Grace Covenant Presbyterian Church

22.1-289.031-A-4

“Repeat Violation Each person in a supervisory position must be certified by a practicing physician or physician assistant on or before the first day of employment to be free from any disability which would prevent him from caring for children under their supervision. Staff #1, employed for 2 weeks, did not have documentation of certification from a physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.”

22.1-289.031-B-2

“Repeat Violation The center shall establish and implement procedures for appropriate supervision of all children in care. Staff #1 transitioned class #1 from the playground to the classroom. Child #1, age 2 years, was discovered by child #1's parent sitting alone and unsupervised outside of the building. The door to the center was closed. Staff #2 was on the playground with a group of children. Staff #2 was unaware that the child was sitting on the step alone and unsupervised. The parent brought child #1 into the building and to classroom #1. Staff #1 was unaware that child #1 was left outside.”

22.1-289.031-B-2

“Repeat Violation The center shall establish and implement procedures for appropriate supervision of all children in care. 1. Staff #1 and staff #2 transitioned classroom #1, with 12 children age 2 years, from the classroom located on the "middle" floor via the elevator down to the basement level to go to the fellowship hall. 2. Child #1, age 2 years, was found on the elevator by staff #3 when the elevator returned to the middle floor which is 2 floors above the basement floor. Child #1 was crouched in the corner of the elevator, shaking, screaming and crying. 3. Staff #3 picked up child #1 to comfort the child. Staff #3 took child #1 back to her classroom and reported the incident to administration. 4. Administration reported that when staff #1 and staff #2 were confronted they did not realize that child #1 was missing from the group. Staff #1 and staff #2 stated that they did not conduct the required face to name tracking procedure when they transitioned the class from the elevator to the fellowship hall. 5. Child #1 was out of supervision and alone for approximately 5 minutes.”

22.1-289.031-B-2

“Repeat Violation The center shall establish and implement procedures for appropriate supervision of all children in care. Interviews and written statements revealed that on 02/04/2025 staff #1 was observed spanking a child on the buttocks, aged between 18 months and 2 years, while out on the playground.”

22.1-289.031-B-2 Complaint related: Yes

“Repeat Violation The center shall establish and implement procedures for appropriate supervision of all children in care. Interviews revealed that on 01/30/2025, during a fire drill, staff # 1 grabbed child #1 age 2 years, by the arm causing the child to fall and hit their head on the playhouse structure on the playground. The child cried.”

22.1-289.031-A-3-c Complaint related: Yes

“The center is required to follow the ratio of one staff member to 8 children from ages 24 months to 36 months. Interviews revealed that on multiple occasions within the past year the classroom with children ages 24 months to 36 months has had 11 children for up to 40 minutes with one staff member. Administration confirmed that the classrooms have been out of ratio several times due to being short-staffed.”

22.1-289.031-B-2 Complaint related: Yes

“The center shall establish and implement procedures for appropriate supervision of all children in care. Child #1, age 4 years, found an unidentified small white object on the bathroom floor. The bathroom is in a hallway down the hall from the classroom and is shared by members of the church. When the child came out of the bathroom the child reported to staff #1 that they found a "pill" on the bathroom floor. Staff #1 reported that the bathrooms are not routinely checked prior to the children being allowed to enter. Staff #1 reported that the children are allowed to walk down the hall by themselves to go the bathroom.”

22.1-289.031-A-3-d Complaint related: Yes

“The center is required to follow the ratio of one staff member to 10 children from ages 36 months to five years. Staff #1 revealed that on multiple occasions within the past year the classroom with children ages 4-5 years has had 11 children with one staff member. Administration confirmed that the classroom has been out of ratio several times due to being short staffed.”

22.1-289.031-B-2 Complaint related: Yes

“Repeat Violation The center shall establish and implement procedures for appropriate supervision of all children in care. Interviews revealed that on 01/30/2025, during a fire drill, staff # 1 grabbed child #1 age 2 years, by the arm causing the child to fall and hit their head on the playhouse structure on the playground. The child cried.”

