Nikki’s Christian Daycare Inc. Pam’s Place

Annual approval from the health department shall be provided for meeting the requirements for water supply and sewage disposal system.

“The center did not have documentation of their annual Report of Environmental Sanitation Inspection.”

Rule 8VAC20-780-260-B.

The diapering surface shall be used only for diapering or cleaning children.

“In the infant room, the attendance clipboard was on the diaper changing table and in the toddler room, a jacket and a coloring page were on the diaper changing table.”

Rule 8VAC20-780-500-B.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: Staff #1 had a TB screening that had been completed four months prior to employment, and not within the last 30 calendar days as required.”

Rule 8VAC20-780-160-A.

Cribs, cots, mats and beds used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“Evidence: During the inspection the Licensing Inspector observed two children laying down for nap that did not have a bottom cover.”

Rule 8VAC20-780-450-A.

Staff records shall be kept for each staff member and include documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The references for Staff #2 were taken over the phone and did not contain the date the references were obtained and there was no signature of the person making the call.”

Rule 8VAC20-780-70.

Prescription and nonprescription medication shall be given to a child only with written authorization from parent.

“Evidence: On October 8, 2025, at 2:56 p.m. Staff #1 applied a non-prescription skin product on Child #1 after observing an irritation on the child’s arm. The Non-prescription authorization form the center had on file expired two months ago. The center did not have current written authorization from the parent to apply the skin product.”

Rule 8VAC20-780-510-B.

The center is required to obtain a central registry background check report every five years from the date of the last check.

“Evidence: The record for Staff #4 did not contain documentation of a repeat central registry background check. The background check expired one year ago.”

Rule 22.1-289.035-A.

For staff hired before 7/1/24 the center is required to obtain the results of an out-of-state central registry background checks by the end of the 30th day of employment, the results of an out-of-state criminal record check prior to employment, and the results of out-of-state sex offender registry search for each state an individual resided in the past five years prior to the first day of employment.

“Evidence: The record for Staff #1 did not contain the results of an out-of-state central registry background check, out-of-state criminal record check, and out-of-state sex offender registry search. The out-of-state background checks were overdue by two years.”

Rule 22.1-289.035-B-4.

A tuberculosis (TB) screening is required every two years from the last screening.

“Evidence: The record for Staff #2, Staff #4, and Staff #5 did not contain documentation of a repeat tuberculosis screening every two years. The records for Staff #2 had a tuberculosis screening that expired for one year before obtaining a new screening, Staff #4 had a tuberculosis screening that expired for nine months before obtaining a new screening, and Staff #5 had a tuberculosis screening that expired 14 months ago.”

Rule 8VAC20-780-160-C.

Areas and equipment of the center, inside and outside shall be maintained in a clean, safe, and operable condition.

“Evidence: 1. In the Noah’s Ark room, ages 6 weeks to 16 months-old, a mini fridge with a box fan sitting on top of it was observed. Upon further inspection it was discovered that the mini fridge was missing one of the leveling feet causing it to be unstable and posing an entrapment hazard. 2. In the Gift of the Spirit room, ages 16 months to two-years-old, children were observed playing on a carpet that had several large wrinkles, posing a trip hazard.”

Rule 8VAC20-780-270-A.

Repeat Violation

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: In the infant room, Child #1, six-months-old, was observed sleeping in a crib with loose fitting sheets.”

Rule 8VAC20-780-340-A.

Repeat Violation

“For each group of children, the center shall maintain a written record of attendance that documents the arrival and departure of each child in care as it occurs. Evidence: In the Songbirds class, ages three and four-years-old, seven children were present, the written record reflected there were eight”

Rule 8VAC20-780-80-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance

“Evidence: On 3/28/2025 at approximately 10:15am, Staff #1 was supervising 13 children, ranging in age from three-years-old to school age, in the multi-purpose room. Child #1, three-years-old, began poking other children in the group, Child #2, three-years-old, who was poked chased after Child #1 and pulled the child’s hair causing two braids to be pulled out of their scalp.”

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

Children under 10 years of age, shall be within actual sight and sound supervision of staff at all times.

“Evidence: When the three-year class utilize the restroom in the multi-purpose room after outside time, staff remain at the restroom and send children to hang up their coats in the three-year class. The three-year classroom is located outside of the multi-purpose room across from the Directors desk in the lobby. Interviews revealed that the Director is not always at their desk therefore, children from the three-year class were not within sight and sound supervision at all times.”

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

A ratio waiver request was granted on 7/3/24 increasing the ratio in the three-year class from 1 staff to 10 children to 1 staff to 11 children.

