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The Covenant Creche

Inspection · 2025-05-08

Date
2025-05-08
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 Trainings
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on May 8, 2025. The on-site inspection began at 10:00 am and ended at 12:25 pm. The inspector reviewed compliance in the areas listed above. There were 14 children present and 3 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, a tour of the facility, interviews, and observations.

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

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on May 19, 2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The center did not request a search of the child abuse and neglect registry or the out of state sex offender search from one state for Staff #2, who has been employed for more than two months and was working with children at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There was no physical examination in the record of child #1, who had been enrolled for two months child #2 who had been enrolled for 4 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Staff #2 is currently working and has a TB screening that was dated 2 years prior to their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-E
Prepared infant formula shall be refrigerated, dated and labeled with the child's name.

Three infant bottles with one with water and two with formula were not labeled with the child?s name or date. Two infant bottles with formula were labeled with a name but was not dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child # 2, #3, and #4, enrolled for over two years, was missing an annual update signed by the parents documenting that the information in the child?s file is up to date.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services