22.1-289.031-A-3-c Complaint related: Yes

“The center is required to follow the ratio of one staff member to 8 children from ages 24 months to 36 months. Interviews revealed that on multiple occasions within the past year the classroom with children ages 24 months to 36 months has had 11 children for up to 40 minutes with one staff member. Administration confirmed that the classrooms have been out of ratio several times due to being short-staffed.”

22.1-289.031-B-2 Complaint related: Yes

“The center shall establish and implement procedures for appropriate supervision of all children in care. Child #1, age 4 years, found an unidentified small white object on the bathroom floor. The bathroom is in a hallway down the hall from the classroom and is shared by members of the church. When the child came out of the bathroom the child reported to staff #1 that they found a "pill" on the bathroom floor. Staff #1 reported that the bathrooms are not routinely checked prior to the children being allowed to enter. Staff #1 reported that the children are allowed to walk down the hall by themselves to go the bathroom.”

22.1-289.031-A-3-d Complaint related: Yes

“The center is required to follow the ratio of one staff member to 10 children from ages 36 months to five years. Staff #1 revealed that on multiple occasions within the past year the classroom with children ages 4-5 years has had 11 children with one staff member. Administration confirmed that the classroom has been out of ratio several times due to being short staffed.”

22.1-289.031-A-4 Complaint related: No

“Repeat Violation Prior to employment each person in a supervisory position must be 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. The staff health report for staff #1 was completed 3 months after employment.”

8VAC20-770-40-D-2 Complaint related: No

“Repeat Violation For staff hired before July 1, 2024, the center must obtain the results of a central registry search for an employee within 30 days of employment. Staff #1, employed for 6 months, had the results of the a central registry search 4 months after employment.”

22.1-289.035-B-4 Complaint related: No

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. 1. Staff #5, who has been employed for 2 months did not have documentation of requesting a central registry background check from a state that they lived in within the preceding five years.”

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. 1. Staff #2, who has been employed for 2 months did not have documentation of requesting a criminal history check or a sex offender registry check from a state that they lived in within the preceding five years. 2. Staff #3, who has been employed for 1 month did not have documentation of requesting a central registry check, or a sex offender registry check from a state that they lived in within the preceding five years. 3. Staff #4, who has been employed for 10 months did not have documentation of requesting a central registry check, or a sex offender registry check from a state that they lived in within the preceding five years.”

22.1-289.031-A-4

“Repeat Violation Prior to employment each person in a supervisory position shall be 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. The staff health report for staff #1 was completed 3 weeks after employment.”

22.1-289.035-B-2

“Repeat Violation The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, had a completed national criminal background check 1 week after employment.”

22.1-289.031-A-4

“Based on record review, the center failed to ensure that each person in a supervisory position has been certified prior to employment by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record for staff #1, date of employment 02/26/24, did not contain documentation of a staff health report. 2. The record for staff #3, date of employment 04/24/24, contained a staff health report dated 07/05/2024.”

22.1-289.035-A

“Repeat Violation Based on record review, the center failed to obtain the results of a fingerprint based national criminal record search every five years. Evidence: The record for staff #2, date of employment 12/18/2018, contained fingerprint results dated 12/11/2018. An updated fingerprint based criminal record check was due on or before 12/11/2023.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a a criminal record check and a sex offender registry check prior to the first day of employment and a child abuse and neglect check within 30 days of employment from any state that staff have lived in the past 5 years prior to employment. Evidence: The record for staff #6, date of employment 01/02/2024, indicated that staff #6 lived in another state outside of Virginia in the 5 years prior to employment. The record did not contain a criminal record check, a sex offender registry check or a central registry check from that state.”

22.1-289.031-B-2

“Repeat Violation Based on interviews, and documentation review, the center failed to establish and implement procedures to ensure appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. Evidence: Interviews and documentation review revealed that Staff #1 intentionally sprayed child #1, age 2 years, in the face with water from a garden hose. Staff #1 was standing close the the child when staff #1 sprayed the child in the face. The water spray from the hose was described as "strong". When the child was sprayed in the face the child began to cry.”

