Providence Bible Day Center

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Disinfectant spray was being stored in an unlocked cabinet. It was accessible to children.”

Rule 8VAC20-780-280-B.

Pillows and filled comforters shall not be used by children under two years old.

“Pillows were being used by children under the age of two during rest time.”

Rule 8VAC20-780-440-L.

Medications shall be kept in a locked place using a safe method that prevents access to children.

“Medication for Child 1 was unlocked in the child’s cubby and accessible to children.”

Rule 8VAC20-780-510-L.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child # 4 has been enrolled for 3 months and did not have the complete addresses for the two designed people to call in an emergency if the parent cannot be reached.”

Rule 8VAC20-780-60-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: The cabinet under the sink in the restroom near the sanctuary was not locked and contained cleaning materials such as Lysol and glass cleaner; children were observed in the restroom during the inspection.”

Rule 8VAC20-780-280-B.

Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have a protective cover.

“Evidence: The electrical outlets in the lobby area of the church sanctuary were uncovered. The toddler group of children was observed in the lobby area of the church during the inspection.”

Rule 8VAC20-780-290-A-3.

Based on observations, the center failed to ensure that disposable diapers shall be disposed in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches the exterior surface of the storage system during disposal.

“Evidence: The trashcan in the restroom near the sanctuary had a swinging lid. The diaper disposal system required a staff member to use their hand to move the lid in order to dispose of the diaper. Staff were observed changing diapers in the restroom.”

Rule 8VAC20-780-500-B.

Based on document review, 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: There were 14 children observed in the pre-k group of children; there were 12 children marked present on the attendance record. The attendance record did not document the arrival of each child as it occurred.”

Rule 8VAC20-780-80-A.

Based on observation, the center failed to ensure that all tables were sanitized as required.

“Evidence: Observed the lunch tables at arrival with lunch boxes and discarded food. The tables were not sanitized after eating lunch as required.”

Rule 8VAC20-780-560-J.

Based on review of ten staff records, the center failed to ensure that all records were complete per the standard.

“Evidence: Staff # 3 had a hire date of 05/31/2023 and the two required reference were dated 06/02/2023. The reference checks are required prior to employment.”

Rule 8VAC20-770-70-A.

Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition.

“Evidence: The outside play area has exposed siding on the building that has visible cracks and missing pieces. These cracks are accessible to the children and have sharp edges.”

Rule 8VAC20-780-270-A.

Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.

“Evidence: Medication authorization for Child # 6 to administer nonprescription medication was signed by the parent on 10/02/2023 and expired on 10/16/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.”

Rule 8VAC20-780-510-P.

Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record for Child 1 contained a start date of 03/13/2023; there was not a physical examination in the record for Child 1. 2. The record for Child 3 contained a start date of 05/23/2022; there was not a physical examination in the record for Child 3.”

Rule 8VAC20-780-140-A.

Based on observation, 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: The following items were on a shelf in the restroom in the diapering area: Scrubbing Bubbles, 2 bottles of Purex laundry detergent, Gain Scent Boosters, 2 bottles of Microban and a spray bottle of Saniclean. The cleaning materials were not locked to prevent access by children.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

“Evidence: 1. The restroom in the diapering area was not equipped with disposable towels or an air dryer. Children were observed using this restroom for handwashing and were not provided with disposable towels or an air dryer. 2. The restroom labeled Boy’s was not equipped with toilet paper.”

Rule 8VAC20-780-320-B.

Based on observation, the center failed to ensure that sandboxes with bottoms which prevent drainage shall be covered when not in use.

“Evidence: There was an uncovered plastic turtle sandbox in the outside play area. The sandbox has a bottom that prevents drainage.”

Rule 8VAC20-780-330-E.

Repeat violation

“Based on observation, the center failed to ensure that that staff shall wash their hands with soap and running water after any contact with body fluids. Evidence: Staff 4 was observed wiping multiple children’s noses. Staff 4 did not wash their hands with soap and running water after contact with body fluids.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during the disposal and that the diapering surface shall be cleaned with soap and water and sanitized after each use.

