Inspection · 2024-10-17
(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.
8VAC20-790 Staffing & Supervision
63.2 Child abuse and neglect
8VAC20-790 Programs
8VAC20-770 Background Checks
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Introduction
8VAC20-790 Special Services
8VAC20-790 Administration
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 10/17/2024 and completed on 10/30/2024. The on-site inspection began at 12:15pm and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 12 children present with 5 staff. The inspector reviewed 5 children?s records and 5 staff records on site. This inspection included document review, tour of the facility, 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 11/25/2024. A POC submitted after this date will not appear on the public website.
Violations
5The records for staff #1, #2, #3, #4, and #5 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.
The records for staff #1, #2, #3, #4, and #5 did not contain documentation of completed nation criminal background checks. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider.
The records for staff #1, #2, #3, #4 and #5 did not contain a completed sworn statement. The first date of employment for Staff #1, #2, #3, #4, and #5 was not provided by the provider. Staff #1, #2, #4, and #5 have been employed for at least a year or more.
The record for staff #3 did not contain documentation that a central registry search had been requested. The first date of employment was not provided by the provider.
The records for staff #1, #2, #4, and #5 did not contain documentation of results of a central registry search within 30 days of employment. Staff #1, #2, #4, and #5 have been employed for at least a year or more.