Christian Child Care Inc.

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.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/28/2025, from 8:40am to 10:15am, Classroom #1 exceeded the required staff to child ratio, with two staff members supervising up to 30 children between the ages of 3 and 5. Two children in Classroom #1 had diagnosed special needs, and their records included assessments and behavior guidance strategies for staff. Staff reported that managing the number of children during this time frame was challenging due to instances of aggressive behavior exhibited towards other children, staff and self on a regular basis.

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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.

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8VAC20-780-60-A · 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.

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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.

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8VAC20-780-245-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.

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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.

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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.

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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.

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8VAC20-780-270-A · Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) There were several spots on the wall in the Toddler classroom with peeling paint. 2) The floor mats in the toddler room were peeling and had exposed foam. 3) The sink in the preschool classroom was pulling away from the wall. 4) The fence on the playground had several areas where the chain link was not attached to the posts as well as broken wire sticking out

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8VAC20-770-60-C-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.

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