Cool Spring Baptist Church

8VAC20-790-560-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 and prior to coming into contact with children.

Staff # 3, employed for 11 months, did not have a completed TB screen for review at the time of inspection.

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8VAC20-790-560-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 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.

The screening for Staff #1 was completed six days after hire and the screening for Staff #4 was completed 74 days before hire.

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8VAC20-790-560-A · Based on review of five staff records, the vendor did not ensure one staff was evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required timeframe.

Evidence: 1. The record for Staff #4 (Date of Employment 04/06/2023) contained a TB screening dated 04/13/2023. 2. The documentation of the TB screening is required to be obtained 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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8VAC20-770-40-D-2 · Based on a review of five staff records and interview, the center did not ensure two staff had the results of the central registry check within 30 days of the individual beginning employment.

Evidence: 1) The results of the central registry check in the record for Staff #1, employed 11/01/21, were dated 12/21/21. 2) The results of the central registry check in the record for Staff #5, employed 04/01/22, were dated 06/29/22. 3) During interview, management confirmed the results were not received within 30 days of employment and the center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.

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8VAC20-790-540-B-11 · Based on a review of five children's records and interview, the vendor did not have a written allergy care plan for two children with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergy and steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: 1) The record for Child #2, enrolled 09/06/22, and the record for Child #3, enrolled 09/06/22, indicated the children had diagnosed food allergies, but the records did not contain a written allergy care plan. 2) During interview, management confirmed a written allergy care plan was not on file for each child.

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