New Birth Fellowship Ministries

22.1-289.031-A-3-a · The child day center employs supervisory personnel according to the following ratio of staff to children: One staff member to four children from ages zero to 16 months. Two staff were observed caring for 10 children ages three months through two years.

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8VAC20-790-560-B · Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician.

Staff # 2?s updated TB screening was due three months ago. The updated screening for staff # 2 was not completed at the time of inspection. Staff #5?s updated TB screening was due eight months ago. The updated screening for staff #5 was not completed at the time of inspection.

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22.1-289.035-A · The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #5 was overdue by two months. The most recent criminal history record check for staff #5 was overdue by two months. The most recent sworn statement for staff #5 was overdue by two months.

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8VAC20-790-560-A · Each staff member shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) 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.

The screening for Staff #1 was completed two months after employment; Staff #2, who had been employment for seven days, did not have a completed screening on file; and the screening for Staff #3 was completed five weeks prior to employment.

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22.1-289.031-B-4 · The center is required to establish and implement procedures for ensuring that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases.

The record of Child #5, who had been enrolled for three months, did not contain documentation that the child was in compliance with required immunizations.

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22.1-289.031-A-4 · Based on a review of six staff records and interview, five staff did not obtain the required staff health report within the required timeframe.

Evidence: 1) The staff health report in the record of Staff #1 (DOE: 01/05/23) was completed on 04/12/23. 2) The staff health report in the record of Staff #2 (DOE: 10/02/22) was completed on 01/31/23. 3) The staff health report in the record of Staff #3 (DOE: 01/13/23) was completed on 01/24/23. 4) The staff health report in the record of Staff #4 (DOE: 01/13/23) was completed on 01/28/23. 5) The staff health report in the record of Staff #6 (DOE: 04/03/23) was completed on 04/12/23. 6) During interview, a member of management confirmed the staff health reports were not received within the required timeframe. The staff health reports should have been obtained prior to employment.

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8VAC20-790-540-B · Based on a review of five children's records and interview, the vendor did not ensure one child's record contained the required information.

Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain the following information: a. 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; b. Names of persons other than the custodial parent who are authorized to pick up the child; c. 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; d. A written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. 2) During interview, a member of management acknowledged the center did not have this documentation for Child #3.

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22.1-289.031-A-4 · Based on staff record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free of any disability which would prevent him from caring for children under his supervision.

Evidence: 1. The record of staff #1 (start date: 9/12/22) did not have documentation showing that the staff has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

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8VAC20-790-550-2-a · Based on record review, the vendor did not ensure one of five staff records contained documentation of fingerprint based national criminal history search results prior to employment.

Evidence: 1. The record of staff #2 (employed: 9/08/22) did not have documentation of fingerprint based national criminal history search results.

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22VAC40-665-540-B · Based on review of two staff records and interview, the vendor did not ensure subsequent tuberculosis (TB) screenings are obtained at least every two years from the date of the initial screening.

Evidence: The records for Staff #1 (hire date 01/01/2006) and Staff #2 (hire date 01/01/2006) contained TB screenings dated 06/28/2018. Staff #1 confirmed this information.

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