Building Hope Fellowship Community Center, Inc.

Repeat Violation: The center shall establish and implement procedures to ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.

“The center’s procedures are to collect immunization records. Child #1, 23 months old, had documentation of receiving immunization but an update immunization record was due over two months ago.”

Rule 22.1-289.031-B-4.

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.

“In the changing room, a bottle of window spray and grease cleaner was observed in a cabinet underneath the sink that was unlocked and accessible to children. In the kitchen, cleaning materials on an open shelf were observed unlocked.”

Rule 8VAC20-790-640-A.

Repeat Violation: The child day center shall employ supervisory personnel according to the following ratio of staff to children: One staff member to four children from ages zero to 16 months.

“At the start of the inspection on 07/01/2026, 13 children were observed in the same room with three staff. Child #1, age 11 months, was the youngest child in the group, requiring one staff member to four children. A fourth staff arrived approximately 14 minutes later.”

Rule 22.1-289.031-A-3-a.

Repeat Violation: 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 him from caring for children under his supervision.

“Staff #3, employed for two months, had documentation from a certified practicing physician that did not indicate if staff #3 was free from any disability which would prevent them from caring for children under their supervision. Staff #2, employed for three months, did not have a staff health form present at the time of the inspection. This was cited at the previous inspection for both staff.”

Rule 22.1-289.031-A-4.

Repeat Violation: The child day center shall comply with all safe sleep guidelines recommended by the American Academy of Pediatrics.

Rule 22.1-289.031-A-9.

Repeat Violation: The center shall establish and implement procedures for appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children.

“The crib occupied by child #1, age 11 months, was positioned at level one height that is required for non-mobile infants only. A second height position was available for infants who can move and stand. Child #1 was observed standing on their own in the crib.”

Rule 22.1-289.031-B-2.

The child day center shall employ supervisory personnel according to the following ratio of staff to children: One staff member to four children from ages zero to 16 months.

“At the start of the inspection on 05/12/2026, child #5, age 10 months, was sleeping in a crib unsupervised in the infant room. There were no staff present in the infant room.”

Rule 22.1-289.031-A-3-a.

Repeat Violation & Systemic Deficiency: 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 him from caring for children under his supervision.

“Staff # 1, employed for eight weeks, and staff #2, employed for two weeks, did not have a staff health form present at the time of the inspection.”

Rule 22.1-289.031-A-4.

The child day center shall comply with all safe sleep guidelines recommended by the American Academy of Pediatrics.

“According to the American Academy of Pediatric Safe Sleep Guidelines, it states “Keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and nonfitted sheets, away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation.” On 05/12/2026, child #5, age 10 months, was sleeping unsupervised in a crib covered with a loose blanket.”

Rule 22.1-289.031-A-9.

The center shall establish and implement procedures for appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children.

“At the start of the inspection on 05/12/2026, child #5, age 10 months, was sleeping in a crib unsupervised in the infant room. The staff member assigned to the infant room was in the main classroom with other staff, who were supervising children watching television. The center reported their procedures for appropriate supervision is for staff to stay in the infant room while children sleep.”

Rule 22.1-289.031-B-2.

Repeat Violation & Systemic Deficiency: The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The record for Staff #2, employed for two weeks, did not have a sworn statement documented at the time of the inspection.”

Rule 22.1-289.035-B-1.

Repeat Violation & Systemic Deficiency: Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child.

“Child #1, child #2, child #3, child #4 and child #5, all present at the time of the inspection, did not have documentation of previous child day care and schools attended.”

Rule 22.1-289.049-A.

Repeat Violation: A child day center operated or conducted under the auspices of a religious institution, shall post the fact that it is exempt from licensure in a visible location and post the qualifications of the personnel employed.

“The fact that the center is exempt from licensure was not posted.”

Rule 22.1-289.031-A.

Repeat Violation & Systemic Deficiency: 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 him from caring for children under his supervision.

“Staff #1 had a completed staff health form dated seven days after date of employment. Staff #2, employed for one day, did not have a staff health form present at the time of inspection. Staff #4, employed for over one year, did not have a staff health form present at the time of inspection.”

Rule 22.1-289.031-A-4.

Repeat Violation: The following aspects of the child day center’s operations are described in a written statement provided to the parents or guardians of the children in the center and made available to the general public: physical facilities, enrollment capacity, food services, health requirements for the staff, and public liability insurance.

“The written statement to parents & guardians and the general public was not available at the time of inspection.”

Rule 22.1-289.031-A-6.

A person trained and certified in first aid and cardiopulmonary resuscitation (CPR) will be present at the child day center whenever children are present.

“Staff #1 and Staff #2 do not have CPR or First Aid certifications, and they were the only staff present when the inspection was initiated. Approximately 39 minutes later, Staff #3, who is certified in CPR and First Aid, arrived.”