8VAC20-770-40-D-2

“Repeat Violation Based on record review, observation, and interview, the center failed to obtain a sworn statement before the first day of employment and the results of a central registry background check within 30 days of employment. Evidence: 1. The record for staff #1, date of employment 02/26/2024 did not contain the results of a central registry background check. Staff #1 was observed working at the center. Interview with administration confirmed that the record did not contain the results of the central registry background check. 2. The record for staff #1, date of employment 02/26/2024, contained a sworn statement dated 03/20/2024. 3. The record for staff #3, date of employment 04/24/2024 did not contain the results of a central registry background check. Staff #3 was observed working at the center. Interview with administration confirmed that the record did not contain the results of the central registry background check. 4. The record for staff #5, date of employment 08/27/2023, did not contain the results of a central registry background check. Staff #5 was observed working at the center. Interview with administration confirmed that the record did not contain the results of the central registry background check. 5. The record for staff #6, date of employment 01/02/2024, did not contain the results of a central registry background check. Staff #6 was observed working at the center. Interview with administration confirmed that the record did not contain the results of the central registry background check.”

22.1-289.031-B-7

“Based on interview, the center failed to ensure that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Superintendent. Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care profession or treatment in a hospital, shall be submitted annually. Evidence: 1. Interviews and documentation review revealed that on 04/04/23 child #1 sustained an injury that required an outside medical emergency referral to an offsite health care profession. 2. Interviews with administration revealed that the center did not report this injury to the Superintendent annually because they were not aware that this was a requirement. 3. The last annual filing packet was submitted by the religious institution on 10/24/23 and additional filing documentation was submitted on 11/30/263, 12/6/23, 12/21/23, and 01/17/24. The documentation did not include documentation of a child requiring outside medical treatment.”

22.1-289.031-B-1

“Based on observation, the center failed to establish and implement procedures to ensure that staff and children wash their hands after diapering. Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash her hands or the child's hands after the diaper change.”

22.1-289.035-B-2

“Based on a review of eight staff records, the center did not ensure one 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 #7, employed on 08/08/22, was dated 10/17/22.”

8VAC20-770-40-D-2

“Repeat Violation Based on record review, the center failed to obtain a sworn statement before the first day of employment and the results of a central registry background check within 30 days of employment. Evidence: 1. The record for staff #2, date of employment 12/21/23, contained a sworn statement dated 01/04/24. 2. The record for staff #6, date of employment 06/01/22, contained the results of a central registry check dated 01/07/23. 3. The record for staff #7, date of employment 08/08/22, did not contain the results of a central registry search.”

22.1-289.035-A

“Based on record review, the center failed to obtain the results of a fingerprint based national criminal record search every five years. Evidence: The record for staff #5, date of employment 12/17/18, contained fingerprint results dated 12/11/18. An updated fingerprint based criminal record check was due on or before 12/11/2023.”

22.1-289.031-B-2 Complaint related: Yes

“Based on interviews and documentation review, the center failed to establish and implement procedures to ensure appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. Evidence: 1. Interviews and documentation review revealed that on January 11th, 2024, child #1 age 2 years, ran away from the class and was unable to be located for approximately 5 minutes. 2 Child #1, age 2 years, was found in the parking lot, alone and unattended by another parent who brought the child inside. 3. The center is located on a busy street in the city.”

22.1-289.031-B-7

“Based on interview, the center failed to ensure that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Superintendent. Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care profession or treatment in a hospital, shall be submitted annually. Evidence: 1. Interviews and documentation review revealed that on 04/04/23 child #1 sustained an injury that required an outside medical emergency referral to an offsite health care profession. 2. Interviews with administration revealed that the center did not report this injury to the Superintendent annually because they were not aware that this was a requirement. 3. The last annual filing packet was submitted by the religious institution on 10/24/23 and additional filing documentation was submitted on 11/30/263, 12/6/23, 12/21/23, and 01/17/24. The documentation did not include documentation of a child requiring outside medical treatment.”

