The Father's House Community Outreach Center

22VAC40-665-530-2-a-2 · Based on record review, the center did not ensure four of six staff records contained documentation of central registry results within 30 days of employment.

Evidence: 1. The record of staff #1 (start date: 4/19/21) did not have documentation of central registry results. 2. The record of staff #3 (start date: 6/28/21) did not have documentation of central registry results. 3. The record of staff #4 (start date: 6/8/20) had documentation of central registry results dated 7/9/2020. 4. The record of staff #5 (start date: 5/3/21) did not have documentation of central registry results.

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22VAC40-191-40-D-2 · Based on staff record review, the center did not ensure four of six staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment.

Evidence: 1. The record of staff #1 (start date: 4/19/21) did not have documentation of central registry results and a completed sworn statement or affirmation. 2. The record of staff #3 (start date: 6/28/21) did not have documentation of central registry results. 3. The record of staff #4 (start date: 6/08/20) did not have documentation of a completed sworn statement or affirmation. 4. The record of staff #5 (start date: 5/3/21) did not have documentation of central registry results.

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22.1-289.049-A · Upon enrollment, the center shall require information from the person enrolling the child

regarding previous child day care and schools attended by the child. The records of Child #1, enrolled for over one year, Child #2, enrolled for over two weeks, Child #3 and Child #4, both enrolled for over one week and Child #5, enrolled for over one month, did not contain information regarding previous child day care and schools attended by the children.

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8VAC20-790-540-B · The child's record shall include the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached.

The records of Child #1, enrolled for over one year, Child #2, enrolled for over two weeks, Child #3 and Child #4, both enrolled for over one week and Child #5, enrolled for over one month, did not contain an emergency contact address.

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22.1-289.031-A-3 · During the designated daily rest period at least one staff member shall be physically present in the same space as the resting or sleeping children at all times and other staff members counted for purposes of staff-to-child ratio shall be present on the same floor as the resting or sleeping children and shall have no barrier to their immediate access to the resting or sleeping children.

There were ten children ages 24 months to 36 months and nine children ages three to four years combined and sleeping in the preschool classroom with two staff. One additional staff member was required to be present on the same floor as the resting or sleeping children with no barrier to their immediate access for purposes of staff-to-child ratio. Interview with staff #8 revealed that the additional staff members needed to meet required ratios left the building at approximately 11:30 am for their lunch break.

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8VAC20-790-560-A · The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

The TB documentation for staff #1 was dated 6 weeks prior to the date of employment.

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8VAC20-790-720-C · Based on documentation review, the vendor failed to include the required items on the written record of children's serious and minor injuries.

Evidence: 1. 5 out of 5 injury reports viewed did not contain a staff signature. The injury reports contained a parent signature. Injury reports must contain a staff and parent signature or two staff signatures. 2. 5 out of 5 injury reports viewed did not contain the date and time when parents were notified of the injury.

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22.1-289.031-A-3 · Based on observation and interview, the center failed to ensure that during the designated daily rest period at least one staff member shall be physically present in the same space as the resting or sleeping children at all times and that other staff members counted for purposes of staff-to-child ratio shall be present on the same floor as the resting or sleeping children and shall have no barrier to their immediate access to the resting or sleeping children.

Evidence: 1. The Licensing Inspector arrived at the center at 1:12 pm. 2. There were 9 children in the two year old area with 1 staff. The two year old area required 1 additional staff member to be present on the same floor as the resting or sleeping children and no barrier to their immediate access to the resting or sleeping children. 3. There were 11 children in the preschool area ages 3 years to 10 years with no staff. The preschool area required 1 staff member to be physically present in the same space as the resting or sleeping children at all times and 1 additional staff member to be present on the same floor as the resting or sleeping children and no barrier to their immediate access to the resting or sleeping children. 4. Interview with staff #1 revealed that 2 of the 3 additional staff members needed to meet required ratios left the building at approximately 12:30 pm for their lunch break.

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8VAC20-790-560-A · Based on record review, the center failed to obtain documentation of tuberculosis screening at the time of employment.

Evidence: 1. The record for staff #1, date of employment 10/20/2023, contained documentation of tuberculosis screening dated 01/08/2024.

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22.1-289.031-A-3-d · Based on observation, and interview, the center failed to follow the staff to children ratio of 1 staff to 10 children for children ages 36 months to five years.

Evidence: Classroom #2 had 15 children with 1 staff. The youngest child in classroom #2 was 3 years old. One additional staff was required. Administration confirmed that there was 1 staff with 15 children.

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22.1-289.031-B-5 · Based on observation, the center failed to ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or cushioning material under playground equipment.

Evidence: 1. The playground contains playground equipment that was directly on the ground and does not have sand or cushioning material under it.

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8VAC20-790-520-F · Based on interview, the vendor failed to keep a current written list of all children's allergies, sensitivities, and dietary restrictions in each room or area where children are present.

Evidence: Interviews with staff revealed that there are children with allergies, sensitivities, and dietary restrictions that attend the center. There was not a current written list of children's allergies, sensitivities, and dietary restrictions in each room where children were present.

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22.1-289.031-A-4 · Based on observation, the center did not ensure that all children in the center are in compliance with the provisions of ? 32.1-46

regarding the immunization of children against certain diseases. Evidence: 1. The record of child #1 (enrollment date: 10/14/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 3/17/2023) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 1/17/2023) had documentation of immunizations dated 2/27/2023.

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8VAC20-790-550-2-a · Based on record review, the vendor did not ensure three of five staff records had documentation of central registry results within 30 days of employment.

Evidence: 1. The record of staff #1 (employment date: 9/22/2022) had documentation of central registry results dated 11/12/2022. 2. The record of staff #4 (employment date: 3/23/2022) had documentation of central registry results dated 11/12/2022. 3. The record of staff #5 (employment date: 1/2/2023) had documentation of central registry results dated 2/4/2024.

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