“Evidence: On 3/28/2025, there were 13 children with one staff in the multi-purpose room from approximately 10:15am to 10:20am. The youngest child in the group was three-years-old.”

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

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received immunizations required by the State Board of Health prior to the first day of attendance. Evidence: the record for child #1 (start date: 7/1/2024) did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination prior to, or within 30 days of the first day of attendance. Evidence: the record for child #1 (start date: 7/1/2024) did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“(Repeat Violation) Based on observation, there was not resilient surfacing with a fall zone, free of hazardous obstacles, under and around playground equipment as required. Evidence: There is a spinning playground equipment positioned on grass, without any resilient surface in the fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-580-B

“Based on observation and staff interview, the vehicle used to transport children does not meet the safety standards set up the Department of Motor Vehicles. Evidence: the license plates on the center van expired 3/2024.”

Rule 8VAC20-780-580-B.

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, and staff interview, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: two children were listed on the attendance record for the two’s classroom, however three children were observed in care.”

Rule 8VAC20-780-80-A.

8VAC20-780-330-A

“(Repeat Violation) Based on observation, and interviews, the playground is not located and designed to protect children from hazards. Evidence: The playground location is unfenced in the parking lot, with cones as a border, and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph. Staff stated that children use this playground area to ride bikes, play on the slide, play on the spinning playground equipment and play on the yellow climber.”

Rule 8VAC20-780-330-A.

8VAC20-780-40-D

“Based on observation, the facility failed to post the license in a place conspicuous to the public. Evidence: the license was located on a desk in the office.”

Rule 8VAC20-780-40-D.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children’s hands were washed as required. Evidence: The toddlers and two’s were observed eating snack together and their hands were not washed afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“(Repeat Violation) Based on observation, and staff interview, the diapering area in the two’s classroom did not contain the appropriate (foot operated) disposal system for diapers, as required. Evidence: the foot operated disposal system had a sign on it stating, “soiled linen” and staff stated they use the other trash can, which was not foot operated, to dispose of diapers.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

“Based on review of the written attendance record, and staff interview, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: there was no written record of attendance for the eight toddlers/two’s that were observed eating snack together.”

Rule 8VAC20-780-80-A.

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were four cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-A

“Based on observation, and interviews, the playground is not located and designed to protect children from hazards. Evidence: The playground location is unfenced in the parking lot, with cones as a border, and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph.”

Rule 8VAC20-780-330-A.

8VAC20-780-40-K

“Based on review of documentation, the facility did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: the facility did not have written procedures that included coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.

8VAC20-780-500-B

“Based on observation, the diapering area did not contain all required items. Evidence: there was not any soap or disposable towels by the sink in the infant classroom.”

Rule 8VAC20-780-500-B.

8VAC20-780-540-C

“Based on observation, the facility did not have all the required items in the first aid kit. Evidence: there were no triangular bandages in the first aid kit.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-B

“Based on review of documentation, the facility did not have an emergency preparedness plan that contained all required procedural components. Evidence: the emergency preparedness plan did not have procedural components for: a) methods to ensure any health care needs to include medications and care plans, contact information for staff, and supplies are taken to the assembly point or relocation site; b) accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation.”

Rule 8VAC20-780-550-B.

8VAC20-780-570-I

“Based on observation, and interview, the facility did not have a one-day’s emergency supply of disposable bottles, nipples and commercial formulas.”

Rule 8VAC20-780-570-I.

8VAC20-780-160-A

“Based on review of four staff records, it was determined that not all records contained documentation of a negative tuberculosis (TB) test/screening at the time of employment. Evidence: the record for staff #4 (date of hire: 1/2/2024) had documentation of a negative TB test/screening that was dated: 7/20/2023.”

Rule 8VAC20-780-160-A.

22.1-289.035-A

“Based on review of three staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #3 had an OBI fingerprint determination letter dated: 6/12/2018.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on review of two applicant records, and staff interview, it was determined that not all applicants had repeat background checks every five years as required. Evidence: The record for applicant #1 did not have a Central Registry search report. Staff stated that it had expired, and they didn’t have the updated search results.”

Rule 22.1-289.036-A.

8VAC20-770-60-C-2

“(Repeat Violation) Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no follow up was conducted. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of a central registry search report or follow up.”

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

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there were two cannisters of disinfectant wipes and two bottles of disinfectant spray in an unlocked cabinet below the changing table in the “Gift of the Spirit” classroom, with labels that stated, “Caution,” “Warning,” and “Keep out of reach of children.””

Rule 8VAC20-780-280-B.

