Braddock Street United Methodist Church

22VAC40-185-40-E · Based on review of policies and procedures and interviews, the licensee did not ensure that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by these standards.

Evidence: 1. The center did not follow their policy for behavior guidance/discipline in the employee handbook on pages 11 & 2. The policy states under Behavior Guidance: -- Employees are expected to teach children how to resolve conflicts, make decisions, and handle strong emotions in appropriate ways by using the following techniques: -- Redirect a child to another toy or activity. -- Encourage children to solve problems using words. -- Give children opportunities to make choices when appropriate. -- Use positive praise that is meaningful and specific. -- Establish clear limits and follow through with consequences consistently. 2. Staff interviews revealed that Staff #4 would grab children?s legs to make them sit ?criss cross applesauce? during circle time, and that Staff #4 would pull children by the wrists into the classroom after they had used the restroom if they refused to come into the classroom. 3. The center did not follow their policy on Mandated Reporting of Child Abuse and Neglect. In the Employee Handbook on page 15 it states ?If you suspect that a child in this Center is suffering from any type of abuse or neglect, you are required by law to report the suspected abuse to the Center?s Director. The Center Director and staff member will then decide using the questionnaire whether it is necessary to call CPS

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8VAC20-780-340-A · Based on interviews, the center failed to ensure the care and protection of a child at all times.

Evidence: 1. On 11/8/21 Child #1, (age 2), was left on the playground unsupervised for approximately two minutes. 2. Staff #3 stated in an interview on 12/6/2021, when she went out to the playground that Child #1 was screaming for his mom and dad. She yelled for Child #1 to come to her and she gave him a hug. 3. Staff #1 and Staff #2, stated that when Child #1 was returned to them by Staff #3 crying and upset. They gave him a hug and he stopped.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual

has resided in the preceding five years prior to employment. Staff #1, was employed for at least three weeks before the center requested an out of state central registry check for one state.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current CPR certification within 90 days of employment.

Staff #1 has been employed over five months and does not have current CPR certification.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current CPR certification within 90 days of employment.

Staff #1has worked for five months and does not have current CPR certification.

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8VAC20-790-600-D-1 · REPEAT VIOLATION

Based on review of staff records, the center failed to ensure that all staff had certification in cardiopulmonary resuscitation (CPR) by the 90th day of employment. Evidence: 1. Staff #8's date of hire was 09/18/2023. There was no documentation that CPR certification had been completed. The certification was required by 12/18/2023. 2. Administration verified that Staff #8 did not have a current certification in CPR.

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8VAC20-780-500-A · Based on observation, the center failed to ensure that children washed their hands with soap and running water or disposable wipes after eating meals.

Evidence: 1. In the Pioneer II's classroom the children did not wash their hands with soap and running water or a disposable wipe after eating lunch. 2. The children got up form the lunch table and went to their cots and started playing with poppers. 3. Staff #1 verified that the children did not wash their hands with soap and running water or a disposable wipe after eating lunch.

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8VAC20-780-130-A · Based on a review of children records, the center failed to ensure that immunizations were obtained before the first day of attendance.

Evidence: 1. Child #4's first day of attendance was 11/21/2022. The immunizations in the record were dated 01/18/2023. 2. Administration verified the date of attendance, and the date on the immunization record.

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8VAC20-790-600-D-1 · Based on review of staff records, the center failed to ensure that all children who work directly with children shall have certification in cardiopulmonary resuscitation (CPR) within 90 days of employment.

Evidence: 1. Staff #8's date of employment was 08/16/2022. Certification in CPR was not obtained until 02/24/2023. Certification was required by 11/16/2022. 2. Staff #9's date of employment was 10/10/2022. Certification in CPR was not obtained until 02/02/2023. Certification was required 01/02/2023.

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8VAC20-780-240-A · Based on review of staff files, the center failed to ensure that the Virginia Department of Education sponsored orientation course was completed within 90 calendar days of employment.

Evidence: 1. Staff #1's date of employment was 08/16/2022. The orientation training was dated 12/11/2022. The training was required to be completed by 11/16/2022. 2. Staff #2's date of employment was 08/16/2022. There was no documentation that the orientation training had been completed. The training was required to be completed by 11/16/2022. 3. Staff #3's date of employment was 10/10/2022. There was no documentation that the orientation training had been completed. The training was required to be completed by 01/10/2023. 4. Administration verified the dates of employment and that two out of three staff had not completed the training and one staff was late in completing the training.

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8VAC20-780-40-G · Based on review of six children's files, the facility failed to have documentation of viewing the proof of identity and age as required in 22.1-289.049 in the Code of Virginia.

Evidence: 1. Child #2's file did not contain documentation of viewing proof of identity and age. Date of enrollment for Child #2 was 11/07/2022. 2. Child #3's file did not contain documentation of viewing proof of identity and age. Date of enrollment for Child #3 was 11/14/2022. 3. Administration verified that they had not viewed or obtained proof of identity and age for Child #2 and Child #3.

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8VAC20-780-60-A · Based on review of children records, the center failed to ensure that all information was in the children's records.

Evidence: 1. The records for Child #2, Child #3 and Child #6 did not contain information regarding who has legal custody of the child. 2. Administration verified that the information was left blank and not completed on the registration form.

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