Christian Child Care Inc.

22.1-289.035-B-4

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to staff beginning employment. An out-of-state criminal record search, out-of-state sex offender registry search, and out-of-state child abuse and neglect registry search has not been requested for Staff #3. Staff #3 has been employed for more than one month.”

Rule 22.1-289.035-B-4.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with the standards and the center’s own policies and procedures that are required by these standards. The center’s policy to prevent use of outdated medication states staff will check medication weekly, double checking medication expiration date. Medication is to be returned to the family and expired medication will not be kept on site. Child #7 had an expired prescription medication on site. The medication expire in August 2026.”

Rule 8VAC20-780-40-E.

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Seven cups located in Classroom A were not labeled. The eight water cups were provided from the children’s homes.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-A

“When a child is placed in an infant seat, feeding table or high chair, the protective belt shall be fastened securely. Five infants were placed in a feeding table for lunch. The protective belts were not fastened.”

Rule 8VAC20-780-570-A.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff interviewed on 07/30/2025, staff confirmed Child #1 and Child #2 (three years of age), were left unsupervised on the outdoor playground for approximately five to 10 minutes on 06/06/2025. Staff stated the two children were inside a pirate ship located on the playground. The fenced playground is not adjacent to the center. A parking lot separates the child day center and fenced playground.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 06/06/2025, Child #1 and Child #2 (both three years old) were left unsupervised on the outdoor playground for approximately five to 10 minutes. Staff interviewed on 07/30/2025, confirmed that two children were on the playground without adult supervision for approximately five to 10 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s services are maintained in compliance with the center’s own policies and procedures that are required by these standards. The center’s playground policy states ?Children will be kept within sight and sound at all times. The center was in violation of their policy when interviewed staff confirmed Child #1 and Child #2 (three years old) were left unattended on the playground for approximately five to ten minutes on 06/06/2025.”

Rule 8VAC20-780-40-E.

8VAC20-780-340-A

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-350-B-4

“The staff-to-children ratio is one staff member for every ten children (age 3 years old up to school age eligible) in care. On 07/28/2025, Staff #1 and Staff #2 were out of ratio from 8:40am until 10:15am in Classroom #1. When Staff #3 arrived at 10:15am 30 children were present with Staff #1 and Staff #2. The children in the classroom were three years to five years old.”

Rule 8VAC20-780-350-B-4. From a complaint.

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 #4, enrolled for three weeks, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #5, enrolled for one day, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #2 contained documentation of immunizations obtained four days after the child began attending the center.”

Rule 8VAC20-780-130-A.

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all of the required information. Child #1’s record (enrolled eight months) was missing one of the two required names, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on review of one staff record (S3), and an interview with a center representative (CR1), the center failed to keep staff records as required.

“Evidence: There was no documentation in the record that S3 completed 16 hours of training appropriate to the age of children in care annually. There was documentation of 9 hours of training between 1/20/23 and 2/26/24 for S3. In an exit interview on 5/09/24, CR1 acknowledged that 16 hours of annual training was not documented.”

Rule 8VAC20-780-245-A. From a complaint.

22.1-289.035-A

“Based on record review, the provider failed to ensure that staff underwent criminal background checks every 5 years. Evidence: The record for S8, contained national criminal background checks dated 03/18/2018 and 02/26/2024.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

(Repeat Violation) Based on staff record review, the provider failed to ensure that one of eight staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment.

“Evidence: The record for S4, employed 08/02/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 4/18/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of eight staff shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S8 are dated 08/21/2021 and 01/24/2024.”

Rule 8VAC20-780-160-C.

Based on staff record review and interview, the provider failed to ensure that staff were provided in writing with the center’s information listed in 8VAC20-780-240.D.3 through D.7.

Rule 8VAC20-780-240-D.

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: The upstairs windows in three children’s bathrooms were duct taped shut making them unsafe and inoperable.”

Rule 8VAC20-780-270-A.

Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.

“Evidence: On 3/14/2024, the licensing inspector entered the Infant room at approximately 10:00 a.m. and observed 17 infants being cared for by 3 staff members. Staff members in the room acknowledged the room was out of ratio when licensing inspector entered the room. The room came into ratio at approximately 10:15 a.m. when a staff returned to the room.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-410-2

“Based on documentation review it was determined that staff used the forbidden action of enclosure in a confined space or any space that the child cannot freely exit. Evidence: Licensing inspector reviewed incident reports for C6 dated 02/05/2024 and 02/12/2024 that documented the toddler hitting and scratching other children and staff ?sat (C6) in a highchair? and C6 ?was sat in a highchair and talked to.?.”

Rule 8VAC20-780-410-2.

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C4 did not document annual confirmation of required information in the record. C4, enrolled 11/28/2022 and the annual confirmation of information was dated 02/23/2024.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-510-G

Rule 8VAC20-780-510-G.

8VAC20-780-550-G

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated January, February, and March 2024 did not document: the person conducting the drill, the method used for notification of the drill; the number of staff participating; and any special conditions simulated.”

Rule 8VAC20-780-550-G.

Based on observation, the provider failed to ensure food brought from home was clearly dated.

“Evidence: Licensing inspector observed multiple lunch boxes not dated in the toddler room.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-E

“Based on observation, the provider failed to ensure prepared infant formula shall be dated. Evidence: Individual infant bottles for three children in the infant room refrigerator were not dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-370-1

Rule 8VAC20-780-370-1.

8VAC20-780-40-E

“Based on observation, interview, and record review, the center failed to maintain compliance with the terms of the current license issued by the department. Evidence: The terms of the license state that children under the age of 31 months must remain on the first floor in rooms with direct egress. Child #4 was observed in classroom #2, upstairs. Classroom #2 does not have direct egress. When interviewed, staff stated that child #4 was the youngest child in the class. Record review revealed that child #4 is 30 months old.”

Rule 8VAC20-780-40-E.

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #4, date of employment 02/27/23, contained documentation of tuberculosis screening dated 03/01/23.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-350-B-2

“Based on observation, and interview, the center did not ensure that the staff to children ratios were followed at all times. Evidence: At approximately 10:30 am Classroom #2 had 8 children ages 16 months to 2 years with 1 teacher. The second teacher walked back into the classroom at approximately 10:32 am. When asked, the teacher stated she had walked down the hall to check the laundry. The ratio for children this age is 1:5.”

Rule 8VAC20-780-350-B-2.

Based on a review of five staff records and interview, the center did not ensure two staff members had a central registry finding within 30 days of employment.

“Evidence: 1) The central registry finding in the record for Staff #1, hired on 10/18/21, was dated 12/05/21. 2) The central registry finding in the record for Staff #2, hired on 10/19/21, was dated 12/06/21. 3) During interview, a member of management confirmed the central registry finding for Staff #1 and Staff #2 were not received within 30 days of employment.”

Rule 8VAC20-770-60-C-2.

Based on a review of five staff records and interviews, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Evidence: 1) The most recent TB screening in the record for Staff #3, hired on 01/20/22, was dated 02/09/22. 2) During interviews, a member of management reported the documentation of a negative TB screening for Staff #3 was not obtained at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A-1.

Based on a review of five children’s records and interview, the center did not ensure to have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1) Documentation reviewed for Child #2, enrolled on 09/20/21, indicated the child has a diagnosed food allergy, but a written care plan was not observed . 2) During interview, a member of management reported the center does not have a written care plan for Child #2.”

Rule 8VAC20-780-60-A-8.

Based on a review of five staff records and interviews, the center did not ensure that one staff record contained all the required information.

“Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #4, hired on 09/30/2021, were dated 10/25/2021. 2) During interview, a member of management acknowledged the TB results for Staff #4 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

Rule 8VAC20-780-70.