The Covenant Creche

8VAC20-780-40-C

“The sponsor shall afford the superintendent or his agents the right at all reasonable times to inspect facilities. On 9/10/2026, the inspector was denied access to complete an unannounced inspection due to the director being out of the building.”

Rule 8VAC20-780-40-C.

8VAC20-790-600-F

“(Repeat Violation) Staff who work directly with children shall annually complete the department’s health and safety update course. Staff #1, Staff #2, Staff #3 and #4 did not annually complete the department’s health and safety update course.”

Rule 8VAC20-790-600-F.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 11/13/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The center shall implement a monthly practice evacuation drill.

“The evacuation drill log did not contain documentation of an evacuation drill for the month of January 2026 ? April 2026.”

Rule 8VAC20-780-550-D.

(Repeat Violation) The center is required to have staff complete the department’s health and safety update course annually.

“Staff #1, #2, #3, and staff #5 did not have record of completing the 3-hour annual update training as required.”

Rule 8VAC20-790-600-F.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“1. The carpet in the Three’s and Four’s classroom was ripped posing a tripping hazard. 2. In the two’s classroom, there was a child size chair torn exposing the inside cushion materials.”

Rule 8VAC20-780-270-A.

The center is required to have staff complete the department’s health and safety update course annually.

“Staff #1, # 3, 4, and staff # 5 did not have record of completing the 3-hour annual update training as required.”

Rule 8VAC20-790-600-F.

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.”

Rule 22.1-289.035-B-4.

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.”

Rule 22.1-289.057-B.

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.”

Rule 8VAC20-780-140-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.”

Rule 8VAC20-780-160-A.

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.”

Rule 8VAC20-780-570-E.

(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.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: 1. The last documented fire inspection was conducted on 8/23/2023. 2. Administrator stated an inspection has been scheduled for 9/4/2024.”

Rule 8VAC20-780-260-A.

Based on review of records and interview, the center failed to maintain for each child a separate record with the required information.

Rule 8VAC20-780-60-A.

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.”

Rule 22.1-289.035-B-4.

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.”

Rule 8VAC20-780-140-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.”

Rule 8VAC20-780-270-A.

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.”

Rule 8VAC20-780-280-B.

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.”

Rule 8VAC20-780-340-G.

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.”

Rule 8VAC20-780-370-5.

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.”

Rule 8VAC20-780-60-C.

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.”

Rule 8VAC20-780-70.

Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books, and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision.

Rule 22.1-289.018-A.

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 within reach of children in care presenting a choking hazard.”

Rule 8VAC20-780-270-A.

Based on observation and interview, the center did not ensure that cribs shall be identified for use by a specific child.

“Evidence: The four cribs in the infant room were not labeled in a way to identify which child used the crib. At the time of inspection, there were two children in care in the infant room.”

Rule 8VAC20-780-440-B.

Based on observation, the center failed to follow handwashing procedures.

“Evidence: Staff #3 was observed changing a diaper. After the diaper change, staff #3 did not wash the hands of the child. Staff #3 sat down in a chair and played with the infant. Staff #3 did not wash her hands with soap and running water.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to follow diapering procedures.

“Evidence: 1. After completing a diaper change, staff #3 finished diapering a child and sat down in a chair with the child. The staff member did not clean the diapering surface with soap and at least room temperature water or sanitize after changing the child’s diaper. 2. A bottle that the child was drinking was lying on the diaper mat while the child was being changed.”

Rule 8VAC20-780-500-B.

Based on observation, children’s food items were not clearly dated and labeled in a way that identifies the owner.

“Evidence: Multiple lunch boxes were observed in the kitchen serving window. The director/owner stated children bring food from home. The inspector asked if they were labeled with the name and date. The director/owner pointed out one lunch box with the initials of the owner. When asked if the lunch was dated, staff #2 responded that the date was inside the lunchbox. The inspector asked to see where it was dated and the director/owner refused.”

Rule 8VAC20-780-560-G.

Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated, and labeled with the child’s name.

“Evidence: One prepared bottle was observed sitting on the changing table in the infant room. The bottle was not labeled with a name or date. Staff #3 stated that the child was the only one on a bottle, so she knew who it belonged to.”

Rule 8VAC20-780-570-E.

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.”

Rule 8VAC20-780-140-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.”

Rule 8VAC20-780-160-A.

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.”

Rule 8VAC20-780-240-B.

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.”

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

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.”

Rule 8VAC20-780-70.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: In classroom #1, there was a shelf holding several bins of equipment which was unstable. In classroom #2, there were three ceiling tiles that were broken, warped, and chipped.”

Rule 22VAC40-185-270-A.

Based on observation, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“Evidence: 1. On the playground, the mulch was measured in several areas around three of the pieces of play equipment. There was approximately 2.5 to 3 inches of mulch under and in the fall zones of the play equipment.”

Rule 22VAC40-185-330-B.

Based on observation, the center did not post the emergency numbers and poison control.

“Evidence: 1. The center was toured and there was no evidence of posted emergency phone numbers. 2. The director confirmed emergency numbers were not posted.”

Rule 22VAC40-185-550-I.