Rule 22.1-289.031-A-8.

Repeat Violation: The center shall establish and implement procedures ensuring that a daily simple health screening and exclusion of sick children by a person trained to perform such screenings.

“There were no staff at the center that were formally trained in daily health screenings at the time of inspection.”

Rule 22.1-289.031-B-3.

Repeat Violation & Systemic Deficiency: The center shall establish and implement procedures ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.

“The record for Child # 2, enrolled for three months, did not have documentation of receiving immunizations. The record for Child # 3, enrolled for two months, did not have documentation of receiving immunizations. The record for Child # 4, enrolled for three months, did not have documentation of receiving immunizations. The record for Child # 5, enrolled for six months, did not have documentation of receiving immunizations. The record for Child # 6, enrolled for five months, did not have documentation of receiving immunizations.”

Rule 22.1-289.031-B-4.

Repeat Violation & Systemic Deficiency: The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff # 1 had a sworn statement dated eight days after date of employment. Staff #2, employed for one day, did not have a sworn statement on record at the time of inspection.”

Rule 22.1-289.035-B-1.

Repeat Violation & Systemic Deficiency: Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #2, employed for one day, did not have a criminal record check to view at the time of inspection.”

Rule 22.1-289.035-B-2.

Systemic Deficiency: The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #1, employed for two days, did not have documentation of a central registry search request prior to employment. Staff #2, employed for one day, did not have documentation of a central registry search request prior to employment. Staff #1 and Staff #2 were alone with children at the time of inspection.”

Rule 22.1-289.035-B-3.

Repeat Violation & Systemic Deficiency: Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child, and proof of the child’s identity and age.

Rule 22.1-289.049-A.

The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“There was no list present at the time of inspection and there were children present with allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-790-520-F.

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.

“Three of nine children that were present at the time of inspection were not checked in.”

Rule 8VAC20-790-530-B.

Repeat Violation & Systemic Deficiency: The child’s record shall include all required information.

“The record for child #1 was missing a written allergy care plan for the child’s food allergy as stated on the registration form. Child #3 was missing one emergency contact. Child #4 was missing one emergency contact.”

Rule 8VAC20-790-540-B.

Repeat Violation and Systemic Deficiency: The following records shall be kept for each staff person.

“Staff #2, employed for one day, did not contain verification of age.”

Rule 8VAC20-790-550-1.

Repeat Violation and Systemic Deficiency: Staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

“Staff #1, employed for two days, did not have a TB screening on record. Staff #2, employed for one day, did not have a TB screening on record. Staff #4, employed for over one year, did not have a TB screening on record.”

Rule 8VAC20-790-560-A.

Subsequent TB screenings are required at least every two years from the date of the initial screening.

“Staff #3, employed for over one year, had a TB screen that expired two months ago.”

Rule 8VAC20-790-560-B.

Repeat Violation and Systemic Deficiency: Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Staff #3 and Staff #4, employed for over one year, did not have a completed Virginia Preservice Training for Child Care Staff on file.”

Rule 8VAC20-790-600-B.

Repeat Violation and Systemic Deficiency: Orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment.

“Staff #1, employed for two days, and staff #2, employed for one day, did not have documentation of completed orientation training. Staff #1 and Staff #2 were alone with children at the time of inspection. Staff #3, employed for over one year, did not have documentation of completed orientation training. Staff #4, employed for over one year, did not have documentation of completed orientation training.”

Rule 8VAC20-790-600-C.

Repeat Violation and Systemic Deficiency: Staff who work directly with children shall, in addition to preservice and orientation training required, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #3, employed for over one year, did not have documentation of completed 16 hours of training. Staff #4, employed for over one year, did not have documentation of completed 16 hours of training.”

Rule 8VAC20-790-600-F.

Repeat Violation: 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.

“Cleaning and hazardous materials were observed unlocked in room 2 and in the main room where children were present.”

Rule 8VAC20-790-640-A.

A first aid kit shall contain all required items.

“The center’s first aid kit was missing tweezers at the time of inspection.”

Rule 8VAC20-790-780-A-1.

Repeat Violation & Systemic Deficiency: Evacuation procedures shall be practiced at least monthly.

“There were no documented evacuation drills at the time of inspection.”

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

Systemic Deficiency:

“Shelter-in-place procedures shall be practiced twice a year. There were no documented shelter-in-place drills at the time of inspection.”

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

Systemic Deficiency:

“Lockdown procedures shall be practiced at least annually. There was no documented lockdown drill at the time of inspection.”

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

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.

“Four of 12 children that were present at the time of inspection were not checked in.”

Rule 8VAC20-790-530-B.

Systemic Deficiency:

“The child’s record shall include all required information. The record for child #1 was missing an address for the parent, and an address for an emergency contact. The record for child #2 was missing one emergency contact, the child’s address. The record for child #4 was missing address and phone number for one parent and parent work. The record for child #5 was missing phone and address of parent work.”

