Christian Child Care

8VAC20-780-570-A

“When a child is placed in an infant seat, feeding table or high chair, the protective belt shall be fastened securely. Five infants were placed in a feeding table for lunch. The protective belts were not fastened.”

8VAC20-780-350-B-4 Complaint related: No

“The staff-to-children ratio is one staff member for every ten children (age 3 years old up to school age eligible) in care. On 07/28/2025, Staff #1 and Staff #2 were out of ratio from 8:40am until 10:15am in Classroom #1. When Staff #3 arrived at 10:15am 30 children were present with Staff #1 and Staff #2. The children in the classroom were three years to five years old.”

8VAC20-780-340-A Complaint related: Yes

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/28/2025, from 8:40am to 10:15am, Classroom #1 exceeded the required staff to child ratio, with two staff members supervising up to 30 children between the ages of 3 and 5. Two children in Classroom #1 had diagnosed special needs, and their records included assessments and behavior guidance strategies for staff. Staff reported that managing the number of children during this time frame was challenging due to instances of aggressive behavior exhibited towards other children, staff and self on a regular basis.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's services are maintained in compliance with the center's own policies and procedures that are required by these standards. The center's playground policy states ?Children will be kept within sight and sound at all times. The center was in violation of their policy when interviewed staff confirmed Child #1 and Child #2 (three years old) were left unattended on the playground for approximately five to ten minutes on 06/06/2025.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 06/06/2025, Child #1 and Child #2 (both three years old) were left unsupervised on the outdoor playground for approximately five to 10 minutes. Staff interviewed on 07/30/2025, confirmed that two children were on the playground without adult supervision for approximately five to 10 minutes.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff interviewed on 07/30/2025, staff confirmed Child #1 and Child #2 (three years of age), were left unsupervised on the outdoor playground for approximately five to 10 minutes on 06/06/2025. Staff stated the two children were inside a pirate ship located on the playground. The fenced playground is not adjacent to the center. A parking lot separates the child day center and fenced playground.”

8VAC20-780-350-B-4 Complaint related: No

“The staff-to-children ratio is one staff member for every ten children (age 3 years old up to school age eligible) in care. On 07/28/2025, Staff #1 and Staff #2 were out of ratio from 8:40am until 10:15am in Classroom #1. When Staff #3 arrived at 10:15am 30 children were present with Staff #1 and Staff #2. The children in the classroom were three years to five years old.”

8VAC20-780-340-A Complaint related: Yes

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/28/2025, from 8:40am to 10:15am, Classroom #1 exceeded the required staff to child ratio, with two staff members supervising up to 30 children between the ages of 3 and 5. Two children in Classroom #1 had diagnosed special needs, and their records included assessments and behavior guidance strategies for staff. Staff reported that managing the number of children during this time frame was challenging due to instances of aggressive behavior exhibited towards other children, staff and self on a regular basis.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's services are maintained in compliance with the center's own policies and procedures that are required by these standards. The center's playground policy states ?Children will be kept within sight and sound at all times. The center was in violation of their policy when interviewed staff confirmed Child #1 and Child #2 (three years old) were left unattended on the playground for approximately five to ten minutes on 06/06/2025.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 06/06/2025, Child #1 and Child #2 (both three years old) were left unsupervised on the outdoor playground for approximately five to 10 minutes. Staff interviewed on 07/30/2025, confirmed that two children were on the playground without adult supervision for approximately five to 10 minutes.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff interviewed on 07/30/2025, staff confirmed Child #1 and Child #2 (three years of age), were left unsupervised on the outdoor playground for approximately five to 10 minutes on 06/06/2025. Staff stated the two children were inside a pirate ship located on the playground. The fenced playground is not adjacent to the center. A parking lot separates the child day center and fenced playground.”

