Inspection · 2025-02-27
(804) 840-8312
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
63.2 Child Abuse & Neglect
22.1 Early Childhood Care and Education
20 Access to minor?s records
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 renewal inspection was initiated on February 27, 2025, and completed on March 3, 2025, as a part of the licensure period. The on-site inspection began at 10:40 am and ended at 1:00 pm. The inspector reviewed compliance in the areas listed above. There were 31 children present and six staff. The inspector reviewed five children?s records and seven staff records. On March 3, 2025, 13 additional staff records were reviewed on site from 4:00 pm until 5:30 pm. 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.
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 business days from today, which will be the close of business on March 21, 2025. A POC submitted after this date will not appear on the public website.
Violations
7The center is required to have employees undergo a background check every five years.
1. The most recent central registry check for staff #1 was overdue by five months.
2. The most recent national criminal fingerprint background check for staff #3 was overdue by one year, five months.
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
1. The sworn statement for Staff #4 was dated 14 days after the first day of employment.
2. The sworn statement for Staff #9 was dated one year after the first day of employment.
3. The sworn statement for Staff #12 was dated four months after the first day of employment.
4. The sworn statement for Staff #16 was dated ten months after the first day of employment.
6. The sworn statement for Staff #17 was dated one year after the first day of employment.
7. The sworn statement for Staff #18 was dated nine days after the first day of employment.
8. The sworn statement for Staff #20 was dated one month after the first day of employment
Centers must obtain a completed national criminal fingerprint background check prior to the employee's first day of employment.
1. The record of staff #4 contained results of a national criminal fingerprint background check dated 27 days after the first day of employment.
2. The record of staff #9 contained results of a national criminal fingerprint background check dated ten months after the first day of employment.
3. The record of staff #12, employed for five months, did not contained results of a national criminal fingerprint background check.
4. The record of staff #16 contained results of a national criminal fingerprint background check dated nine months after the first day of employment.
5. The record of staff #17 contained results of a national criminal fingerprint background check dated nine months after the first day of employment.
6. The record of staff #18, employed for nine months, did not contained results of a national criminal fingerprint background check.
7. The record of staff #19 contained results of a national criminal fingerprint background check dated nine months after the first day of employment.
8. The record of staff #20 contained results of a national criminal fingerprint background check dated eight days after the first day of employment.
The center shall request a search of the central registry prior to the employee's first day of employment.
Staff #12, employed for five months, did not have the results of a central registry search. The record did not contain documentation of a central registry check being requested prior to employment.
For staff hired before July 1, 2024, centers shall obtain the results of a central registry search for an employee, within 30 days of service.
1. The record of staff #8, employed for two years, contained the results of a central registry search dated four months after employment.
2. The record of staff #9, employed for twenty-one months, did not include the results of a central registry search.
3. The record of staff #16, employed for one year, nine months, contained the results of a central registry search dated one year, nine months after employment.
4. The record of staff #17, employed for one year, nine months, contained the results of a central registry search dated one year, nine months after employment.
5. The record of staff #18, employed for nine months, did not include the results of a central registry search.
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.
1. The record of staff #9 contained documentation of a tuberculosis screening dated one year after the date of employment.
2. The record of staff #12, employed for five months, did not contain documentation of a tuberculosis screening.
3. The record of staff #16 contained documentation of a tuberculosis screening dated one year after the date of employment.
4. The record of staff #17 contained documentation of a tuberculosis screening dated one year after the date of employment.
5. The record of staff #18 contained documentation of a tuberculosis screening dated 19 days after the date of employment.
6. The record of staff #20 contained documentation of a tuberculosis screening dated six months after the date of employment.