Zion Baptist Church

Based on record review and interview, the vendor did not obtain documentation of additional immunizations once every six months for children less than two years of age.

“Evidence: 1. The most recent immunizations for child 1 were administered on 08/14/2023, a. Child 1 is under the age of two years and was in care during the inspection. 2. The program director confirmed that an updated immunization record was not on file for child 1.”

Rule 8VAC20-790-580-B.

Based on observation, the vendor failed to ensure that outside areas of the center shall be maintained in a safe condition.

“Evidence: 1. Two areas of exposed landscape cloth were observed protruding from the resilient surfacing on the children’s outdoor play area. a. This is a trip hazard. 2. A bolt with sharp point was protruding from the entrance/exit gate to the children’s outdoor play area. a. This bolt had approximately 7 threads and was in an area of the gate accessible to height of older preschool and school age children in care.”

Rule 8VAC20-790-630-A.

Based on interview, the vendor failed to have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The plan shall address the most likely to occur emergency scenarios, including severe storms, loss of utilities, natural disaster, chemical spills, intruder, and violence on or near the facility, and facility damage or other situations that may require evacuation, lockdown, or shelter-in-place.

“Evidence: 1. The program director stated that there was not a written emergency preparedness plan for the child day program.”

Rule 8VAC20-790-790-A.

Based on record review and interview, the religiously sponsored child day program failed to obtain within 30 days of employment a search of the central registry.

“Evidence: 1. Staff 1, hire date 08/2021, lacks the results of a central registry check. 2. Administrative staff stated she could not find the results of a central registry check for staff 1.”

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

Based on observation, the vendor failed to ensure that all areas of the premises accessible to children are free of obvious injury hazards.

“Evidence: 1. Multiple areas of exposed landscape cloth was observed protruding from the resilient surfacing on the children’s outdoor play area. This is a trip hazard.”

Rule 8VAC20-790-660.

Based on review, the vendor failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: 1. Shelter-in-place procedures were not indicated on the posted evacuation/emergency map.”

Rule 8VAC20-790-790-C.

Based on interview and record review, the vendor failed to ensure that shelter-in-place procedures shall be practiced twice a year.

“Evidence: 1. The emergency log for the facility had documentation of one shelter-in-place practice drill for 2022. Two are required. 2. Administrative staff confirmed that a second shelter drill had not been conducted.”

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

Based on interview and record review, the vendor failed to maintain a record of the dates of the practice drills for one year.

“Evidence: 1. The emergency log for the facility failed to note a lockdown drill conducted in November 2022.”

Rule 8VAC20-790-800-B.

Based on record review and interview, the vendor failed to ensure that the written record of children’s minor injuries shall contain all of the required elements.

“Evidence: 1. The written injury report for child 1 only listed 1 of 2 injuries the child received while in care on 01/19/2023. 2. Administrative staff and teaching staff confirmed that the second injury was not included on the written injury report.”

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