Pocahontas Bassett Baptist Church

For each group of children receiving care, at least one adult staff member shall be regularly present.

“Staff 4 (age 16 years) is the only staff member regularly present during the afternoon in Classroom 3. Staff 5 (age 17 years) is the only staff member regularly present during the afternoon in Classroom 2.”

Rule 22.1-289.031-A-3.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“The national criminal background check for Staff 4 was obtained more than one month after the first day of employment. The national criminal background check for Staff 5 was obtained five days after the first day of employment.”

Rule 22.1-289.035-B-2.

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.

“There were cans of Hot Shot Ant, Roach and Spider spray and Hot Shot Flea, Tick and Lice spray unlocked on top of a cabinet in Building 2.”

Rule 8VAC20-790-640-A.

Children less than 10 years of age shall always be within sight and sound supervision of staff.

“Staff 3 must get Child 4 off of the public-school bus each day, during that time Staff 3 leaves the children (ages 16 months-2 years) in their care alone in the classroom. During the inspection, the two children in Classroom 3 (ages 16 months-2 years) were left alone in the classroom while Staff 3 went to get Child 4 off of the bus; the children were alone in the classroom for approximately one minute.”

Rule 8VAC20-790-670-H.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks.

“Child 4 did not wash their hands before eating a snack.”

Rule 8VAC20-790-760-A-1.

Staff shall wash their hands with soap and running water before preparing and serving food or beverages.

“Staff 3 did not wash their hands before serving food.”

Rule 8VAC20-790-760-A-3.

Over-the-counter or nonprescription medication may be administered with written permission from the parent, provided the medication is labeled with the child’s name.

“Medication 1, which has been administered four times, was not labeled with the child’s name.”

Rule 8VAC20-790-780-B.

Tables and high chair trays shall be sanitized before and after each use for feeding.

“The high chair tray used by Child 4 was not sanitized before being used for feeding.”

Rule 8VAC20-790-810-G.

Repeat violation

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 15 children present in Classroom 3, but only 14 children marked present on the attendance record.”

Rule 8VAC20-790-530-B.

Staff shall be evaluated by a health professional to determine to be free of tuberculosis at least every two years from the date of the initial screening.

“The TB screening for Staff 1 was overdue by 2 months. The TB screening for Staff 2 was overdue by 6 months. The TB screening for Staff 3 was overdue by 1 week.”

Rule 8VAC20-790-560-B.

All staff who work directly with children shall have a current certification in CPR within 90 days of employment.

“Staff 4, who has been employed for 10 months, does not have a current certification in CPR.”

Rule 8VAC20-790-600-D-1.

All staff who work directly with children shall have a current certification in first aid within 90 days of employment.

“Staff 4, who has been employed for 10 months, does not have a current certification in first aid.”

Rule 8VAC20-790-600-D-2.

Complaint related

“The required ratio for children ages 36 months to five years is one staff member per 10 children. Staff 3 was the only staff member supervising 15 children in Classroom 3. The youngest child in the group was 4 years old; this group of children required 2 staff.”

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

Each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.

“The health exam for Staff 1 was 2 months overdue. The health exam for Staff 3 was 4 months overdue.”

Rule 22.1-289.031-A-4. From a complaint.

Complaint related

“The center must request a search of the central registry prior to the employee’s first day of employment. The central registry search for Staff 5, who has been employed for more than 3 months, was not requested prior to their first day of employment.”

Rule 22.1-289.035-B-3. From a complaint.

For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“There were 7 children present in the 2-3 year old class at 10:30 am on 10/02/2024 but the attendance record showed 8 children marked present.”

Rule 8VAC20-790-530-B.

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 steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child 1, who has been enrolled for one month, has a diagnosed food allergy and did not have a written care plan in the record.”

Rule 8VAC20-790-540-B-11.

Based on record review and observations, the vendor 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: 1. The record for Staff 2 contained a documented hire date of 08/07/2023. The employment eligibility letter was dated 09/18/2023. Staff 2 was observed working during the 10/24/2023 inspection. 2. The record for Staff 4 contained a documented hire date of 07/21/2023. The employment eligibility letter was dated 08/02/2023. Staff 4 was observed working during the 10/24/2023 inspection.”

Rule 22.1-289.035-B-2.

Based on record review, the vendor failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation.

“Evidence: The record for Staff 4 contained a documented hire date of 07/21/2023. The sworn statement was dated 07/25/2023. Staff 4 was observed working during the 10/24/2023 inspection.”

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

Based on document review and staff interviews, the vendor failed to maintain, for each group of children, a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: There were two groups of children observed during the 10/24/2023 inspection. There was only one sign in/out sheet used to document attendance. Staff 1 confirmed there was not a separate attendance document for each group of children.”

Rule 8VAC20-790-530-B.

Based on record review, the vendor failed to ensure that each child’s record contains all of the elements as required by the standards.

Rule 8VAC20-790-540-B.

Based on observations, the vendor 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 various cleaning materials such as Microban and Lysol Wipes on a shelf in the room used for diapering that were not locked. 2. There were various cleaning materials in the unlocked storage closet of the 3-4 year old class.”

Rule 8VAC20-790-640-A.

Based on observations, the vendor failed to ensure that when diapering, that disposable diapers shall be disposed of 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 disposal.

“Evidence: The diaper disposal system requires that the soiled diaper touches the exterior surface of the system to dispose of the soiled diaper.”

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

Based on observations, the vendor failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use.

“Evidence: The diaper changing surface was not cleaned with soap and water after each use.”

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

Based on observations, the Center failed to post the fact that the Center is exempt from licensure in a visible location on the premises.

“EVIDENCE: Exemption letter was not posted.”

Rule 22.1-289.031-A.

Based on discussion with staff, the Center failed to have a least 1 staff person present during the center’s hours of operation who has received training in the daily health observations of children.

“EVIDENCE: There was not at least one staff person present who has received Daily Health Observation training.”

Rule 22.1-289.031-B-3.

Based on discussion, Center did not ensure all staff are able to recognize the signs of child abuse and neglect.

“EVIDENCE: Staff members have not received training/information regarding the signs of child abuse and neglect and mandated reporters guidelines.”

Rule 22.1-289.031-B-6.

Based on record review, the Center failed to have required information from the person enrolling the child regarding previous child day care and schools attended by the child.

“EVIDENCE: Records of Child #1 and Child #2 did not include information regarding previous schools/daycare attended by the child.”

Rule 22.1-289.049-A.