Word Alive Christian Center

22.1-289.031-A-9

“The child day center is required to demonstrate compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. During the inspection an infant was observed sleeping on top of a soft cushion with a fiber filled sleeping bag stacked on top of cot.”

22.1-289.031-A-4

“Annually, the exempt facility will document that 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. The record for Staff #1 and #2 indicate that the health statements are past due for each staff.”

22.1-289.031-A-3

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. Upon arrival there were 11 children with two staff. The children present ranged in age from 11months through 6 years old. The number and ages range of children present required one additional staff.”

22.1-289.031-B-5

“Ensuring that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. A child under the age of two years old was cared for in rooms without direct egress to outside.”

8VAC20-790-600-C

“The center shall document completed orientation training for staff on facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. The record for Staff #1 does not have any documentation of completed facility specific orientation.”

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 record for Staff #1 contains a TB screening dated 12/10/2025. The staff was employed for 8 prior to obtaining a TB screening. The record for Staff #2?s TB screening is dated 11/27/23 and 2 weeks past due for update.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There were cleaning substances stored on the floor of the bathroom used by children. The label states keep out of reach of children.”

8VAC20-790-760-B-6

“Disposable diapers shall be disposed in a leak-proof or plastic-lined, foot operated storage system. There was not a plastic liner in the trash can where soiled diapers were being disposed.”

8VAC20-790-770-B-3

“The diapering area shall have access to a sink with running warm water not to exceed 120?F. There was not a sink near the location of the diaper changing table. Staff had to walk through two rooms to get to the nearest sink. There was not a foot operated diaper disposal system used to throw away soiled diapers.”

22.1-289.031-A-9

“The child day center is required to demonstrate compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. During the inspection an infant was observed sleeping on top of a soft cushion with a fiber filled sleeping bag stacked on top of cot.”

22.1-289.031-A-4

“Annually, the exempt facility will document that 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. The record for Staff #1 and #2 indicate that the health statements are past due for each staff.”

22.1-289.031-A-3

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. Upon arrival there were 11 children with two staff. The children present ranged in age from 11months through 6 years old. The number and ages range of children present required one additional staff.”

22.1-289.031-B-5

“Ensuring that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. A child under the age of two years old was cared for in rooms without direct egress to outside.”

8VAC20-790-600-C

“The center shall document completed orientation training for staff on facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. The record for Staff #1 does not have any documentation of completed facility specific orientation.”

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 record for Staff #1 contains a TB screening dated 12/10/2025. The staff was employed for 8 prior to obtaining a TB screening. The record for Staff #2?s TB screening is dated 11/27/23 and 2 weeks past due for update.”

8VAC20-790-640-A

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There were cleaning substances stored on the floor of the bathroom used by children. The label states keep out of reach of children.”

8VAC20-790-760-B-6

“Disposable diapers shall be disposed in a leak-proof or plastic-lined, foot operated storage system. There was not a plastic liner in the trash can where soiled diapers were being disposed.”

8VAC20-790-770-B-3

“The diapering area shall have access to a sink with running warm water not to exceed 120?F. There was not a sink near the location of the diaper changing table. Staff had to walk through two rooms to get to the nearest sink. There was not a foot operated diaper disposal system used to throw away soiled diapers.”

8VAC20-790-760-B-3-c

“A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Staff stated that children wearing pull-ups are changed while standing in front of the toilet and not a nonabsorbent surface for diapering and changing.”

8VAC20-790-540-B

“Each child’s record shall contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached. The record for child #1 who has been enrolled for two months did not contain any emergency contact information.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #1 and 3 was overdue by five months.”

22.1-289.031-B-6

“The center shall establish and implement procedures for: Ensuring that all staff are able to recognize the signs of child abuse and neglect. There was not any staff present with documentation of the ability to recognize the signs of child abuse and neglect.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. There was not any staff present with daily health observation training.”

8VAC20-790-760-B-3-c

“A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Staff stated that children wearing pull-ups are changed while standing in front of the toilet and not a nonabsorbent surface for diapering and changing.”

8VAC20-790-540-B

“Each child’s record shall contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached. The record for child #1 who has been enrolled for two months did not contain any emergency contact information.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #1 and 3 was overdue by five months.”

22.1-289.031-B-6

“The center shall establish and implement procedures for: Ensuring that all staff are able to recognize the signs of child abuse and neglect. There was not any staff present with documentation of the ability to recognize the signs of child abuse and neglect.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. There was not any staff present with daily health observation training.”

22.1-289.058

“Based on interview the center is failed to ensure that the center is equipped with at least one carbon monoxide detector. Evidence: Staff #1 stated that there was not a carbon monoxide detector in the building.”

