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Lynchburg Community Action Group - Madison Heights

Inspection · 2022-10-28

Date
2022-10-28
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 Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks.
22.1 Early Childhood Care and Education.

Inspector Notes

An unannounced non-mandated inspection, as required by the conditional license, was conducted onsite on 10/27/2022 and concluded with an electronic record review on 11/1/2022 There were 22 children, ages 3 years- 4 years, and 4 staff members providing direct supervision 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 outdoor time, teacher directed activity, meal time and rest time. A total of 5 children?s records, 4 staff records and 1 medication were reviewed. The inspector discussed the following with the provider: staff records, most recent inspection and carbon monoxide detector. The inspector arrived for the onsite inspection at 10:15 am and departed at 1:00 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

3
Standard 8VAC20-780-280-B
Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: The inspector observed 2 cans of Spar San Q, 1 can of Lysol Neutra Air and 1 bottle of Gain dish soup located on top of a cabinet in the bathroom of class 1.
Plan of Correction: The hazardous substances were placed in a locking cabinet during the inspection.
Standard 8VAC20-780-450-A
Based on observation and interviews with staff, the center failed to ensure cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on 3 edges.
Evidence:
1. The inspector observed Child 1 using a top cover only during rest time. Staff 1 confirmed no additional covers were available.
2. The inspector observed Child 6 using a top cover only during rest time. Staff 3 confirmed no additional covers were available.
Plan of Correction: Staff we consult administration to acquire additional covers for rest time.
Standard 8VAC20-780-60-A
Based on record review and interviews with staff, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain documentation of the health information as required by the standard. Staff 1 confirmed that no immunization record or physical was available for review.
2. The record for Child 2 did not contain documentation of the health information as required by the standard. Staff 1 confirmed that no immunization record or physical was available for review.
3. The record for Child 4 did not contain documentation of the health information as required by the standard. Staff 3 confirmed that no immunization record or physical was available for review.
Plan of Correction: Staff will consult administration by 10/28/2022.
View original record on Virginia Department of Social Services