First Baptist Church of Clarendon Child Development Center

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2, who had been attending for one months and Child #5 who had been attending for one day, did not have documentation of an immunization record on file.

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8VAC20-780-40-E · The center is required to maintain compliance with the center's own policies and procedures that are required by these standards.

The center's parent handbook indicates that "should a child be involved in an incident during the course of the school day, a staff member will complete an incident report." Since November 2025 Child #1 has exhibited biting behavior towards center staff and other children several times a day. These incidents were not documented on incident reports. The center's parent handbook indicates that "when we experience ongoing biting, we develop a plan of action with strategies, techniques, and timelines to work on the problem." As of 1/13/2026 a plan of action had not been developed.

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8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. 2. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Staff 2 had documentation of a TB screening that was provided at the time of employment, and was not completed within 30 days of employment. It was completed over 2 years prior to their employment.

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8VAC20-780-70 · Staff records shall contain name, address, and telephone number of a person to be notified in an emergency.

Staff #2's record did not contain information for emergency contact.

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8VAC20-780-130-A · REPEAT VIOLATION

Based on record review and interview, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: No documentation of immunizations in Child #10's record. Director stated child has been attending the center for several years.

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8VAC20-780-340-F · Based on self report and interviews, a child under 10 years of age was not within actual sight and sound supervision of staff.

Evidence: 1. Child #1 (2 years old) from the Butterfly class was out of sight and sound supervision of staff for approximately 2-3 minutes during pick up . 2. Child was found unsupervised and alone in the (Busy Bee) classroom with door closed.

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8VAC20-780-160-A · Based on review, the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening.

Evidence: reviewed 2 staff records and found that Staff 2 has been employed since 3/1/24 and did not have documentation of a TB screening.

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8VAC20-780-400-A · Based on interviews, staff failed to interact with one another to provide needed help, comfort and support.

Evidence: 1.On the day of the incident 10/26/2023 at approximately 9:15am, there were 3 staff members (Staff #1, Staff #2 and Staff #3) in the Busy Bees classroom, and 10 children (2 years old) in attendance. 2.Staff #1 and Staff #2 engaged in an argument and began to yell at each other. Staff #3 was in the classroom and stood between the two teachers stating: "This is not the place to do this". The argument continued to escalate and the yelling continued for approximately 3 minutes. 3.Staff #4 heard the yelling from the hallway, they walked into the classroom and they pulled Staff #1 out of the classroom. Staff #4 stated: "I pulled Staff #1 out of the classroom to separate them, because they were getting louder and louder and their body language indicated that the were going to get into a physical fight. They were in each other's face." 4.Staff #4 stated: "At some point Staff #1 got away from me and entered the classroom to remove their purse, but once they entered the classroom they continued to yell at each other." 5.Staff #5 was called to assist with the incident. Staff #4 and Staff #5 proceeded to pull Staff #1 out of the classroom and asked Staff #3 to lock the classroom door. 6.When questioned about the children during the incident, Staff #3 stated: "Some of the children were aware of the incident. One child got upset, he was whining a little bit."

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8VAC20-780-340-F · Based on interview and review of documentation it was determined that staff did not always ensure that children remained within sight and sound supervision.

Evidence: 1. On 10/16/2023, at approximately 9:20am, Child #1 (15 months old) was placed in a crib near the front desk with Staff #1, to wait for their parents to pick them up. 2. On the day of the incident, Adult #1 reported that as they were leaving the facility, they observed Child #1 in a crib near the front desk alone and unsupervised. 3. Staff #2 and Staff #3 stated that on the day of the incident they observed Child #1 in a crib by the front desk, alone and unsupervised. Staff #2 reported that Staff #1 stepped away from the desk and walked into a classroom, leaving Child #1 unsupervised for approximately 2 minutes.

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8VAC20-780-500-B · Based on interviews, center staff did not clean and change a child's diaper immediately when it became wet.

Evidence: 1. On 8/10/2023, Child #1 (2 years old) was not cleaned and changed immediately after their diaper became wet. 2. Staff #2 stated that Staff #1 checked diapers in the morning, but Child #1's diaper was dry. The diaper report sent to the parents through the center's app documented that Child #1 was checked at 9:44am and at 12:44pm, both times it was documented that the child had a dry diaper. 3. During the afternoon, Staff #1 stated that they didn't change/check diapers after naptime because they were taking the children to the playground. Staff #1 stated that when they returned from the playground, they began to check/change diapers, but they did not get to change Child #1's diaper because a parent arrived to pick up their child and they were sidetracked. 4. Once Staff #1 left the center at approximately 4:45pm, the child's diaper was not checked again which resulted in a completely saturated diaper. Child #1 did not have a diaper change from the time the child was dropped off at approximately 8:52am until approximately 5:38pm when the child was picked up from the center.

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8VAC20-780-130-E · Based on record review, the center did not obtain additional immunizations once every six months for a child under the age of two years.

Evidence: Child #2's record contains immunization documentation that was last updated on 7/13/2019. The record did not have an immunization update within 6 months of the last immunization record.

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