Inspection · 2025-04-02
Licensing Inspector
Arlene Agustin
(804) 629-7519
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 monitoring inspection was initiated and completed on April 2, 2025. The on-site inspection began at 11:20am and ended at 12:45pm. The inspector reviewed compliance in the areas listed above. There were 17 children present and 6 staff. The inspector reviewed 5 children?s records and 5 staff records onsite. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Standard 22.1-289.035-A
All employees shall undergo a background check and every five years thereafter. Staff #1 and Staff #2 both have expired criminal background checks that expired in 2023, and Virginia central registry checks which expired in 2024.
Plan of Correction: The center responded with the following: Administration will schedule an appointment with fieldprint and obtain up-to-date background checks as well as set up the portal for Central Registry checks. Moving forward, all employees will have their background checks completed every five years.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #3 and Staff #4 did not have a copy of their central registry search results in their file nor documentation that the results were requested. Both staff members were present at the center working with children.
Plan of Correction: The center responded with the following: The RECDC will obtain the central registry checks and provide a copy to the Department of Education. Moving forward, all central registry background checks requests will be completed prior to the employee?s first day of employment.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and /or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: The center responded with the following: The center will have potable water testing for lead, provide the information to VDH as well as DOE.