Inspection · 2025-03-20
(276) 608-2283
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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
A subsidy health and safety (SHSI) inspection was completed. A licensing inspection was also conducted on this date. Both inspections combined cover subsidy and safety regulations. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.
Violations are identified on the violation notice.
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 4/4/25. A POC submitted after this date will not appear on the public website.
Violations
7The vendor 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 three months after their first day of employment.
Staff # 1, 2, 3, 4, 10, 11, employed from one month to two years, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
The screening for Staff #1, who has been actively working at the center for four months, has not been completed. Staff #4, who has been actively working for one month, does not have completed screening. Staff #10, who has been actively working for 18 months, does not have a completed screening. Staff #12, who have been actively working for two weeks, does not have a completed screening.
A can of disinfectant and disinfectant wipes with warning labels, "Keep out of reach of children," were unlocked in the bathroom cabinet used by the children in care.
The vendor shall have a written emergency preparedness plan.
The vendor has not completed the emergency preparedness plan.
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.
There were no postings of emergency evacuation and shelter-in-place procedures or maps in the building.
Evacuation (fire drills) procedures shall be practiced at least monthly.
No fire drill was conducted in February, 2025.