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Lynchburg Community Action Group - Bedford

Inspection · 2022-09-14

Date
2022-09-14
Complaint Related
No
Licensing Inspector
Shanae Vaughn
(276) 608-4267
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 Provision and Emergencies
8VAC20-780 Special Services
8VAC20-770 Background Checks
22.1 Background Checks, Code, Carbon Monoxide

Inspector Notes

A renewal inspection was conducted on 09/14/2022 (unannounced on-site inspection) and 09/15/2022 (unannounced staff record review at corporate office). There were 8 children, ages 3 years-4 years, and 2 staff members providing direct supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies, special services and background checks. The children were observed during teacher initiated activities, free choice activities and outdoor time. A total of 5 children?s records, 2 staff records, 5 agent/officer records and 1 medication was reviewed. On 09/14/2022, the inspector arrived for the on-site inspection at 9:00 am and departed at 10:45 am. On 09/15/2022, the inspector arrived for the record review at 8:30 am and departed at 12:30 pm.
Information gathered during the inspection determined non- compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

2
Standard 8VAC20-770-60-C-2
Based on record review and interview with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence: The record for Staff 2 documented a hire date of 8/10/2021. There were no findings from a search of the central registry available for review. Staff 3 confirmed there were no findings from a search of the central registry available for review.
Plan of Correction: Required information will be requested by 9/16/2022.
Standard 8VAC20-780-160-A
Based on record review and interview with staff, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to contact with children.
Evidence: The record for Staff 1 documented a hire date of 8/11/2022. No TB screening documentation was available for review. Staff 3 confirmed the TB screening was not available.
Plan of Correction: Required information will be obtained by 9/19/2022
View original record on Virginia Department of Social Services