Inspection · 2025-06-09
(804) 588-2367
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
8VAC20-770 Background Checks
During the inspection, the inspector reviewed the areas listed above. 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 compliance inspection was initiated on 06/09/2025 and completed on 06/11/2025. The on-site inspection began at 2:16 pm and ended at 3:45 pm. The inspector reviewed compliance in the areas listed above. There were 32 children present with 7 staff. The inspector reviewed 8 children?s records and 7 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance(s) with applicable code sections, 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 06/18/2025. A POC submitted after this date will not appear on the public website.
Violations
5Staff #4, 16 years in age, was alone and in charge of 8 school age children.
? All staff were reminded during a June 12 team meeting that no employee under 18 may supervise children alone.
? We hired an additional adult to be present during 10 minute transition time.
1. The staff health report for staff #6 was completed 4 months after the date of employment.
2. Staff #2, employed for 1 day, did not have a completed staff health report on record.
3. The staff health report for staff #7 was overdue by 6 days.
? Staff #2 is no longer employed.
? Staff #6 and #7 now have updated health documentation on file.
? New hires will not be added to the schedule until all required documents are received.
There was not a staff member on site trained to perform a daily simple health screening of sick children.
Two staff members (one for each shift) will complete the required training as of June 16, 2025, and a refresher training for all lead staff is scheduled for June 19th, 2025.
1. The sworn statement for staff #6, who is currently working, was dated 7 months after their first date of employment.
? Staff #6?s sworn statement is now on file.
? We now require use of a pre-employment checklist that must be signed off by a director before any staff member is added to a classroom schedule.
? We have designated one administrative team member as the compliance lead to oversee all onboarding files.
1. The results of the national criminal background check for staff #6 were obtained 1 month after employment.
2. Staff #2, employed for 1 day, did not have a completed national criminal background check. Staff #2 was observed working at the center with children.
? Staff #6?s file has been corrected and compliance has been verified.
? Staff #2 is no longer employed until documents are received.
? A mandatory compliance review is now required before any new hire is scheduled to begin.