Los Pentecostales De La Peninsula Church

8VAC20-790-560-B

“TB screenings are required at least every two years from the date of the initial screening. Staff #1 TB test was completed 2 years and 6 months ago. The TB test was more than 2 years old.”

Rule 8VAC20-790-560-B.

8VAC20-790-600-F

“Staff who work directly with children shall to complete health and safety update course. Staff #2 did not have a Health and Safety update documentation of completion in 2025.”

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.

“There was no staff at the center on duty with Daily Health Observation training.”

Rule 8VAC20-790-600-I.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.

“In the girls bathroom in front of the building, there was a toilet seat missing, and a bathroom stall door was not able open properly. In the boys bathroom in front of the building there was a toilet seat that was not properly fitting and paper towel dispenser not working. In the hallway near the 3 and 4 year old classrooms, there was some equipment by the door that was broken (chair) accessible to children coming and going from the classroom.”

Rule 8VAC20-790-630-A.

In areas used by children of preschool age or younger there shall be electrical outlets shall have protective covers.

“In the gym, there were 3 outlet covers not covered. In the nap area, there was one outlet not covered.”

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

Repeat Violation A nonabsorbent surface for diapering or changing shall be used.

“One diapering pad in the girls bathroom had a tear causing the diapering pad to be absorbent.”

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

Repeat Violation

“Shelter-in-place procedures shall be practiced twice a year. Center did not conduct shelter in place drills for 2025.”

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

Repeat Violation

“Lockdown procedures shall be practiced at least annually. Lockdown drill was not conducted in 2024.”

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

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

“Children written record for minor injuries were missing documentation of treatment for injury report 2, 3, and 5.”

Rule 8VAC20-790-720-C.

A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“One diapering pad in the classroom one had a tear exposing the absorbent material . Second diapering pad had multiple little holes.”

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

Repeat

“Shelter-in-place procedures shall be practiced twice a year. Center did not conduct shelter in place drills for 2024.”

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

Repeat

“Lockdown procedures shall be practiced at least annually. Lockdown drill was not conducted in 2024.”

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

8VAC20-790-720-B

“The vendor shall notify the parent by the end of the day of any known minor injuries. The center did not notify child #1 parent by the end of the day of minor injury on October 10, 2024.”

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

Based on record review, the vendor did not ensure written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds.

“Evidence: Child #1, Child #4 and Child #10 record did not have documentation giving the vendor authorization for emergency medical care or not giving medical care. The question the vendor had on the registration form was a yes or no question . And nothing was marked.”

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

Based on record review, the vendor did not ensure the orientation training for staff is completed on facility specific topics prior to the staff member working alone with children and within seven days of the date of employment.

“Evidence: There was no documentation the orientation was completed for Staff #4, Staff #5.”

Rule 8VAC20-790-600-C.

Based on record review, the vendor did not ensure at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

“Evidence: The vendor was unable to provide a document that confirmed at least one staff on duty who has obtained daily health observation with in the past three years.”

Rule 8VAC20-790-600-I.

REPEAT Based on observation and staff interview the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Evidence: Staff confirmed that electrical outlets did not have protective covers in the following areas: 1- In the two year old room, there was 2 outlets not covered. 2- In the 3 year old room, 4 outlets not covered. 3- In the Preschool room, 2 outlets not covered. The staff who toured the building confirmed the outlets were missing and request the outlets to be covered during the inspeciton.”

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

REPEAT Based on observation and staff interview the vendor did not ensure 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.

Rule 8VAC20-790-640-A.

Based on record review, the vendor did not ensure all require information was obtained for serious or minor injuries.

“Evidence: The 5 injury record reviewed did not include time and date parent was notified.”

Rule 8VAC20-790-720-C.

Based on record review and staff interview, the vendor did not ensure shelter-in -place procedures were practiced twice a year.

“Evidence: There was not documentation and staff were not able to confirm a shelter in place drill was conducted 2 times in 2023.”

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

Based on record review and staff interview, the vendor did not ensure a lockdown procedures were practiced at least annually.

“Evidence: The staff were unable provide documentation or confirm a Lockdown drill was practiced in 2023.”

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

Based on observation, the vendor did not ensure when child is plced in high chair , the protective belt shall be fastened securely.

“Evidence: Staff confirmed child #2 was in the high chair without being fastened securley.”

Rule 8VAC20-790-820-B.

Based on observation and staff interview, the licensee did not ensure bottles are not used while child is in designated sleeping area.

“Evidence: In the infant classroom, child #1 was in the crib with a bottle.”

Rule 8VAC20-790-820-C.

Based on observation and staff interview, the licensee did not ensure prepared infant formula will be refrigerated, dated, and labeled with the child’s name if more than one infant is in care.

“Evidence: In the infant room (6-8 months), there were 3 bottles not labeled with date and name.”