8VAC20-780-320-B

“(Repeat Violation) Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom #1 that was accessible to the children; there were no paper towels in the downstairs bathrooms accessible to the children.”

Rule 8VAC20-780-320-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-D

Rule 8VAC20-780-340-D.

8VAC20-780-40-M

“(Repeat Violation) Based on review of documentation, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions. Evidence: the allergy list was dated: 8/2023, and did not include child #3 (start date: October 2023) with a documented food sensitivity/restriction.”

Rule 8VAC20-780-40-M.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: five children were observed in the “Gift of the Spirit” classroom, however no children were included on the attendance sheet for 10/19/2023. In the “Songbirds” classroom the children’s departure was not documented. Staff stated that they do not sign children out when they depart.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-2

“Based on review of three staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of hire: unknown) who was observed supervising a group of children alone, did not have an OBI fingerprint determination letter.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire: 5/26/2022) and staff #3 (date of hire: unknown) did not contain documentation of a central registry report.”

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

8VAC20-780-160-A

“Based on review of three staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #3 (date of hire: unknown) did not have documentation of a TB test/screening. Staff #1 and #3 were observed supervising children.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: The wire fence in the younger children’s playground has multiple protruding, rusted, sharp ends at the top and bottom of the fence and parts of the fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom accessible to the children and no paper towels in the downstairs bathroom.”

Rule 8VAC20-780-320-B.

8VAC20-780-340-D

“Based on observation, staff interviews, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #2 was designated as the program leader in the 3?s class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.”

Rule 8VAC20-780-340-D.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

Rule 8VAC20-780-40-L.

8VAC20-780-450-A

“Based on observation, not all cots used by children during rest time contained linens consisting of a top cover and a bottom cover. Evidence: five of the nine cots in the overflow classroom did not contain a bottom cover. Four of the eight cots in the songbird classroom did not contain a bottom cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-260-B

“Based on review of documentation, and staff interview, it was determined that the facility did not have documentation of an annual health inspection. Evidence: The most recent health inspection report on file was dated 9/14/2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that each restrooms is equipped as required. Evidence: the toilet paper in both bathrooms is not within reach of children.”

Rule 8VAC20-780-320-B.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on review of three child records, it was determined that not all records contained all required information. Evidence: the records for child #2 and child #3 did not contain the name, address and phone number for two emergency contacts.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: six children were observed in the overflow classroom, however only four children were included on the attendance sheet.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-2

“Based on review of two staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) had an OBI fingerprint determination letter dated: 6/3/2022. The record for staff #2 (date of hire 6/27/2022) did not have an OBI determination letter.”

Rule 22.1-289.035-B-2. From a complaint.

8VAC20-770-60-B

“Based on review of two staff records, it was determined that not all staff had a sworn statement or affirmation prior to their first day of employment/volunteering. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a sworn statement.”

Rule 8VAC20-770-60-B. From a complaint.

8VAC20-770-60-C-2

“Based on review of two staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a central registry report.”

Rule 8VAC20-770-60-C-2. From a complaint.

8VAC20-780-160-A

Rule 8VAC20-780-160-A. From a complaint.

8VAC20-780-240-B

“Based on review of two staff records, the facility failed to ensure all staff received orientation training as required. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not have documentation of completion of orientation training.”

Rule 8VAC20-780-240-B. From a complaint.

8VAC20-780-270-A

Rule 8VAC20-780-270-A. From a complaint.

8VAC20-780-70

“Based on review of two staff records, and an interview with the center director, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) only contained fingerprint results and a job description. The record for staff #2 (date of hire/volunteering: 6/27/2022) only contained a TB test/screening.”

Rule 8VAC20-780-70. From a complaint.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

“Based on observation, the facility failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when staff opened the door for the LI, the overflow class of nine children were left out of sight for approximately 1-2 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-B

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: there were nine children in the overflow classroom with one staff member. The youngest children in the group were 22 months and 23 months of age. Staff interviews revealed that the class was out of ratio from approximately 10:15 - 11:45 am when the third staff member left the building to go run an errand.”

Rule 8VAC20-780-350-B.

8VAC20-780-550-D

“Based on review of the emergency drill log, and an interview with staff, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: There were no documented evacuation drills in December, 2021, January, 2022 or February, 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

“Based on a review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #3 and child #5 did not contain the name, address or phone number for a second emergency contact. The record for child #5 (date of first attendance: 3/1/2022) did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: nine children were observed in the overflow classroom, however only eight children were included on the attendance sheet.”

Rule 8VAC20-780-80-A.