Inspection · 2024-03-20
(804) 929-3771
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
8VAC20-790 Staff Qualifications & Training
32.1 Report by person other than physician
8VAC20-790 Physical Plant
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site code compliance inspection was initiated on 3/20/2024 and completed on 3/20/2024. The on-site inspection began at 11:25am and ended at 12:50pm. The inspector reviewed compliance in the areas listed above. There were 40 children present with 11 staff. The inspector reviewed 5 child records and 5 staff records on-site. This inspection included document review, interviews and observations.
Information gathered during the inspection determined non-compliance(s) with applicable code sections, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 4/1/2025. A POC submitted after this date will not appear on the public website.
Violations
5The most recent national fingerprint check for staff #3 was overdue by 7 years. The most recent sworn statement for staff #3 was overdue by 7 years.
Staff #5, who had been employed for over 4 months, did not have a central registry search requested.
The record for child #2 did not contain proof of the child?s identity and age.
The program did not have evidence of a testing plan submitted to VDH.
The record for staff #2 did contained results of a central registry results over 4 months after their date of employment. The record for staff #3 did not contain documentation of results of a central registry search. Staff #3 has been employed for over 9 years.