Inspection · 2024-09-04
(804) 629-2691
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site focused inspection was conducted on 9/4/24, as part of the provisional licensure period. The on-site inspection began at 9:30am and ended at 11:37am. The Licensing Administrator, also on-site today, gave an extension for documentation needed for the Intensive Plan of Correction (IPOC) to be submitted no later than 5:00pm on 9/6/24. The inspector reviewed compliance in the areas listed above that were cited as violations at the license renewal inspection on 6/24/24. There were 135 children present and 43 staff. The inspector reviewed 4 children's records and 6 staff records while on-site. This inspection included document review, tour of facility and interviews. 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 deficient practice will be or has been corrected. Submit your POC within 5 business days from today, which will be the close of business on 9/18/24. A POC submitted after this date will not appear on the public website.
Violations
5Based on records reviewed, 1 of 6 staff records reviewed did not include documentation of a required background check every 5 years. Evidence: Staff #13-The sworn disclosure statement was dated as completed on 10/18/17.
Based on records reviewed, 1 of 6 staff records did not include documentation of a child abuse + neglect search (CRS) by the end of the 30th day of employment. Evidence: Staff #18-There was no documentation of a completed CRS, or documentation of the CRS being submitted or subsequent follow-up with the Central Registry. Employment began in April 2024.
Based on records reviewed, 1 of 6 staff record did not include documentation of orientation training being completed in the first 7-days of employment. Evidence: Staff #18-There was no documentation of orientation training for the positions which she has been working. Employment began in April 2024.
Based on records reviewed, 1 of 6 staff records did not include required information. Evidence: Staff #18-0 of 2 reference checks were documented prior to employment. Employment began in April 2024.