Inspection · 2024-11-14
(540) 430-0384
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
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
An unannounced, on-site code compliance inspection was conducted on 11/14/2024. The on-site inspection began at 8:48 am and ended at 12:10 pm. The inspector reviewed compliance in the areas listed above. There were 59 children present with 17 staff. The inspector reviewed 5
children?s records and 9 staff records on site. This inspection included document review, a tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable code sections, 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 (5) business days from today, which will be the close of business on 11/21/2024. A POC submitted after this date will not appear on the public website.
Violations
4supervisory position must be certified by a practicing physician or physician assistant
to be free from any disability that would prevent them from caring for children under their supervision.
The most recent staff health report for staff #1 was overdue by 13 days. The staff health report for staff #2 was received over 2 months late. The staff health report for staff #3 was missing and over 3 months late. The staff health report for staff #4 was received 24 days late. The staff health report for staff #5 was missing and over 3 months late. The staff health report for staff #6 was missing and 9 days late. The staff health report for staff #7 was received over 1 year and 5 months late. The staff health report for staff #8 was received 2 days late. The staff health report for staff #9 was received 9 days late.
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
Staff #1 who has been employed for over 5 months did not have a sworn statement. Staff #2 who has been employed for over 3 months did not have a sworn statement. Staff #3 who has been employed for over 3 months did not have a sworn statement. Staff #4 who has been employed for over 3 months did not have a sworn statement. Staff #5 who has been employed for over 3 months did not have a sworn statement. Staff #6 who has been employed for 9 days did not have a sworn statement. Staff #8 who has been employed for over 3 months did not have a sworn statement. Staff #9 who has been employed for over 11 months did not have a sworn statement.
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff #1's fingerprint background check was 1 day late. Staff #2's fingerprint background check was 2 days late. Staff #3's fingerprint background check was 18 days late. Staff #4's fingerprint background check was 2 days late. Staff #5's fingerprint background check was 7 days late. Staff #6's fingerprint background check was missing and 9 days late. Staff #7's fingerprint background check was 9 days late. Staff #8's fingerprint background check was 5 days late. Staff #9's fingerprint background check was 1 day late.
The center must request a search of the central registry prior to the employee's first day of employment.
The central registry request for staff #3 was completed 15 days late. The central registry request for staff #4 was completed 1 day late. The central registry request for staff #5 was completed 3 days late. The central registry request for staff #6 was completed 3 days late. The central registry request for staff #8 was completed 6 days late.