Inspection · 2024-12-16
(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 12/16/2024 and completed on 12/16/2024. The on-site inspection began at 10am and ended at 10:55am. The inspector reviewed compliance in the areas listed above. There were 13 children present with 5 staff. The inspector reviewed 6 staff records electronically on 12/17/24 and 12/26/24. 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 1/7/2025. A POC submitted after this date will not appear on the public website.
Violations
6The provider shall maintain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
The records for staff #6 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.
The most recent national fingerprint background check for staff #5 and staff #6 was overdue by a year and three months.
The provider is required to obtain a completed sworn statement prior to the employee's first day of employment.
The record for staff #6 did not contain a completed sworn statement. The first date of employment for Staff #6 was not provided by the provider. Staff #6 has been employed for at least a year or more. The record for staff #4 contained a sworn statement dated over 4 months after their first day of employment.
The provider must obtain a completed national criminal background check prior to the employee's first day of employment.
The records for staff #1, #2, #3, and #4 did not contain documentation of completed national criminal background checks. The first date of employment for Staff #2 and #3 was not provided by the provider. Staff #1 has been employed for over 2 months and staff #4 has been employed for over 5 months.
For any employee hired on or after 7/01/24, a central registry search must be requested prior to employment.
The record for staff #1, employed for over 2 months, did not contain documentation that a central registry search had been requested. The record for staff #4, employed for over 4 months, did not contain documentation that a central registry search had been requested.
For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment.
The records for staff #2, #3, #5, and #6 did not contain documentation of results of a central registry search within 30 days of employment. Staff #2, #3, #5, and #6 have been employed for at least a year or more.