Los Pentecostales De La Peninsula Church

8VAC20-790-560-B · TB screenings are required at least every two years from the date of the initial screening.

Staff #1 TB test was completed 2 years and 6 months ago. The TB test was more than 2 years old.

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8VAC20-790-720-C · The vendor shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all required components.

Children written record for minor injuries were missing documentation of treatment for injury report 2, 3, and 5.

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8VAC20-790-720-B · The vendor shall notify the parent by the end of the day of any known minor injuries.

The center did not notify child #1 parent by the end of the day of minor injury on October 10, 2024.

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8VAC20-790-540-B-8 · Based on record review, the vendor did not ensure written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds.

Evidence: Child #1, Child #4 and Child #10 record did not have documentation giving the vendor authorization for emergency medical care or not giving medical care. The question the vendor had on the registration form was a yes or no question . And nothing was marked.

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8VAC20-790-670-C-1 · Based on observation and staff interview the vendor did not ensure that the ratio requirements were maintained.

Evidence: Staff confirmed in the infant room (0 to 16 months) there were 5 infants present with 1 staff member at the time of inspection on 2/23/2023. The ratio for this age group is one staff member to four children (1:4).

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22.1-289.031-A-3-a · The center did not have supervisory personnel according to the required ratio of staff to children.

During the inspection on 2/23/2023 there were: 5 infants present with 1 staff member. The ratio for this age group is one staff member to four children (1:4).

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8VAC20-790-630-C-2 · Based on observation and staff interview the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

Evidence: Staff confirmed that electrical outlets did not have protective covers in the following areas: In the 2-year-old classroom 3 outlets did not have protective covers In the 1-year-old classroom 4 outlets did not have protective covers In the 3-year-old classroom 3 outlets did not have protective covers

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8VAC20-790-820-H · Based on interviews and review of documentation, the center staff did not ensure that formula or breast milk does not remain unrefrigerated for more than 2 hours and that it is not reheated.

Evidence: 1. A complaint was received on September 1, 2022, alleging that a 4 month old infant in care had been fed and re-fed or re-offered the same bottle over a period of more than 4 hours. 2. Interviews with the infant's parent revealed that 4 bottles of milk had been sent to the center for the infant on 8/26/2022 and that 3 of the 4 bottles were returned to the parents at the end of the day containing all of the milk placed in them that morning. 3. The infant's written Daily Care Report dated 8/26/2022, documented that infant #1 was fed a bottle at 8:20 a.m. and drank 2 ounces, was fed a bottle at 10:35 and drank 3 ounces and was offered a bottle at 1:00 p.m. which infant #1 refused. 4. Staff #3, who was the primary caregiver for infant #1 when he was in care at the center, was interviewed on 9/23/2022. 5. Staff #3 confirmed that a bottle of milk had been warmed and fed to infant #1 at 8:20 a.m., and then refrigerated and then the same bottle was reheated before being fed to infant #1 again at 10:35 a.m. 6. Staff #1 stated that she thought a milk bottle could be fed to an infant twice before disposing of the milk or returning it to the family, so she opened a new bottle at 1:00 and warmed it for infant #1. She stated that infant #1 refused the bottle offered at 1:00 p.m. and that she returned all unconsumed milk bottles to the family at the end of the day.

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22VAC40-665-520-B · Based on a review of records and interview, the vendor did not ensure that each enrolled child's record contains all of the required information.

Evidence: Five children's records were reviewed. The record for child #1 did not have an address for either of the two required emergency contacts to be contacted in an emergency if the parents can not be reached. The record for child #2 did not contain an address for one of the two required emergency contacts to be contacted in an emergency if the parents can not be reached. The program director stated that she did not have documentation of this information available at the time of inspection.

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