Advent Christian Childcare Center

The center shall obtain documentation of additional immunizations once between each child’s fourth and sixth birthdays.

“Child #3 did not have documentation of additional immunizations and was overdue by more than 3 years.”

Rule 8VAC20-780-130-F.

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

“In room #9, The ends of six carpet squares were curled over and no longer adhered to the floor posing a tripping hazard.”

Rule 8VAC20-780-270-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #1, enrolled for 13 days, was not signed or dated.”

Rule 8VAC20-780-150-B.

***Repeat Violation, Systemic Deficiency*** When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

***Repeat Violation, Systemic Deficiency*** Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On March 13, 2026, video footage showed the following: Staff #2 exited room #1 with two children leaving child #1 (2 years old) unsupervised in room #1 for two minutes.”

Rule 8VAC20-780-340-F.

***Repeat Violation, Systemic Deficiency*** The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures required by the standards.

“1. On March 13, 2026, video footage showed child #1 (two years old) in room #1 unsupervised for approximately two minutes. 2. The center’s supervision policy states: “The purpose of this policy is to ensure the safety, well-being, and development of all children by providing constant, active, and appropriate supervision at all times while in our care.?”

Rule 8VAC20-780-40-E.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff shall wash their hands with soap and running water before and after a diaper change.

“1. Child #1?s hands were not washed after diapering. 2. Staff #2 did not wash their hands after diapering.”

Rule 8VAC20-780-500-A.

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center’s procedures required by this standard.

“1. Management reported that the center does not have written procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun and procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center. 2. Management reported that these procedures are reviewed verbally with staff during orientation.”

Rule 8VAC20-780-240-D.

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

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On 12/11/25, video footage showed the following: 1. Child #2 (3 years old) playing in room #2 alone and unsupervised. 2. Child #2 was not within actual sight and sound supervision of a staff member for six minutes. On 12/17/25, video footage showed the following: 1. Child #1 (2 years old) was left unsupervised on the playground for one minute. 2. Child #1 knocked on the door of room #1 and a staff member opened the door.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards.

“1. The center’s discipline policy states that ?The following actions or threats; therefore, are forbidden: Physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume and un-comfortable position or exercise as punishment”. 2. On November 6, 2025, video footage showed staff #1 grabbed child #1 (2 years old) under the arm, and aggressively put him on the ground in response to the child attempting to bit staff #1.”

Rule 8VAC20-780-40-E.

Behavior guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflict.

“On November 6, 2025, video footage showed two children trying to sit on the same see-saw seat. Child #1 (2 years old) sat down first and staff #1 came over and began holding down the see-saw so that it would not move. Child #1 continued to try and move the see-saw while staff #1 had both hands on the handlebars. Child #1 attempted to bit staff #1?s right hand and staff #1 threw her arm up, grabbed child #1 under the arm, and aggressively put him on the ground.”

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: roughly handling a child.

“On November 6, 2025, video footage showed staff #1 on the playground. Staff #1 was observed picking up child #1 (2 years old) by one arm and aggressively putting him down on the ground. Video footage showed that child #1 was laying face down on the ground when staff #1 let go of his arm.”

Rule 8VAC20-780-410-1.

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: 1. In room #4, the step on trash can was not working.”

Rule 8VAC20-780-500-B.

When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“1. In room #1, three food containers did not have a name or date. 2. In room #2, two food containers did not have a name or date. 3. In room #5, one food containers did not have a name or date.”

Rule 8VAC20-780-560-G.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication was unlocked in a cabinet, in the kitchen, out of reach of children.”

Rule 8VAC20-780-510-L.

Based on a review of board member records, the center did not ensure that current board members had the required repeat background checks every 5 years.

“Evidence: 1. The record of board member #1 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/10/2023. The last fingerprint-based national criminal background check result in record is dated 6/29/18. 2. The record of board member #2 contained documentation of the results of the fingerprint-based national criminal background check update dated 7/18/2023 The last fingerprint-based national criminal background check result in record is dated 7/02/18.”

Rule 22.1-289.036-A.

Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding.

“Evidence: 1. In the cafeteria children finished lunch and transitioned to another room. Staff did not sanitize the cafeteria tables after use.”

Rule 8VAC20-780-560-J.

Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children.

“Evidence: Van #1 had an expired inspection sticker dated 11/23. The administrator acknowledged that the van has been used since the inspection sticker expired.”

Rule 8VAC20-780-580-B.

Based on a review of staff records, the center did not ensure that staff had the required repeat background checks every 5 years.

“Evidence: 1. The record for staff #1 contained a fingerprint based criminal history record information check dated 9/12/18 and 10/04/23. 2. The record for staff #1 contained central registry results dated 10/09/17 and 12/23/22.”

Rule 22.1-289.035-A. From a complaint.

Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: 1. The record for staff #1 had TB screenings dated 11/23/21 and 11/30/23. 2. The record for staff #3 had TB screenings dated 02/18/20 and 02/28/22. 3. The record for staff #5 had TB screenings dated 9/12/20 and 9/28/22. 4. The record for staff #6 had TB screenings dated 12/18/20 and 12/30/22.”

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

Based on interviews and documentation, the care, protection, and guidance of two children were not ensured by supervising staff.

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

Based on interview and review of documentation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff.

“Evidence: 1. Two incident reports, dated November 2, 2023, were reviewed. The reports indicated that child A and child B were found on the playground at 12:55 PM. 2. In an interview with administrator #1, she acknowledged this incident occurred as documented, leaving child A (4 years old) and child B (4 years old) unsupervised on the playground.”

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

Based on review of documentation, the licensee failed to ensure operational responsibilities that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards.

“Evidence: 1. The center’s playground policy states: Teachers open doors and gates. If gate is closed children are not to enter that gated area. A teacher must be present in the gated area in order for that area to be accessible to children. Proper licensing ratios must apply while the playground is in use. 2. Child A (4 years old) and child B (4 years old) were unsupervised on the playground, staff responsible for supervising child A and child B were unaware the children were on the playground.”

Rule 8VAC20-780-40-E. From a complaint.

8VAC20-780-160-A

“Based on observations, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The picnic table located on the school age playground contained wooden boards that were broken, exposing a bolt, creating a snagging and pinching hazard for the children.”

Rule 8VAC20-780-270-A.

Based on a review of six staff records, the center did not obtain documentation of a negative tuberculosis (TB) screening for two staff within the required timeframe.

“Evidence: 1) The TB screening in the record for Staff #3, employed 06/06/22, was dated 06/16/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #5, employed 02/23/22, was dated 10/08/21. The documentation should have been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on a review of six staff records and interview, the center did not maintain a complete record for two staff person.

Rule 8VAC20-780-70.

Based on a review of officers’ background checks, the center did not obtain the required repeat background checks for two officers every five years.

Rule 22.1-289.036-A.

Based on a review of four staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The results of the central registry finding in the record for Staff #3, hired on 12/08/21, were dated 01/14/22. 2) During interviews, a member of management confirmed the results of the central registry finding for Staff #3 were not received within 30 days of employment. The record did not contain documentation of any further contact and the staff member had been continuously employed.”

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

Based on a review of records, medications and interview, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of three children.

“Evidence: 1) A non-prescription medication was observed at the center for Child #2. The center had written authorization from the child’s physician to administer the medication, but no written parental authorization was present for this medication. 2) During interview, a member of management confirmed the written parental authorization for this medication was not present.”

Rule 8VAC20-780-510-F.