Inspection · 2026-03-30
(540) 847-9173
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
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 03.30.2026 and completed on 03.30.2026. The on-site inspection began at 11:20 am and ended at 1:25 pm. The inspector reviewed compliance in the areas listed above. The Department requested that the provider complete an IPOC as result of the last inspection related to background checks. There were 91children present with 21 staff. The inspector reviewed 10 children?s records and 8 staff records on-site.
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
Violations
3The exempt program is required to have employees undergo a background check every five years. The most recent national criminal background check for Staff 1 was overdue by two years and one month. The most recent sworn disclosure statement for Staff 1 was overdue by three years and seven months.
The exempt program must request a search of the central registry prior to the employee's first day of employment. Staff 5, employed for more than four months, did not have documentation of requesting a central registry search requested. Staff 7, employed for more than nine months, did not have documentation of a central registry search requested.
The exempt program is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff 5, who has been employed for more than four months, did not have documentation of requesting a central registry check and no documentation of a sex offender check from a different state.