Inspection · 2025-08-21
(804) 588-2367
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 initiated on 08/21/2025 and completed on 09/05/2025. The on-site inspection began at 11:41 am and ended at 1:00 pm. The inspector reviewed compliance in the areas listed above. There were 21 children present with 4 staff. The inspector reviewed 5 children?s records and 4 staff records on-site and electronically on 08/22/2025. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance(s) 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 business days from today, which will be the close of business on 09/19/2025. A POC submitted after this date will not appear on the public website.
Violations
51. The annual staff health report for staff #1 had been altered and was not valid.
2. The annual staff health report for staff #2 was completed 2 months late.
3. The annual staff health report for staff #3 was completed 3 months late.
4. The annual staff health report for staff #4 was completed 6 months after employment.
The record for child #1, enrolled for 6 months, did not have documentation that the child was in compliance with immunization provisions.
1. There were 8 electrical outlets without covers in the gym where children were present. The center serves children as young as 2 years, 6 months.
2. There was exposed drywall and insulation in the gym where children were present.
The record for staff # 4, employed for 6 months, did not contain documentation of a central registry search request.
The program did not have evidence of a testing plan submitted to VDH.