Inspection · 2025-02-03
(804) 588-2367
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
8VAC20-790 Staff Qualifications & Training
32.1 Report by person other than physician
8VAC20-790 Physical Plant
54.1 Must be MAT Certified.
8VAC20-790 Staffing & Supervision
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
This inspection was amended on 04/10/25 to indicate that the violations were complaint related.
An unannounced inspection was initiated on 02/03/2025 and completed on 03/03/2025 in response to a complaint received by the licensing office on 01/23/2025 relating to allegations of supervision and ratios. The inspector reviewed 1 child?s record electronically on 03/03/2025 and 1 staff record on-site This inspection included document review, tour of the facility, interviews, and observations.
The preponderance of evidence gathered during the investigation supports the allegation(s); 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 business days from today, which will be the close of business on 03/21/2025. A POC submitted after this date will not appear on the public website.
Violations
2Staff #1 revealed that on multiple occasions within the past year the classroom with children ages 4-5 years has had 11 children with one staff member. Administration confirmed that the classroom has been out of ratio several times due to being short staffed.
Child #1, age 4 years, found an unidentified small white object on the bathroom floor. The bathroom is in a hallway down the hall from the classroom and is shared by members of the church. When the child came out of the bathroom the child reported to staff #1 that they found a "pill" on the bathroom floor. Staff #1 reported that the bathrooms are not routinely checked prior to the children being allowed to enter. Staff #1 reported that the children are allowed to walk down the hall by themselves to go the bathroom.