Inspection · 2025-07-10
(540) 272-2941
Areas Reviewed
8VAC20-780-40
8VAC20-780-70
8VAC20-780-340
8VAC20-780-500
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 inspection was initiated and completed on 07/10/2025 in response to a complaint received by the licensing office on 06/27/2025 relating to allegations of operational responsibilities, staff records, supervision, and diapering. The inspector reviewed seven staff records on-site.
This inspection included:
? document review
? tour of the facility
? interviews
? observations
The preponderance of evidence gathered during the investigation supports the allegation concerning staff records; therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the 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 08/01/2025. A POC submitted after this date will not appear on the public website.
Violations
4The record for staff D, who has been actively working alone with children for seven months, did not contain a central registry check or proof that one had been requested. The record for staff F, who has been actively working alone with children for five months, did not contain a central registry check or proof that one had been requested. The record for staff G, who has been actively working alone with children for seven weeks, did not contain a central registry check or proof that one had been requested.
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children.
Staff C had no documentation of a TB screening on file and has been employed for nine months. Staff F had no documentation of a TB screening on file and has been employed for five months.
A tuberculosis (TB) screening is required every two years from the last screening.
The repeat TB screening for Staff A was due ten months ago and had not yet been completed.
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
Staff B, who has been actively working at the center for the past 2 years and seven months, did not have completed reference verifications on file. Staff C, who has been actively working at the center for the past nine months, did not have completed reference verifications on file.
Staff D, who has been actively working at the center for the past seven months, did not have completed reference verifications on file. Staff E, who has been actively working at the center for the past ten months, did not have completed reference verifications on file. Staff F, who has been actively working at the center for the past five months, did not have completed reference verifications on file. Staff G, who has been actively working at the center for the past seven weeks, did not have completed reference verifications on file.