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Agape Center for Care, LLC

Inspection · 2024-09-05

Date
2024-09-05
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 09/05/2024 and completed on 09/11/2024, as a part of the conditional licensure period. The on-site inspection began at 11:05 AM and ended at 3:15 PM. The inspector reviewed compliance in the areas listed above. There were 82 children present and 21 staff. The inspector reviewed nine children?s records and nine staff records on-site and electronically on 09/11/2024. This inspection included document review, tour of the facility, interviews and observations.

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 09/17/2024. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 22.1-289.035-B-4
Based on review of records and interview, the center failed to ensure that all required out of state background checks were completed.
Evidence:
1. Staff 3?s start date was 08/14/2024. On the sworn disclosure signed by Staff #3 on 07/10/2024, Staff #3 indicated that they had lived in New York within the past five years. There was no New York central registry check on file for Staff #3. Staff #10 confirmed that the New York background check had not been requested.
2. Staff #7 start date was on 07/25/2024. On the sworn disclosure signed by Staff #7 on 05/28/2024, Staff #7 indicated that they had lived in West Virginia within the past five years. There was no West Virginia sex offender registry check on file for Staff #7 and there was no West Virginia central registry check on file for Staff #7. Staff #10 confirmed that the West Virginia sex offender registry check had not been conducted for Staff #7 and that the West Virginia central registry check had not been requested for Staff #7.
3. Staff #9 start date was on 07/25/2024. On the sworn disclosure signed by Staff #9 on 07/12/2024, Staff #9 indicated that they had lived in West Virginia within the past five years. There was no West Virginia sex offender registry check on file for Staff #9 and there was no West Virginia central registry check on file for Staff #9. Staff #10 confirmed that the West Virginia sex offender registry check had not been conducted for Staff #9 and that the West Virginia central registry check had not been requested for Staff #9.
Plan of Correction: Procedures for completing out of state background checks were reviewed. 1 NY state background check was initiated and mailed on 9/9/24 to appropriate agency. 2 out of state background checks were initiated and mailed to WV on 9/9/24. National sex offender searches were conducted for staff. Moving forward out of state background checks will be determined from sworn statement and completed prior to employment.