Inspection · 2025-12-01
Date
2025-12-01
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
(804) 629-8167
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
Violations
5Standard 22.1-289.031-B-6
The Center is required to ensure that all staff are able to recognize the signs of child abuse and neglect.
The record for Staff #1 did not contain a Child Abuse and Neglect Training.
The record for Staff #1 did not contain a Child Abuse and Neglect Training.
Plan of Correction: New management understood that employees could complete the Child Abuse and Neglect training after starting and then submit the certificate; however, during the inspection we learned this training must be completed and documented prior to hire. We have corrected this expectation and will ensure all future staff complete the training and provide certificates before their start date.
Standard 22.1-289.035-B-1
(Repeat Violation) The Center is required to obtain documentation of a completed Sworn Disclosure Statement prior to date of hire.
The record for Staff #2 contained a sworn disclosure statement completed 2 days after hire.
The record for Staff #2 contained a sworn disclosure statement completed 2 days after hire.
Plan of Correction: The Center acknowledges that Staff #2 's Sworn Disclosure Statement was completed two days after hire under the prior process. Effective immediately, management will ensure that a completed Sworn Disclosure Statement is obtained, verified, and filed before any future employee's start date, and hire dates will not be finalized until this requirement is met.
Standard 22.1-289.035-B-2
(Repeat Violation) The Center is required to obtain documentation of the results of a national fingerprint background check prior to date of hire.
The record for Staff #2 contained a fingerprint background check that was completed 2 weeks after hire.
The record for Staff #2 contained a fingerprint background check that was completed 2 weeks after hire.
Plan of Correction: Effective immediately, the Center will ensure national fingerprint background check documentation is received and verified before any future employee's start date, with hire dates not finalized until clearance is on file. Management changed in 2024, and some personnel files may reflect prior administrative practices; however, the current administration has updated onboarding procedures to prevent any recurrence and will audit files to confirm compliance going forward.
Standard 22.1-289.035-B-3
(Repeat Violation) The Center is required to request a Central Registry check prior to the beginning of employment.
The record for Staff #2 contained documentation of submission of the central registry check that was sent 2 days after hire.
The record for Staff #2 contained documentation of submission of the central registry check that was sent 2 days after hire.
Plan of Correction: TI1e Center acknowledges that Staff #2's Central Registry check was submitted two days after hire under the prior process. Effective immediately, the Center will ensure a Central Registry check is requested, documented, and verified before any employee begins work, and no start date will be approved until proof of submission is on file.
Standard 22.1-289.035-B-4
The Provider is required to request the results of a criminal history record check, a sex offender registry search, and a central registry check from all states in which staff members have resided within the last five years prior to employment.
1)The record for Staff #2 did not contain documentation of requests for the results of a sex offender record check and a central registry check from all states in which the staff member has resided within the last five years prior to employment. These were due 15 months ago.
2)The record for Staff #3 did not contain documentation of requests for the results of a sex offender record check, a criminal history record check and a central registry check from all states in which the staff member has resided within the last five years prior to employment. These were due 4 months ago.
1)The record for Staff #2 did not contain documentation of requests for the results of a sex offender record check and a central registry check from all states in which the staff member has resided within the last five years prior to employment. These were due 15 months ago.
2)The record for Staff #3 did not contain documentation of requests for the results of a sex offender record check, a criminal history record check and a central registry check from all states in which the staff member has resided within the last five years prior to employment. These were due 4 months ago.
Plan of Correction: The new management team has been in the process of learning prior procedures and was not aware that out-of-state background checks were required as part of the hiring process. Once this was clarified, we acted immediately and submitted all necessary multi-state requests yesterday. Staff #2 's sex offender registry results have been received and filed, the central registry request is pending, and Staff #3 's sex offender, criminal history, and central registry requests/results are attached for your review. Going forward, no employee will begin work until all five-year multi-state checks are requested and documented, and we will continue auditing older files to ensure full compliance.