River Road Church, Baptist

22.1-289.035-B-1

“The center shall obtain a complete sworn statement prior to the employee’s first day of employment. The record of staff #5 contained a signed sworn statement dated one day after the date of employment.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Centers shall obtain a completed national criminal fingerprint background check prior to the employee’s first day of employment. The record of staff #4 contained the results of a national criminal fingerprint background check dated two days after the date of employment.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Prescription medication for child#15 was not labeled with the child’s name. dosage amount and time or times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. The medication authorization for child #16 expired two months ago. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-P

Rule 8VAC20-780-550-P.

8VAC20-780-240-A

“Repeat Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2 completed the course four months late.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Tape had been applied to a seem on the outdoor track. The tape was rolling up and was detached around the edges posing a tripping hazard. 2. The Plexi-glass end piece of a crib was cracked at the bottom corner. The crack formed a circular shape and caused the center to be raised and able to be pushed out if pressed on exposing a sharp edge.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-P

“Repeat When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization needs to be completed. Medication for child #13 was onsite, however the medication authorization had expired over three months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Based on the review of one staff record (Staff #4), and an interview with a center representative (CR #1), the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state where the individual has resided in the preceding five (5) years.

“Evidence: The staff record contained no documentation of Out of State Child Abuse and Neglect results from Massachusetts for Staff #4. Staff #4 began employment on 8/21/23. The sworn statement dated 7/08/23 documented that Staff #4 had resided in Massachusetts within the last 5 years. In an exit interview on 5/13/24, CR #1 acknowledged that there was no documentation of Out of State Child Abuse and Neglect results from Massachusetts for Staff #4.”

Rule 22.1-289.035-B-4.

Based on review of two staff records (Staff #1 and Staff #3), the center failed to ensure that tuberculosis screenings were completed within the last 30 calendar days of the date of employment.

“Evidence: The record for Staff #1, employed on 8/21/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 11/21/22. The record for Staff #3, employed on 8/16/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 7/11/23.”

Rule 8VAC20-780-160-A.

Based on review of one staff record (Staff #3), and an interview with a center representative (CR1), the center failed to ensure that the employee completed the Virginia Department of Education-sponsored orientation course within 90 days of employment.

“Evidence: Staff #3 began employment on 8/16/23. The record of Staff #3 documented completion of the Virginia Department of Education-sponsored orientation course on 11/26/23. In an exit interview on 5/13/24, CR1 acknowledged that Staff #3 had not completed the course within 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

Based on review of two children’s records (Child #1 and Child #7), the center failed to ensure that an authorization for medication is renewed by the parent when the authorization expires or medication disposal by the center when medication is not picked up by the parent within 14 days.

“Evidence: The medication authorization for Child #1 expired on 2/28/24. The medication authorization for Child #7 expired on 2/24/24. The medications for both children were onsite at the time of the inspection.”

Rule 8VAC20-780-510-P.

Based on review of one staff record (Staff #3), and an interview with a center representative (CR1), the center failed to keep staff records as required.

“Evidence: There was no documentation in the record that Staff #3 possessed the education or experience required by the job position. The record documented Staff #3 as a Lead Teacher. In an exit interview on 5/13/24, CR1 acknowledged the lack of documentation.”

Rule 8VAC20-780-70.

Based on record review, two staff records did not have documentation of an updated sworn statement every five years from the date of the most recent sworn statement.

“Evidence: 1. The record for staff #5, (last sworn statement 6/23/17) had documentation of an updated sworn statement on 8/03/22. An updated sworn statement was required by 6/23/22. 2. The record for staff #6, (last sworn statement 6/28/17) had documentation of an updated sworn statement on 8/18/22. An updated sworn statement was required by 6/28/22.”

Rule 22.1-289.035-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: In the preschool gym, one outlet cover was not attached to the wall on all four sides.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure that areas used by children of preschool age or younger shall have protective covers on all electrical outlets.

“Evidence: 1. In room #1, one surge protector had three uncovered outlets. 2. The children present were four to five years of age.”

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

8VAC20-780-350-B-4

“Based on observation, the facility did not ensure compliance with ratios of staff to children as required. Evidence: In classroom #2, there was one staff to 15 four year old children for approximately 60 seconds. The center did not maintain the ratio of one staff for every 10 children for 3 year old’s up to school age eligible.”

Rule 8VAC20-780-350-B-4.

Based on a review of the center’s policies and procedures, the center did not ensure activities and services were maintained with the center’s own policies and procedures required by the standards.

“Evidence: 1. The centers policies and procedures states ?RRP operates below child ratios in all age groups, with two teachers assigned to each class at all times, with the exception of nap. “ 2. The licensing inspector entered room #2, staff #11 was alone with 15 children. Staff #11 stated that staff #7 went to get an outlet plug from another room. Staff to children ratio requirements for class #2 is 1:10 whenever children are in care.”

Rule 8VAC20-780-40-E.

Based on observation and interview, the provider did not ensure that hazardous materials were kept in a locked place that prevents access to children.

“Evidence: 1. Room #1, room #2, and room #11 had hazardous chemicals such as Clorox and Lysol wipes, containers of disinfecting sprays and aerosol room deodorant sprays labeled ?Keep Out of Reach of Children? and ?Caution? in unlocked cabinets accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the provider did not ensure that prescription medicine had the original prescription label on the medication that identified the child’s name, and prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“Evidence: One medication, Auvi Q was observed without the prescription label, child’s name, the dosage amount, and the time or times to be given. The medication is for a documented allergy with written authorization from the parent and the child’s doctor.”

Rule 8VAC20-780-510-I.

Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In room #2, a bottle of over-the-counter pain reliever was observed in an unlocked cabinet.”

Rule 8VAC20-780-510-L.