Inspection · 2018-03-11
(804) 588-2362
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Trainings
8VAC20-780 Physical plant
8VAC20-780 Staffing and Supervision
8VAC20-780 Programs
8VAC20-780 Special care provisions and emergencies.
8VAC20-780 Special Services
8VAC20-820 The License
8VAC20-820 The Licensing Process
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site renewal inspection was initiated and completed on October 1, 2024. The on-site inspection began at 11:45 am and ended at 2:50 pm. The inspector reviewed compliance in the areas listed above. There were 137 children present and 21 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included a tour of the facility, interviews, observations, and document review.
Information gathered during the inspection determined non-compliance with applicable standards or law, 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on October 10, 2024. A POC submitted after this date will not appear on the public website.
Violations
3Evidence:
The record for staff #6 contained a central registry background check dated 08/03/2018. Staff #6 should have completed a central background check on or before 08/03/2023.
Evidence:
1. The record for staff #1 contained a sworn statement that was completed on 3/11/2018. The sworn statement for staff #1 should have been updated on or before 3/11/2023.
2. The record for staff #2 contained a sworn statement that was completed on 4/16/2018. The sworn statement for staff #2 should have been updated on or before 4/16/2023.
3. Staff #1 verified that an updated sworn statement had not been completed for staff #1 and staff #2.
Evidence:
The record of Staff #6 (DOH 08/24/2016) did not contain an updated tuberculosis screening. The tuberculosis documentation in the record was dated 09/29/2022.