8VAC20-790-600-G Complaint related: No

“Complaint valid Based on interview the center failed to ensure that staff obtain medication administration training prior to administering prescription medications. Evidence: 1 - Staff #1 stated that she did administer prescription amoxicillin to Child #1 on November 1, 2023. 2 - Staff #1 stated that she did not have the required medication administration training.”

8VAC20-790-690-A

“Based on interview the center failed to ensure that a balance of activities to include outdoor activities are made available. Evidence: Staff #1 stated that children do not go outside to play.”

8VAC20-790-710-1

“Based on document review and interview the center failed to ensure that staff do not use forbidden actions including striking a child. Evidence: 1 - In a report dated June 8, 2022 stated "He got popped for mouthing off." 2 - Staff #1 confirmed that the child was struck by Staff #1 with permission from the child's parent.”

8VAC20-790-550-1

“Based record review and interview the center failed to ensure that the date of hire is documented for each staff. Evidence: 1 - Three out of three records reviewed did not contain documented date of hire. 2 - Staff #1 confirmed that she did not document the date of hire for the staff.”

8VAC20-790-560-A

“Based on record review the center failed to ensure that each staff has documentation of a tuberculosis screening on file. Evidence: The record for Staff #1 did not contain documentation of a tuberculosis screening.”

22.1-289.058

“Based on interview the center is failed to ensure that the center is equipped with at least one carbon monoxide detector. Evidence: Staff #1 stated that there was not a carbon monoxide detector in the building.”

8VAC20-790-600-G Complaint related: No

“Complaint valid Based on interview the center failed to ensure that staff obtain medication administration training prior to administering prescription medications. Evidence: 1 - Staff #1 stated that she did administer prescription amoxicillin to Child #1 on November 1, 2023. 2 - Staff #1 stated that she did not have the required medication administration training.”

8VAC20-790-690-A

“Based on interview the center failed to ensure that a balance of activities to include outdoor activities are made available. Evidence: Staff #1 stated that children do not go outside to play.”

8VAC20-790-710-1

“Based on document review and interview the center failed to ensure that staff do not use forbidden actions including striking a child. Evidence: 1 - In a report dated June 8, 2022 stated "He got popped for mouthing off." 2 - Staff #1 confirmed that the child was struck by Staff #1 with permission from the child's parent.”

8VAC20-790-550-1

“Based record review and interview the center failed to ensure that the date of hire is documented for each staff. Evidence: 1 - Three out of three records reviewed did not contain documented date of hire. 2 - Staff #1 confirmed that she did not document the date of hire for the staff.”

8VAC20-790-560-A

“Based on record review the center failed to ensure that each staff has documentation of a tuberculosis screening on file. Evidence: The record for Staff #1 did not contain documentation of a tuberculosis screening.”

22.1-289.058

“Based on interview the center is failed to ensure that the center is equipped with at least one carbon monoxide detector. Evidence: Staff #1 stated that there was not a carbon monoxide detector in the building.”

8VAC20-790-600-G Complaint related: No

“Complaint valid Based on interview the center failed to ensure that staff obtain medication administration training prior to administering prescription medications. Evidence: 1 - Staff #1 stated that she did administer prescription amoxicillin to Child #1 on November 1, 2023. 2 - Staff #1 stated that she did not have the required medication administration training.”

8VAC20-790-690-A

“Based on interview the center failed to ensure that a balance of activities to include outdoor activities are made available. Evidence: Staff #1 stated that children do not go outside to play.”

8VAC20-790-710-1

“Based on document review and interview the center failed to ensure that staff do not use forbidden actions including striking a child. Evidence: 1 - In a report dated June 8, 2022 stated "He got popped for mouthing off." 2 - Staff #1 confirmed that the child was struck by Staff #1 with permission from the child's parent.”

8VAC20-790-550-1

“Based record review and interview the center failed to ensure that the date of hire is documented for each staff. Evidence: 1 - Three out of three records reviewed did not contain documented date of hire. 2 - Staff #1 confirmed that she did not document the date of hire for the staff.”

8VAC20-790-560-A

“Based on record review the center failed to ensure that each staff has documentation of a tuberculosis screening on file. Evidence: The record for Staff #1 did not contain documentation of a tuberculosis screening.”

22.1-289.031-A

“Based on observation the center failed to ensure that the fact that it is exempt from licensure is in a visible location. Evidence: The exemption is not posted in a visible location in the facility.”

8VAC20-770-40-D-2

“Based on record review the center failed to ensure that a central registry background is completed within allotted time frame. Evidence: Four out of four staff records reviewed did not have documentation of central registry background having been requested or completed.”

8VAC20-790-620-A

“Based on record review the vendor failed to demonstrate with obtaining an annual fire inspection. Evidence: There was not any fire inspection available for review during the inspection.”

