Inspection · 2024-09-11
(571) 835-0599
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring inspection was conducted on 9/11/24. The on-site inspection began at 10:30am and ended at 1:04pm. The inspector reviewed compliance in the areas listed above. There were 71 children present and 16 direct-care staff. The inspector reviewed 9 children?s records and 7 staff records while on-site. This inspection included document review, tour of the facility and interviews. 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 day from the date the report was sent to you, which will be close of business on 9/19/24. A POC submitted after this date will not appear on the public website.
Violations
7Based on records reviewed and interviews conducted, 2 of 7 staff records did not include out-of-state background checks prior to employment or within the first 30-days of employment.
Evidence:
1. Staff #7-Staff #4 - There was no documentation of an out-of-state child abuse and neglect search. Management reported that the out-of-state child abuse and neglect search was not done. Employment began October 2022.
2. Staff #10-There was no documentation of an out-of-state criminal record check and an out-of-state child abuse and neglect search. Management reported that the out-of-state background checks were not done. Employment began July 2024.
Evidence:
1. Staff #10-1 of 2 reference checks not documented. Employed since July 2024.
2. Staff #11-There was no documentation of education diploma/transcripts needed to qualify for the position they are working. Employed since December 2023.
3. Staff #12-0 of 2 reference checks documented and there was no documentation of education diploma/transcripts needed to qualify for the position they working. Employed since May 2024.
4. Staff #13-0 of 2 reference checks were documented and there was no documentation of education diploma/transcripts needed to qualify for the position they working. Employed since March 2023.