Rule 8VAC20-790-540-B.

Systemic Deficiency:

“A written statement is required that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible. The record for child #1, child #3, child #4 and child #5 did not have the written statement signed by the parent.”

Rule 8VAC20-790-540-B-16.

Systemic Deficiency:

“The following records shall be kept for each staff person. The record for staff #1, employed for 11 months, did not contain verification of age. The record for staff #2, employed for six months, did not contain verification of age. The record for staff #4, employed for six months, did not contain verification of age.”

Rule 8VAC20-790-550-1.

Repeat Violation & Systemic Deficiency:

Rule 8VAC20-790-560-A.

Systemic Deficiency: Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Staff #1, employed for 11 months, did not have a completed Virginia Preservice Training for Child Care Staff on file. Staff #2, employed for six months, did not have a completed Virginia Preservice Training for Child Care Staff on file. Staff #3, employed for one year, did not have a completed Virginia Preservice Training for Child Care Staff on file. Staff #4, employed for six months, did not have a completed Virginia Preservice Training for Child Care Staff on file.”

Rule 8VAC20-790-600-B.

Systemic Deficiency: Orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment.

“Staff #1, employed for 11 months, did not have a complete orientation training on file. Staff #2, employed for 6 months, did not have a complete orientation training on file. Staff #3, employed for one year, did not have a complete orientation training on file. Staff #4, employed for six months, did not have a complete orientation training on file.”

Rule 8VAC20-790-600-C.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #3, employed for over one year, did not have current certification on record. Staff #4, employed for six months, did not have current certification on record.”

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

Staff who work directly with children shall, in addition to preservice and orientation training required, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #3, employed for over one year, did not have any training documented at the time of inspection.”

Rule 8VAC20-790-600-F.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“In the main classroom, an outlet strip had no covers, and outlets on the wall were not covered.”

Rule 8VAC20-790-630-C-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.

“Cleaning and hazardous materials were observed in an unlocked closet located in the main room where children were present.”

Rule 8VAC20-790-640-A.

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 member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“In the classroom where diaper changing occurs, there was no foot operated trashcan or storage system.”

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

Evacuation procedures shall be practiced at least monthly.

“There were no documented evacuation drills at the time of inspection.”

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

A child day center operated or conducted under the auspices of a religious institution, shall post the fact that it is exempt from licensure in a visible location and post the qualifications of the personnel employed.

“The exemption letter was not posted.”

Rule 22.1-289.031-A.

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 him from caring for children under his supervision.

“Staff #4, employed for six months, did not have a staff health form present at the time of inspection.”

Rule 22.1-289.031-A-4.

The following aspects of the child day center’s operations are described in a written statement provided to the parents or guardians of the children in the center and made available to the general public: physical facilities, enrollment capacity, food services, health requirements for the staff, and public liability insurance.

“The written statement to parents & guardians and the general public was not available at the time of inspection.”

Rule 22.1-289.031-A-6.

The center shall establish and implement procedures ensuring that a daily simple health screening and exclusion of sick children by a person trained to perform such screenings.

“Staff discussed procedures over daily health screenings, but no one at the center has been formally trained.”

Rule 22.1-289.031-B-3.

Systemic Deficiency: The center shall establish and implement procedures ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.

“Child #1, child #2, child #3, child #4 and child #5, currently enrolled at the time of inspection, did not have documentation of receiving immunizations.”

Rule 22.1-289.031-B-4.

Systemic Deficiency: The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #1, employed for 11 months, did not have a completed sworn statement available to view at the time of inspection. Staff # 2, employed for six months, did not have a completed sworn statement available to view at the time of inspection. Staff # 4, employed for six months, did not have a completed sworn statement available to view at the time of inspection.”

Rule 22.1-289.035-B-1.

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

“Staff #2, employed for six months, did not have a criminal background check available to view at the time of inspection. Staff #4, employed for six months, did not have a criminal background check available to view at the time of inspection.”

Rule 22.1-289.035-B-2.

Systemic Deficiency: Upon enrollment of a child in a regulated child day program, such child day program shall require information from the person enrolling the child regarding previous child day care and schools attended by the child, and proof of the child’s identity and age.

“The record for child #1 and child #3 did not contain proof of the child’s identity and age. The record for child #1, child #2, child #3, child #4 and child #5 did not contain previous child day care and schools attended by the child.”

Rule 22.1-289.049-A.

Staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment.

“Staff # 2, who has been employed for two months, did not have a tuberculosis screening on record.”

Rule 8VAC20-790-560-A.

Each person in a supervisory position is required to be certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

“Staff #6, who has been employed for two months, did not have a completed staff health form.”

Rule 22.1-289.031-A-4.