cracked window on the door, rust in the boys bathroom and light was not working in the bathroom . Staff confirmed the bathroom is used by the program.”

Rule 8VAC20-790-630-A.

Based on observation and staff interview, the vendor did nto ensure electrical outlets have protective covers.

“Evidence: In the infant room, there was two outlets not covered . The outlets were shown to staff in charge during the inspection.”

Rule 8VAC20-790-630-C-2.

Based on observation and staff interview, the vendor did not ensure hazordous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the following areas there was hazordous substance that were not kept locked: 1-In the hallway, there was hand santizer and soap both had two warning labels keep out of reach of children, warning, caution and/or flammable. 2-In the 4 year old room, there was soap labeled with keep out of reach of children and warning. 3-In the 3 year old room, there was soap labeled with labeled with keep out of reach of children and warning.”

Rule 8VAC20-790-640-A.

Based on observation and staff interview, the vendor did not ensure Emergency evacuation and shelter in place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: There was a map posted for evacuation but did not have posted procedures or map for shelpter in place.”

Rule 8VAC20-790-790-C.

Based on staff interview and observation, the vendor did not ensure a 911 or local dial number for police, fire, and emergency medical services and the number of the regional poison control center shall be posted in a visible and conspicuous place.

“Evidence: Staff was unable to locate the list of emergency numbers.”

Rule 8VAC20-790-790-D.

Based on staff interview and record review, the vendor did not ensure to maintain record of dates of the shelter in place and lockdown drill was practiced.

“Evidence: There was not a record maintained of shelter in place and lockdown drills for 2022.”

Rule 8VAC20-790-800-B.

Based on record review and staff interview, the center did not ensure a out of state child abise and neglect search was requested and/or follow up on out of state Child abuse neglect request was completed 45 days after request was submitted.

“Evidence: Staff #1 hire date was 02/02/2023. Staff #1 lived out of the state of Virginia in the past 5 years. During the inspection the center was unable to determine if a out of state centeral registry was submitted to the state he lived in the past 5 years.”

Rule 22.1-289.035-B-4.

Based on record review and staff interview, the provider did not ensure by staff 30th day of employment there should be Central Registry results .

“Evidence: Staff #2 hire date 08/19/2022 did not have a Virgina Central Registry results documentation in the record .”

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

Based on record review, the vendor did not ensure Based on record review and staff interview, the vendor did not ensure staff had Virginia Child Protective Services Central Registry check 30 days after employment.

“Evidence: During the inspection on June 7,2023 and August 10, 2023 the center was not able to provide Central Registry results for Staff # 1 .”

Rule 8VAC20-790-550-2-a.

Based on staff interview, the vendor did not ensure behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Evidence: Staff #1 said she tapped child’s hand quickley to stop a behavior when working at the center.”

Rule 8VAC20-790-700-A.

8VAC20-770-40-D-2

“Based on record review and staff interview, the provider did not ensure by staff 30th day of employment there should be Central Registry results . Evidence: Staff #1 did not have a Virgina Central Registry results documentation in the record . The center was unable to locate the Central Registry Check on June 7, 2023 and August 10, 2023.”

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

Based on record review and staff interview, the vendor did not ensure documentation was completed for training, including the training, the date ,the total hours of the session, and the names of the trainer and/or of any sponsoring organization.

“Evidence: Records did not have documentation of the orientation. Staff confirmed there was no documentation of orientation training with all required components in the 4 staff records reviewed.”

Rule 8VAC20-790-550-5. From a complaint.

Based staff interiew and video footage review, the vendor did not ensure behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-790-700-A. From a complaint.

8VAC20-770-40-D-2

“Based on record review, in three of three staff records reviewed, the center did not ensure that staff have results of a search of the Central Registry within 30 days of employment. Evidence: The Director confirmed that there were not Central Registry results for the following staff members: Staff #1-date of hire 06/07/2022 Staff #2- date of hire 06/27/2022 Staff #3-date of hire 06/16/2022”

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

Based on record review, the center did not ensure all children enrolled had documentation of proof of child’s identity.

“Evidence: Child #1 did not have document of proof identity in child’s record on the date of the inspection. Confirmed by Staff #4.”

Rule 8VAC20-790-540-B-12.

Based on record review and staff interview, the center did not ensure there was at least one staff on duty who obtained daily health observaton of children.

“Evidence: The center was unable to provide documentation during the inspection of a staff present with daily health observation.”

Rule 8VAC20-790-600-I.

Based on observation, the center did not ensure areas of equipment of the center inside and outside , was not maintained in a clean, safe and opearble condition.

“Evidence: On the playground , there was a deteriorating wooded barrier which is causing splintering. On the other playground there were broken plastic cones.”

Rule 8VAC20-790-630-A.

Based on observation and staff interview, the center did not ensure all hazordous substances were kept in a locked place.

“Evidence: In the room with elementary children, there werte window cleaner, hydroperoxide and cleaner solutions not kept in locked place. Confirmed by Staff #4. In the two’s classroom , there was hand sanitizer that was not kept in locked place. In the bear’s (three and four year olds) classroom, there was aerosol spray /disinfectant and antibacterial hand soap that was not kept in a locked place.”

Rule 8VAC20-790-640-A.

Based on observation and staff interview, the center did not ensure children less than 10 years of age always be within actual sight and sould supervision.

“Evidence: During the inspection on August 19, 2022, there were 2 infant children on the one side of the wall in the classroom sleeping in the cribs.The staff were not in actual sight of the children.”

Rule 8VAC20-790-670-H.

Based on observation the center did not ensure to maintain a record of dates of evacuation practices drills monthly.

“Evidence: Staff #4 confirmed she was unable to locate the documentation for the evacuation drills.”

Rule 8VAC20-790-800-B.

Based on observation and staff interview, the religious institution did not enusre certification was posted the fact that it is exempt from licensure in a visible location on the premises.

“Evidence: The director confirmed there was not a document posted on premise that confirms there exempt from licensure.”

Rule 22.1-289.031-A.

Based on observation and inspection of the facility, the center did not ensure that all areas of the premises accessible to children are free of obvious injury hazards.

“Evidence: The following obvious hazards were the broken cones outside on the playground and the deteriorating wood around the boarder of the playground.”

Rule 22.1-289.031-B-5.

Based on record review, in three of three staff records reviewed, the center did not ensure that staff have results of a search of the Central Registry within 30 days of employment.

“Evidence: The Director confirmed that there were not Central Registry results for the following staff members: Staff #1-date of hire 06/07/2022 Staff #2- date of hire 06/27/2022 Staff #3-date of hire 06/16/2022”

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