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The Covenant Creche

Inspection · 2022-09-15

Date
2022-09-15
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

A renewal inspection was initiated on September 15, 2022 at approximately 10:35 AM to 12:45 PM and concluded on September 15, 2022. There were 11 children present, ranging in ages from Infant to Preschool, with four staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The provider stated that transportation is provided and the vehicle and transportation documents were reviewed. The provider stated that medication is not administered at this time. A total of five child records and four staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

5
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services