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The Covenant Creche
3615 East River Road
South chesterfield, VA 23803
(804) 526-9080

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Oct. 16, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Physical Plant.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.

Technical Assistance:
n/a

Comments:
A non-mandated monitoring inspection was conducted on October 16, 2023, from approximately 10:15 AM to 11:08 PM. The inspector reviewed compliance in the areas of administration, physical plant, programs, special care and emergencies, and nutrition.

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

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations:
Standard #: 22.1-289.018-A
Description: 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.

Evidence:
During the October 16, 2023 inspection, the following was documented:

1. At approximately 10:15 a.m., two licensing agents approached the entrance to the center and rang the doorbell. Staff #1 answered the door and denied the licensing agents the opportunity to enter the center. Staff #1 reported that she was busy with online training and it was not a good day. The director/owner came to the door and told the licensing agents that they could not come in the center. While one of the licensing agents was on the phone with local law enforcement, the director/owner told the other licensing agent that she would allow five minutes inside, but she was not having it if 30 minutes was needed. The director/owner allowed the licensing agents to enter the center at approximately 10:25 a.m.
2. While in the preschool, a licensing agent was obtaining information from center staff. The director/owner directed the licensing agent to direct questions to her.
3. After entering the infant room, the licensing agents were asked how long they would be in the room with their shoes on. The licensing agents stepped outside of the room to remove their shoes. When the licensing agents started to return to the infant room, the director/owner shut the door to the infant room and directed them to the office to view infant schedules.
4. While walking to the office, the director/owner shut the door to the kitchen. The licensing agents requested access to the kitchen. The director/owner denied access to both licensing agents. Instead, the director/owner entered the kitchen, shut the door and opened the bi-fold blinds for the serving window. The director/owner confirmed that children bring meals from home. The director/owner showed one lunchbox with a child?s initials when asked if the food was labeled. The director/owner reported that the food inside of the lunchbox was dated, but refused to show the inside of the lunchbox and immediately closed the bi-fold blinds to the serving window.
5. A full monitoring inspection was not conducted and concluded at approximately 11:08 a.m.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-440-B
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-500-A
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-500-B
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-560-G
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-570-E
Description: 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.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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