8VAC20-790-630-A

“Based on observation the vendor failed to demonstrate that areas are maintained in safe condition. Evidence: There are dangling electrical cords to audio visual equipment within reach of children around the child care room. Including but not limited to cords hanging from the walls and cords on the floor where several items are plugged into a power strip.”

8VAC20-790-640-A

“Based on observation the vendor failed to ensure that hazardous substances are kept in a locked place. Evidence: There is a container of disinfectant on a table, an unlocked location, within reach of children in the child care room.”

8VAC20-790-540-B

“Based on record review the vendor failed to ensure all required children's record information is obtained for each enrolled child. Evidence: 1 - The record for child 1 did not contain documentation of parent work name address telephone number, no documentation of the child's sex, no documentation of proof of identity. 2 - The record for child 2 did not contain documentation of parent work name, address and telephone number, no emergency contact information and no proof of identity.”

8VAC20-790-550-3

“Based on record review the vendor failed to maintain documentation of tuberculosis screening results. Evidence: 1 - The records for staff 1 - 4 did not contain any documentation of tuberculosis screening results.”

8VAC20-790-600-B

“Based on record review the vendor failed to ensure that all staff complete Virginia Preservice Training for Child Care Staff. Evidence: Four out of four staff records reviewed do include documentation of the required preservice training.”

8VAC20-790-770-D

“Based on observation the vendor failed to ensure that medication is kept in a locked place. Evidence: There are two tubes of diaper cream on the diaper changing surface, an unlocked location and accessible to children.”

8VAC20-790-600-C

“Based record review the vendor failed to ensure that staff have completed required training within the allotted time frame. Evidence: Four out of four staff records reviewed did not have any documentation that orientation training was completed.”

8VAC20-790-600-D-2

“Based on record review the vendor failed to ensure that each staff have first aid training. Evidence: The records for staff 3 and 4 did not have any documentation that first aid training had been completed.”

8VAC20-790-600-D-1

“Based on record review the vendor failed to ensure that each staff have cardiopulmonary resuscitation (CPR) training. Evidence: The records for staff 3 and 4 did not have any documentation that CPR training had been completed.”

22.1-289.031-A

“Based on observation the center failed to ensure that the fact that it is exempt from licensure is in a visible location. Evidence: The exemption is not posted in a visible location in the facility.”

8VAC20-770-40-D-2

“Based on record review the center failed to ensure that a central registry background is completed within allotted time frame. Evidence: Four out of four staff records reviewed did not have documentation of central registry background having been requested or completed.”

8VAC20-790-620-A

“Based on record review the vendor failed to demonstrate with obtaining an annual fire inspection. Evidence: There was not any fire inspection available for review during the inspection.”

8VAC20-790-630-A

“Based on observation the vendor failed to demonstrate that areas are maintained in safe condition. Evidence: There are dangling electrical cords to audio visual equipment within reach of children around the child care room. Including but not limited to cords hanging from the walls and cords on the floor where several items are plugged into a power strip.”

8VAC20-790-640-A

“Based on observation the vendor failed to ensure that hazardous substances are kept in a locked place. Evidence: There is a container of disinfectant on a table, an unlocked location, within reach of children in the child care room.”

8VAC20-790-540-B

“Based on record review the vendor failed to ensure all required children's record information is obtained for each enrolled child. Evidence: 1 - The record for child 1 did not contain documentation of parent work name address telephone number, no documentation of the child's sex, no documentation of proof of identity. 2 - The record for child 2 did not contain documentation of parent work name, address and telephone number, no emergency contact information and no proof of identity.”

8VAC20-790-550-3

“Based on record review the vendor failed to maintain documentation of tuberculosis screening results. Evidence: 1 - The records for staff 1 - 4 did not contain any documentation of tuberculosis screening results.”

8VAC20-790-600-B

“Based on record review the vendor failed to ensure that all staff complete Virginia Preservice Training for Child Care Staff. Evidence: Four out of four staff records reviewed do include documentation of the required preservice training.”

8VAC20-790-770-D

“Based on observation the vendor failed to ensure that medication is kept in a locked place. Evidence: There are two tubes of diaper cream on the diaper changing surface, an unlocked location and accessible to children.”

8VAC20-790-600-C

“Based record review the vendor failed to ensure that staff have completed required training within the allotted time frame. Evidence: Four out of four staff records reviewed did not have any documentation that orientation training was completed.”

8VAC20-790-600-D-2

“Based on record review the vendor failed to ensure that each staff have first aid training. Evidence: The records for staff 3 and 4 did not have any documentation that first aid training had been completed.”

8VAC20-790-600-D-1

“Based on record review the vendor failed to ensure that each staff have cardiopulmonary resuscitation (CPR) training. Evidence: The records for staff 3 and 4 did not have any documentation that CPR training had been completed.”