Rejoice Christian Center Ministries

22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment.

Staff #2, who had been employed for six months, had a central registry search requested two days after date of employment.

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8VAC20-790-560-B · Repeat Violation:

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 #5 had a TB screen that expired over 2 years ago.

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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.

Staff #3 TB was dated four months prior to date of employment and has been employed for over one year. Staff #4 is currently working and has a TB screening that was dated two weeks after their first day of employment.

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22.1-289.031-A-4 · Each person in a supervisory position 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.

Staff #2 had a staff health report dated two weeks after date of employment. Staff #4 had a staff health report dated two weeks after date of employment.

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8VAC20-790-540-B · Based on review of five children's records, the vendor did not ensure the records of three children?s records contained the required information.

Evidence: 1. The records for Child #1, Child #2, and Child #3 did not contain the address for the listed emergency contact. 2. A member of management confirmed this information while the licensing inspector was onsite.

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22.1-289.031-A-4 · Based on review of six staff records, the center failed to ensure four staff obtained documentation from a physician that they are free from any disability which would prevent staff from caring for children under staff supervision by the first date of employment and annually thereafter.

Evidence: 1. The records for Staff #3 (Date of Employment 05/20/2023), Staff #4 (Date of Employment 04/28/2023), Staff #5 (Date of Employment 06/12/2023) and Staff #6 (Date of Employment 09/25/2023) did not contain a staff health report stating staff were free from any disability which would prevent staff from caring for children. 2. A member of management confirmed this information during the inspection.

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22.1-289.035-B-2 · Based on a review of five staff records, the center did not ensure five staff had satisfactory results of the fingerprint-based national criminal background check prior to employment.

Evidence: 1) The fingerprint-based national criminal background check in the record of Staff #1, employed on 02/07/22, were dated 09/17/21. The results were received more than 90 days prior to the date of employment. 2) The fingerprint-based national criminal background check in the record of Staff #2, employed on 01/03/22, were dated 03/17/22. 3) The fingerprint-based national criminal background check in the record of Staff #3, employed on 03/21/22, were dated 03/23/22. 4) The fingerprint-based national criminal background check in the record of Staff #4, employed on 03/09/22, were dated 03/28/22. 5) The fingerprint-based national criminal background check in the record of Staff #5, employed 03/10/22, were dated 03/22/22.

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8VAC20-790-540-B-11 · Based on a review of five children's records and interview, the vendor did not obtain a written allergy care plan for one child with a diagnosed food allergy .

Evidence: 1) The record of Child #1, date of attendance 02/10/22, indicated the child had a diagnosed food allergy, but the record did not contain a written allergy care plan. 2) During interview, management reported the center did not have a written allergy care plan for Child #1. A written allergy care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

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22.1-289.031-A-4 · Based on review of six staff records and interview, the center did not ensure that five staff members that were in a supervisory position had been certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.

Evidence: 1. The records for Staff #1 (hire date 09/01/2020), Staff #2 (hire date 06/25/2021), Staff #3 (hire date 06/25/2021), Staff #4 (hire date 11/12/2021) and Staff #6 (hire date 11/04/2021) did not contain documentation of a staff health report stating staff were free from any disability which would prevent them from caring for children under their supervision. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.

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22VAC40-665-530-2-a-1 · Based on review of six staff records and interview, the vendor failed to obtain satisfactory results of the fingerprint-based national criminal background check for one staff member.

Evidence: 1. The record for Staff #4 (hire date 11/12/2021) did not contain results of satisfactory results of the fingerprint-based national criminal background check. 2. Staff #2 stated these staff members were currently working with the children in the child care center during the 12/29/2021 onsite inspection.

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22VAC40-665-810-D-1 · Based on interview, the vendor transported children that were not properly secured in a child restraint device as required by the Code of Virginia.

Evidence: 1. A member of management stated during the virtual inspection, children younger than eight years of age were being transported on a van to and from public school. 2. Staff #4 stated the youngest child, Child #2 (four years of age), does not ride in a child safety seat on the van while being transported. Staff #4 stated the children are secured with seat belts while riding in the van.

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