22.1-289.031-B-1

“Based on observation, the center failed to establish and implement procedures to ensure that staff and children wash their hands after diapering. Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash her hands or the child's hands after the diaper change.”

22.1-289.035-B-2

“Based on a review of eight staff records, the center did not ensure one 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 #7, employed on 08/08/22, was dated 10/17/22.”

8VAC20-770-40-D-2

“Repeat Violation Based on record review, the center failed to obtain a sworn statement before the first day of employment and the results of a central registry background check within 30 days of employment. Evidence: 1. The record for staff #2, date of employment 12/21/23, contained a sworn statement dated 01/04/24. 2. The record for staff #6, date of employment 06/01/22, contained the results of a central registry check dated 01/07/23. 3. The record for staff #7, date of employment 08/08/22, did not contain the results of a central registry search.”

22.1-289.035-A

“Based on record review, the center failed to obtain the results of a fingerprint based national criminal record search every five years. Evidence: The record for staff #5, date of employment 12/17/18, contained fingerprint results dated 12/11/18. An updated fingerprint based criminal record check was due on or before 12/11/2023.”

22.1-289.031-B-2 Complaint related: Yes

“Based on interviews and documentation review, the center failed to establish and implement procedures to ensure appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. Evidence: 1. Interviews and documentation review revealed that on January 11th, 2024, child #1 age 2 years, ran away from the class and was unable to be located for approximately 5 minutes. 2 Child #1, age 2 years, was found in the parking lot, alone and unattended by another parent who brought the child inside. 3. The center is located on a busy street in the city.”

22.1-289.036-B-4

“Based on review of five staff records, observations and interview, the center did not obtain a sex offender registry check and satisfactory results of the child abuse and neglect registry from a state in which one staff member resided in the preceding five years. Evidence: 1. The record for Staff #4 (hire date 12/06/2020) indicated the staff member resided in another state within the last five years. Results of a sex offender registry check and satisfactory results of the child abuse and neglect registry from the other state had not been obtained for Staff #4. 2. The staff was observed working with children in the center during the 12/07/2021 inspection. 3. A member of management confirmed this information had not been received as of 01/24/2022.”

8VAC20-770-40-D-2

“Based on review of five staff records, observations and interview, the center did not ensure documentation of required background checks for three staff members within 30 days of the individual's beginning date of employment or service. Evidence: 1. The record for Staff #1 (hire date 03/08/2021) contained results of a central registry check dated 01/14/2022. 2. The record for Staff #3 (hire date 10/04/2021) did not contain the results of central registry search. 3. The record for Staff #5 (hire date 11/15/2021) contained results of a central registry check dated 02/01/2022. 4. A member of management confirmed this information on 02/02/2022.”

22.1-289.036-B-4

“Based on review of five staff records, observations and interview, the center did not obtain a sex offender registry check and satisfactory results of the child abuse and neglect registry from a state in which one staff member resided in the preceding five years. Evidence: 1. The record for Staff #4 (hire date 12/06/2020) indicated the staff member resided in another state within the last five years. Results of a sex offender registry check and satisfactory results of the child abuse and neglect registry from the other state had not been obtained for Staff #4. 2. The staff was observed working with children in the center during the 12/07/2021 inspection. 3. A member of management confirmed this information had not been received as of 01/24/2022.”

8VAC20-770-40-D-2

“Based on review of five staff records, observations and interview, the center did not ensure documentation of required background checks for three staff members within 30 days of the individual's beginning date of employment or service. Evidence: 1. The record for Staff #1 (hire date 03/08/2021) contained results of a central registry check dated 01/14/2022. 2. The record for Staff #3 (hire date 10/04/2021) did not contain the results of central registry search. 3. The record for Staff #5 (hire date 11/15/2021) contained results of a central registry check dated 02/01/2022. 4. A member of management confirmed this information on 02/02/2022.”