“Evidence: 1. The disposable diaper storage system in the diapering area had a lid that was not foot-operated and had to be opened by hand. Staff 4 was observed using their hands to open the disposable diaper storage system to dispose of a diaper. 2. Staff 3 and Staff 4 were observed changing diapers. The diapering surface was not cleaned or sanitized after each use.”

Rule 8VAC20-780-500-B.

Repeat violation

Rule 8VAC20-780-560-G.

Repeat violation

“Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 3 was observed walking around the 2 year old class area while drinking a juice box during lunch.”

Rule 8VAC20-780-560-M.

Based on record review, the center failed to ensure that the separate record for each enrolled child with a diagnosed food allergy shall contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, as required by the standards.

“Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There was not a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, in the record for Child 4.”

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

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: The attendance record in the Toddler Room indicated 7 children present. There were 8 children observed in the group during the inspection. The attendance did not document the arrival as it occurred.”

Rule 8VAC20-780-80-A.

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

“Evidence: 1. The record for Staff 2 contained a documented hire date of 05/19/2022; the date on the findings from the search of the central registry was 08/09/2022. 2. The record for Staff 4 contained a documented hire date 10/12/2021; the date on the findings from the search of the central registry was 11/18/2021.”

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

Based on observation, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group.

“Evidence: There were 28 children, ages 15 months-5 years, and 4 staff members observed as one group during the designated rest period. Based on the current ratio wavier issued to the center the required staff-to-child ratio for this group of children was 1:5; 6 staff members were required to meet the ratio.”

Rule 8VAC20-780-350-C.

Based on observation, the center failed to ensure that if combs, toothbrushes or personal articles are used, they shall be individually assigned.

“Evidence: There was a pacifier on a table in the Young 2?s Class that was not labeled.”

Rule 8VAC20-780-430-I.

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 and snacks; and that staff shall wash their hands with soap and running water before feeding or helping children with feeding; and before preparing or serving food or beverages.

Rule 8VAC20-780-500-A.

Based on document review, the center failed to ensure that when long-term medications, prescription and over-the-counter, are administered for more than 10 days, written authorization from the child’s physician is obtained.

“Evidence: 1. The medication authorization forms for Medication 1 and Medication 2 contained written parental authorization for long-term medication administration from 08/09/2022-08/09/2023. 2. The medication authorization form for Medication 1 and Medication 2 did not contain written authorization for long-term medication administration from the child’s physician. 3. The medication was administered 10 times after 08/19/2022.”

Rule 8VAC20-780-510-E.

Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: There were 7 lunch boxes in the Infant/Toddler Room that were not dated.”

Rule 8VAC20-780-560-G.

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

“Evidence: The tables in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class were not sanitized before lunch.”

Rule 8VAC20-780-560-J.

Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around.

“Evidence: Numerous children in the Pre-K Class were observed walking around the classroom while eating during lunch.”

Rule 8VAC20-780-560-M.

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

“Evidence: In the large ?playroom? used for the infant classroom there was a piece of the sheetrock missing from the wall near the outside exit door that exposed the insulation inside of the wall; the insulation was accessible to the children in the room. Children were observed using this space during the inspection.”

Rule 8VAC20-780-270-A. From a complaint.

Based on record review and discussion, the center failed to ensure that each staff record contains all of the elements as required by the standards.

Rule 8VAC20-780-70. From a complaint.

Based on observation and discussion with staff, 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.

Rule 8VAC20-780-270-A.

Based on observation and discussion, the center failed to ensure that in areas of centers serving preschool age or younger, electrical outlets shall have protective covers.

“Evidence: 1. There was an uncovered electrical outlet in the area of the large room used by the Pre-K group. 2. There were 2 uncovered electrical outlets in the play room used by the children. 3. The children in care were preschool age and younger.”

Rule 8VAC20-780-290-A-3.

Based on record review and discussion with staff, the center failed to obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 3 contained documentation that Staff 3 had resided outside of the state of Virginia within the preceding five years. The record for Staff 3 contained a documented hire date of 11/04/2021. There was not a sex offender registry check in the record for Staff 3 during the 11/17/2021 inspection.”

Rule 63.2(17)-1720.1-B-4.