Inspection · 2024-12-09
Licensing Inspector
Christine Mahan
(757) 404-0568
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
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 12/9/2024 and completed on 12/31/2024. The on-site inspection began at 1:45 pm and ended at 3:45 pm. The inspector reviewed compliance in the areas listed above. There were 18 children present with 5 staff. The inspector reviewed 10 staff records on-site. Additional documentation was reviewed electronically on 12/11/2024. This inspection included document review, tour of the facility, interviews, observations, measurements.
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 business days from today. A POC submitted after 5 business days will not appear on the public website.
Standard 22.1-289.035-B-1
(Systemic Deficiency) The center is required to obtain a completed sworn statement prior to the employee's first day of employment. There was no sworn statement for Staff #5, and staff #9 who are currently working in the program.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
(Systemic Deficiency) Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #9, who had been employed for nearly 2 months, did not have a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
(Systemic Deficiency) The center must request a search of the central registry prior to the employee's first day of employment. Staff #1(employed 3 months), staff #2 (employed 5 months) and staff #9 (nearly 2 months) are currently employed in the program and did not have documentation that a central registry search had been requested.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
(Systemic Deficiency) 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 have result s of a search of the child abuse and neglect registry or Abuse and Neglect Registry from one state for Staff #5 (employed 3 months) and did not have a search of the child abuse and neglect registry, Abuse, Neglect Registry or Sex Offender registry results from one state for Staff #9 (employed over 1 month). Both staff are currently working in the center and neither staff has documentation that a request for the Search of the Central registry was had been requested prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.