Inspection · 2025-03-20
(276) 608-2283
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 monitoring inspection was initiated on 3/20/2025 and completed on 3/26/2025. The on-site inspection on 3/20/25 began at 9:40 am and ended at 12:30 pm, the on-site inspection on 3/21/25 began at 9:25 am and ended at 11:10 am. The inspector reviewed compliance in the areas listed above. There were 13 children present and three staff. The inspector reviewed five children?s records and 13 staff records 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on April 2, 2025. A POC submitted after this date will not appear on the public website.
Violations
7The center had posted their exemption letter that expired 3/9/23.
Staff #1-13, who had been employed for one month to two years, did not have an annual staff health report on file.
Child #3 & 5, who has been enrolled for eight months, do not have documentation of receiving immunizations.
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statement for Staff #9, who is currently working, was dated 15 months after their first day of employment.
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff #5, who had been employed for four months, did not have a completed national criminal background check.
The center must request a search of the central registry prior to the employee's first day of employment.
Staff #5, who had been employed for four months; Staff #9, who had been employed three months; Staff # 12, who had been employed 12 months; did not have a central registry search requested. Staff #5 and #9 was working alone with children.
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff #1, employed for four month; Staff #2, employed for two years; Staff #3, employed for one year; Staff #4, employed for one month; Staff #10, employed for 21 months; Staff #11 employed for one year, did not have documentation of requesting a central registry check from one state and no documentation for staff #11 requesting a central registry check or criminal check form a different state.