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Compassion Radford

Inspection · 2025-10-20

Date
2025-10-20
Complaint Related
No
Licensing Inspector
Julia Kimbrough
(804) 921-7596
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
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Inspector Notes

An unannounced, on-site code compliance inspection was initiated on 10/20/25 and completed on 10/20/25. The on-site inspection began at 9:20am and ended at 11:00am. The inspector reviewed compliance in the areas listed above.
There were 32 children present with 4 staff. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review, tour of the facility, 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.

Violations

4
Standard 22.1-289.035-A
Background checks must be redone every five (5) years while individuals are still employed.

The criminal background for staff #2 had originally been completed in 2020 and has since been expired for 8 months.
The central registry check for staff #2 had originally been completed in 2020 and has since been expired for 3 months.
Plan of Correction: Background checks will be redone every 5 years for employees as required.
Standard 22.1-289.035-B-1
Provide a sworn statement or affirmation disclosing whether he/she has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire.

Staff #1 had a Sworn Statement dated 4 months after the hire date.
Staff #4 had a Sworn Statement dated 1 month after the hire date.
Plan of Correction: Sworn disclosures will be completed prior to hire as required.
Standard 22.1-289.035-B-2
Prior to hire the center shall obtain fingerprinting results for prospective employees.

Staff #4 was hired and began working with the children 1 month before the center received the fingerprint results.
Plan of Correction: Fingerprinting and results will be completed and received prior to hire as required.
Standard 22.1-289.035-B-3
A request for a Central Registry on employees must be completed by the center before the first day of work.

The Central Registry report for staff #1 was not submitted prior to the first day of work; the results were dated 4 months after.
Plan of Correction: A Central Registry search will be submitted and the date of submission documented in the employee file before the employee's first day of work as required.