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The Covenant Creche

Inspection · 2023-11-21

Date
2023-11-21
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was conducted on November 20, 2023, from approximately 9:00 am to 11:30 AM. There were 19 children present in the center, ranging in age from infant to school age, with five staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and programming. A total of two child records and three 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

8
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
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 #1(enrolled 5/16/23), did not have a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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.
Plan of Correction: Not available online. Contact Inspector for more information.