8VAC20-780-60-A

“Repeat Violation: Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for three weeks, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #5, enrolled for one day, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-60-A

“Repeat Violation: Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for three weeks, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #5, enrolled for one day, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #2 contained documentation of immunizations obtained four days after the child began attending the center.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all of the required information. Child #1's record (enrolled eight months) was missing one of the two required names, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #2 contained documentation of immunizations obtained four days after the child began attending the center.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all of the required information. Child #1's record (enrolled eight months) was missing one of the two required names, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

8VAC20-780-245-A Complaint related: No

“Based on review of one staff record (S3), and an interview with a center representative (CR1), the center failed to keep staff records as required. Evidence: There was no documentation in the record that S3 completed 16 hours of training appropriate to the age of children in care annually. There was documentation of 9 hours of training between 1/20/23 and 2/26/24 for S3. In an exit interview on 5/09/24, CR1 acknowledged that 16 hours of annual training was not documented.”

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C4 did not document annual confirmation of required information in the record. C4, enrolled 11/28/2022 and the annual confirmation of information was dated 02/23/2024.”

8VAC20-780-510-G

“Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a plastic bag labeled with the name of child, C8, that contained an unlabeled prescribed emergency medication. The medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. S7 reported not having the pharmacy labeled box that contained this information.”

8VAC20-780-560-G

“Based on observation, the provider failed to ensure food brought from home was clearly dated. Evidence: Licensing inspector observed multiple lunch boxes not dated in the toddler room.”

22.1-289.035-A

“Based on record review, the provider failed to ensure that staff underwent criminal background checks every 5 years. Evidence: The record for S8, contained national criminal background checks dated 03/18/2018 and 02/26/2024.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for S1 contained results of the national criminal background check dated 01/25/2024. The provider documented orientation and training for S1 on 01/23 and 24/2024 prior to receipt of background results. The record for S2 contained results of the national criminal background check dated 01/23/2024. The provider documented orientation and training for S2 on 01/22/2024 prior to receipt of background results. The record for S3 contained results of the national criminal background check dated 08/17/2023. The provider documented orientation and training for S3 on 08/04/2023 and 08/09/2023 prior to receipt of background results. The record for S4 contained results of the national criminal background check dated 04/18/2023 and the date of hire 08/02/2023. The results are more than 90 days old. The record for S5 contained results of the national criminal background check dated 01/18/2024. The provider documented orientation and training for S5 on 01/15/2024 prior to receipt of background results.”

8VAC20-780-160-A

“(Repeat Violation) Based on staff record review, the provider failed to ensure that one of eight staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S4, employed 08/02/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 4/18/2023.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure prepared infant formula shall be dated. Evidence: Individual infant bottles for three children in the infant room refrigerator were not dated.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of eight staff shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S8 are dated 08/21/2021 and 01/24/2024.”

8VAC20-780-240-D

“Based on staff record review and interview, the provider failed to ensure that staff were provided in writing with the center’s information listed in 8VAC20-780-240.D.3 through D.7. Evidence: Orientation form used by the center for S1, S2, S3, S4, and S5 failed to document: procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; procedures for action in case of lost or missing children, ill or injured children, medical emergencies, and general emergencies; policy for any administration of medication; emergency evacuation, relocation, shelter-in-place, and lockdown procedures; and precautions in transporting children, if applicable. S7 reported not being aware the copy of the orientation form was improperly printed and incomplete.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: The upstairs windows in three children's bathrooms were duct taped shut making them unsafe and inoperable.”

8VAC20-780-350-B-1

“Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required. Evidence: On 3/14/2024, the licensing inspector entered the Infant room at approximately 10:00 a.m. and observed 17 infants being cared for by 3 staff members. Staff members in the room acknowledged the room was out of ratio when licensing inspector entered the room. The room came into ratio at approximately 10:15 a.m. when a staff returned to the room.”

8VAC20-780-410-2

“Based on documentation review it was determined that staff used the forbidden action of enclosure in a confined space or any space that the child cannot freely exit. Evidence: Licensing inspector reviewed incident reports for C6 dated 02/05/2024 and 02/12/2024 that documented the toddler hitting and scratching other children and staff ?sat (C6) in a highchair? and C6 ?was sat in a highchair and talked to.?.”

8VAC20-780-550-G

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated January, February, and March 2024 did not document: the person conducting the drill, the method used for notification of the drill; the number of staff participating; and any special conditions simulated.”