The Covenant Creche

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #1(enrolled 5/16/23), did not have a physical examination.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #1 (enrolled 5/16/23), did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-340-G

“Based on observation and interview, the center did not ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff. Staff shall hear or see the children (video equipment, intercom systems, or other technological devices shall not substitute for staff being able to directly see or hear children). Evidence: 1. At approximately 9:00 AM, five school-age children were observed in the parking lot of the neighboring building. Staff were not observed within sight or sound of the five school-age children. 2. A member of management stated that the children observed in the parking lot were 10 years of age and older.”

8VAC20-780-70

“Based on record review, the center did not ensure that each staff record contains all required information. Evidence: The record for staff #2 (employed 9/12/22) did contain references before employment. Staff #2 references were checked on 9/13/23 and 9/14/23.”

8VAC20-780-370-5

“Based on observation, the center failed to ensure that infant walkers shall not be used. Evidence: 1. In room #2 the licensing inspector observed one infant walker.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: In the infant room, one crib mattress had exposed foam along one side within reach of children in care. Two additional cribs had plastic wrap around the mattresses, under the crib sheet. The plastic wrap was within reach of children in care, presenting a choking hazard.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure one staff record contained documentation of out of state child abuse and neglect search and out of state sex offender check. Evidence: 1. The record of staff #1 (employed: 6/01/23) did not have documentation of a completed out of state child abuse and neglect search and out of state sex offender check. 2. The Sworn Statement or Affirmation for staff #1 indicated that the staff member has lived in another state within the past five years. 3. A member of management verified that the out of state check had not been submitted.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #1, there was one container of Clorox wipes on a shelf within reach of children in care.”

22.1-289.018-A

“Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books, and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision. Evidence: During the October 16, 2023 inspection, the following was documented: 1. At approximately 10:15 a.m., two licensing agents approached the entrance to the center and rang the doorbell. Staff #1 answered the door and denied the licensing agents the opportunity to enter the center. Staff #1 reported that she was busy with online training and it was not a good day. The director/owner came to the door and told the licensing agents that they could not come in the center. While one of the licensing agents was on the phone with local law enforcement, the director/owner told the other licensing agent that she would allow five minutes inside, but she was not having it if 30 minutes was needed. The director/owner allowed the licensing agents to enter the center at approximately 10:25 a.m. 2. While in the preschool, a licensing agent was obtaining information from center staff. The director/owner directed the licensing agent to direct questions to her. 3. After entering the infant room, the licensing agents were asked how long they would be in the room with their shoes on. The licensing agents stepped outside of the room to remove their shoes. When the licensing agents started to return to the infant room, the director/owner shut the door to the infant room and directed them to the office to view infant schedules. 4. While walking to the office, the director/owner shut the door to the kitchen. The licensing agents requested access to the kitchen. The director/owner denied access to both licensing agents. Instead, the director/owner entered the kitchen, shut the door and opened the bi-fold blinds for the serving window. The director/owner confirmed that children bring meals from home. The director/owner showed one lunchbox with a child’s initials when asked if the food was labeled. The director/owner reported that the food inside of the lunchbox was dated, but refused to show the inside of the lunchbox and immediately closed the bi-fold blinds to the serving window. 5. A full monitoring inspection was not conducted and concluded at approximately 11:08 a.m.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: In the infant room, one crib mattress had exposed foam along one side within reach of children in care. Two additional cribs had plastic wrap around the mattresses within reach of children in care presenting a choking hazard.”

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure that cribs shall be identified for use by a specific child. Evidence: The four cribs in the infant room were not labeled in a way to identify which child used the crib. At the time of inspection, there were two children in care in the infant room.”

8VAC20-780-500-A

“Based on observation, the center failed to follow handwashing procedures. Evidence: Staff #3 was observed changing a diaper. After the diaper change, staff #3 did not wash the hands of the child. Staff #3 sat down in a chair and played with the infant. Staff #3 did not wash her hands with soap and running water.”

8VAC20-780-500-B

“Based on observation, the center failed to follow diapering procedures. Evidence: 1. After completing a diaper change, staff #3 finished diapering a child and sat down in a chair with the child. The staff member did not clean the diapering surface with soap and at least room temperature water or sanitize after changing the child’s diaper. 2. A bottle that the child was drinking was lying on the diaper mat while the child was being changed.”

8VAC20-780-560-G

“Based on observation, children's food items were not clearly dated and labeled in a way that identifies the owner. Evidence: Multiple lunch boxes were observed in the kitchen serving window. The director/owner stated children bring food from home. The inspector asked if they were labeled with the name and date. The director/owner pointed out one lunch box with the initials of the owner. When asked if the lunch was dated, staff #2 responded that the date was inside the lunchbox. The inspector asked to see where it was dated and the director/owner refused.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated, and labeled with the child’s name. Evidence: One prepared bottle was observed sitting on the changing table in the infant room. The bottle was not labeled with a name or date. Staff #3 stated that the child was the only one on a bottle, so she knew who it belonged to.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure to maintain the required staff to child ratios whenever children are in care. Evidence: 1. On 9/15/2022, one classroom was observed that did not meet the ratio requirements. 2. The infant classroom had 5 children with one staff. The required ratio for birth up to 16 months is 1:4. 5. Administration acknowledged that the classroom had 5 children and the ratio was 1:4.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that orientation was completed no later than seven days of the date assuming job responsibilities. Evidence: 1. The record for staff 5 (employed 8/19/22) did not have documentation of orientation.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #2 (start date: 3/10/22), did not have a physical examination.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #5 (employed 8/19/22) did not have documentation of the TB screening or test. 2. The director and assistance director confirmed that the screening was not in the record for staff #5.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for staff #5 (date of hire )8/19/22, did not contain documentation of two or more references before employment.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure to maintain the required staff to child ratios whenever children are in care. Evidence: 1. On 9/15/2022, one classroom was observed that did not meet the ratio requirements. 2. The infant classroom had 5 children with one staff. The required ratio for birth up to 16 months is 1:4. 5. Administration acknowledged that the classroom had 5 children and the ratio was 1:4.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that orientation was completed no later than seven days of the date assuming job responsibilities. Evidence: 1. The record for staff 5 (employed 8/19/22) did not have documentation of orientation.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #2 (start date: 3/10/22), did not have a physical examination.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #5 (employed 8/19/22) did not have documentation of the TB screening or test. 2. The director and assistance director confirmed that the screening was not in the record for staff #5.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for staff #5 (date of hire )8/19/22, did not contain documentation of two or more references before employment.”

22VAC40-185-330-B

“Based on observation, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. On the playground, the mulch was measured in several areas around three of the pieces of play equipment. There was approximately 2.5 to 3 inches of mulch under and in the fall zones of the play equipment.”

22VAC40-185-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In classroom #1, there was a shelf holding several bins of equipment which was unstable. In classroom #2, there were three ceiling tiles that were broken, warped, and chipped.”

22VAC40-185-550-I

“Based on observation, the center did not post the emergency numbers and poison control. Evidence: 1. The center was toured and there was no evidence of posted emergency phone numbers. 2. The director confirmed emergency numbers were not posted.”