Inspection · 2023-12-06
(804) 588-2362
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on Wednesday, December 6, 2023, to determine the compliance with subsidy standards. The inspection began at 3:15 PM and concluded at 4:15 PM. There were no children present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies. The inspector reviewed 3 staff records.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).
Violations
5Evidence:
The record for Staff #1 (start date 09/01/2022), has a criminal history background dated for 10/28/2022.
Evidence:
The record for staff #1 contained a sworn statement dated for 10/26/2022. Staff #1?s employment date was 9/1/2022.
Evidence:
The record for staff #1 contained a central registry background dated for 12/21/2022.
Evidence:
The record for staff #1 contained a Tuberculosis (TB) test dated 4/30/2023.
Evidence:
1. The record for staff # 1 did not contain documentation that an orientation training on the facility?s specific policies and procedures was completed.
2. The director stated that staff #1 completed orientation but could not locate the document.