River Road Presbyterian Church

8VAC20-790-770-E · The vendor shall keep a record of prescription and nonprescription medication given to children as required. Two emergency medications were given to Child 1 on December 16, 2025, but only one was recorded on the medication log.

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8VAC20-790-540-B-11 · The facility shall have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child C has diagnosed food allergies but did not have a written allergy action plan on file.

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22.1-289.049-A · The regulated child day program shall require that the person enrolling the child present the regulated child day program with the proof of the child's identity and age. Child 3, Child 4, Child 6, and Child 8 did not have documentation of viewing proof of identity and age within 7 days of enrollment as required.

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8VAC20-790-710-1 · The following actions or threats thereof are forbidden: rough handling a child. On January 31, 2025 at approximately 3:44 p.m., Child 1 (2 years old) sustained an injury while in care of Staff 1 in the twos' classroom. Video shows that Staff 1 pulled the child up by his left arm to a standing position. Child 1 immediately began to cry and express that his left wrist was in pain. Staff 1 told Staff 2 that she "grabbed his hand and pulled him up". Child 1 was seen by a physician, and was diagnosed with nursemaid's elbow in his left arm.

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8VAC20-770-40-D-2 · Based on a review of seven staff record and interviews, the center did not ensure one staff member had a completed sworn statement or affirmation before employment.

Evidence: The record of Staff #1, employed on 08/04/23, did not contain a complete sworn statement or affirmation. During interview, a member of management reported a complete sworn statement could not be located for Staff #1.

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8VAC20-790-560-A · Based on a review of seven staff records and interviews, the vendor did not ensure one staff was determined to be free of communicable tuberculosis (TB) within the required time frame.

Evidence: The TB screening in the record of Staff #6, employed on 01/09/24, was completed on 04/06/23. An updated TB screening on file was dated 04/06/24. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 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.

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22.1-289.031-A-4 · Based on a review of six staff records and interview, the center did not obtain documentation that two staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent the staff from caring for children under their supervision.

Evidence: 1) The record for Staff #3, employed 08/09/22, did not have a completed staff health report. 2) The record for Staff #5, employed 08/08/22, did not have a completed staff health report. 3) During interview, management reported the staff health reports for Staff #3 and Staff #5 have not been received.

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