Inspection · 2024-11-19
(540) 430-0384
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 conducted on 11/19/2024. The on-site inspection began at 12:31 pm and ended at 1:56 pm. The inspector reviewed compliance in the areas listed above. There were 5 children present with 4 staff. The inspector reviewed 5
children?s records and 5 staff records on site. This inspection included document review, a tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance 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
11/26/2024. A POC submitted after this date will not appear on the public website.
Violations
3supervisory position must be certified by a practicing physician or physician assistant
to be free from any disability that would prevent them from caring for children under their
supervision.
A current staff health form for staff #2 was missing. Administration stated it was overdue.
1. The most recent fingerprint background check for staff #1 was overdue by over 3 months. The most recent sworn statement for staff #1 was overdue by over 3 months. The most recent central registry for staff #1 was missing. Administration stated it had been previously completed and likely expired.
2. The most recent fingerprint background check for staff #2 was overdue by over 3 months. The most recent sworn statement for staff #2 was overdue by over 3 months. The most recent central registry for staff #2 was missing. Administration stated it had been previously completed and likely expired.
3. The most recent fingerprint background check for staff #3 was overdue by over 3 months. The most recent central registry for staff #3 was missing. Administration stated it had been previously completed and likely expired.
4. The most recent fingerprint background check for staff #5 was overdue by over 3 months.The most recent sworn statement for staff #5 was overdue by over 3 months. The most recent central registry for staff #5 was missing. Administration stated it had been previously completed and likely expired.
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.
Staff #3, who has been employed for over 3 years and 5 months, did not have a central registry background check.