Rule 8VAC20-790-820-E.

8VAC20-790-630-C-2

“Based on observation and staff interview the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: Staff confirmed that electrical outlets did not have protective covers in the following areas: In the 2-year-old classroom 3 outlets did not have protective covers In the 1-year-old classroom 4 outlets did not have protective covers In the 3-year-old classroom 3 outlets did not have protective covers”

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

8VAC20-790-640-A

Rule 8VAC20-790-640-A.

22.1-289.031-A-3-a

“The center did not have supervisory personnel according to the required ratio of staff to children. During the inspection on 2/23/2023 there were: 5 infants present with 1 staff member. The ratio for this age group is one staff member to four children (1:4).”

Rule 22.1-289.031-A-3-a. From a complaint.

22.1-289.031-A-3-b

“The center did not have supervisory personnel according to the required ratio of staff to children. During the inspection on 2/23/2023 there were: Six 1 year old children present with 1 staff member. The ratio for this age group is one staff member to five children (1:5).”

Rule 22.1-289.031-A-3-b. From a complaint.

22.1-289.031-A-3-c

“The center did not have supervisory personnel according to the required ratio of staff to children. During the inspection on 2/23/2023 there were: 10 children present with 1 staff member in the two year old classroom. The ratio for this age group is one staff member to eight children (1:8).”

Rule 22.1-289.031-A-3-c. From a complaint.

8VAC20-790-670-C-1

“Based on observation and staff interview the vendor did not ensure that the ratio requirements were maintained. Evidence: Staff confirmed in the infant room (0 to 16 months) there were 5 infants present with 1 staff member at the time of inspection on 2/23/2023. The ratio for this age group is one staff member to four children (1:4).”

Rule 8VAC20-790-670-C-1. From a complaint.

8VAC20-790-670-C-2

“Based on observation and staff interview the vendor did not ensure that the ratio requirements were maintained. Evidence: Staff confirmed in the ?1-year-old classroom? (16 months to 24 months) there were 6 children present with 1 staff member at the time of inspection on 2/23/2023. The ratio for this age group is one staff member to five children (1:5).”

Rule 8VAC20-790-670-C-2. From a complaint.

8VAC20-790-670-C-3

“Based on observation and staff interview the vendor did not ensure that the ratio requirements were maintained. Evidence: Staff confirmed they were out of ratio in the ?2-year-old classroom ? (24 months to 36 months). there were 10 children present with 1 staff member at the time of inspection on 2/23/2023. The ratio for this age group is one staff member to eight children (1:8).”

Rule 8VAC20-790-670-C-3. From a complaint.

Based on interviews and review of documentation, the center staff did not ensure that formula or breast milk does not remain unrefrigerated for more than 2 hours and that it is not reheated.

Rule 8VAC20-790-820-H. From a complaint.

Based on a review of records and interview, the vendor did not ensure that each enrolled child’s record contains all of the required information.

“Evidence: Five children’s records were reviewed. The record for child #1 did not have an address for either of the two required emergency contacts to be contacted in an emergency if the parents can not be reached. The record for child #2 did not contain an address for one of the two required emergency contacts to be contacted in an emergency if the parents can not be reached. The program director stated that she did not have documentation of this information available at the time of inspection.”

Rule 22VAC40-665-520-B.

Based on a review of records and interview, the vendor did not ensure that each staff person obtains a subsequent Tuberculosis (TB) screening within 2 years of the last documented TB screening results.

“Evidence: Five staff records were reviewed. The record for staff #3 contained results of a TB screening which was dated 10/23/2017. Documentation of a subsequent TB screening was not available. The program Director stated that more recent TB screening results were not available at the time of inspection.”

Rule 22VAC40-665-540-B.

Based on a review of records and interview, the vendor was unable to demonstrate that each staff member received, prior to the staff member working alone with children and within seven days of the date of employment, an orientation training of facility specific topics to include playground safety procedures, responsibilities for reporting suspected child abuse or neglect, confidentiality, Supervision of children, procedures for action in the case of lost or missing children, ill or injured children, medical and general emergencies, medication administration, the written emergency preparedness plan, prevention of shaken baby syndrome, prevention of sudden infant death syndrome, preventing exposure to foods to which the child is allergic, preventing cross contamination, and recognizing and responding to any allergic reactions and transportation policies.

“Evidence: Five staff records were reviewed. The records for staff #1 (hired 2/21/2022), #2 (hired 2/10/2022) #3 (hired 9/7/2017), #4 (hired 3/15/2022) and #5 (hired 2/10/2020) did not contain documentation of a program specific orientation documentation prior to the staff member working alone with children and within seven days of the date of employment The Program Director was unable to provide, during the inspection, documentation that a program specific orientation was conducted which included all of the required topics.”

Rule 22VAC40-665-580-D.

22VAC40-665-580-H

Rule 22VAC40-665-580-H.