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Agape Center for Care, LLC

Inspection · 2024-12-10

Date
2024-12-10
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

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 renewal inspection was initiated on 12/10/2024 and completed on 12/10/2024 as a part of the conditional licensure period. The on-site inspection began at 10:00 a.m. and ended at 12:15 p.m. The inspector reviewed compliance in the areas listed above. There were 98 children present and 21 staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews and observation.

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 December 20, 2024. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 8VAC20-780-350-B-2
The required ratio for children ages 16 to 24 month is one staff per five children.
Staff #5 left the Toddler classroom for about two minutes leaving Staff #11 supervising nine children alone (youngest child was 18 months old).
Plan of Correction: Staff #5 and co-lead were escorting children to the classroom. #5 secured the children inside the classroom and then left the class to open the door for the licensing inspector. #5 then proceeded to the admin office to alert staff that licensing was present. From the time #5 left the classroom, to her return to the classroom was 62 seconds in total per camera footage. Policies, procedures and licensing standards have been reviewed with staff and they have been instructed to leave the door unattended if they are not in ratio to leave the classroom.
Standard 8VAC20-780-70
Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.
Staff #1, who has been actively working at the center for the past five months, had one completed reference verifications on file.
Staff #4, who has been actively working at the center for the past four months, had one completed reference verifications on file.
Staff #9, who has been actively working at the center for the past three months, had one completed reference verifications on file.
Plan of Correction: Multiple attempts have been made to obtain two appropriate references for each employee. Moving forward, we will require multiple references from each employee, in the event that we are unable to reach references for verification.