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Lynchburg Community Action Group - Madison Heights

Inspection · 2025-02-10

Date
2025-02-10
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s record
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

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 02/10/2025 and completed on 2/19/2025. The on-site inspection began at 9:10 a.m. and ended at 10:25 a.m. The inspector reviewed compliance in the areas listed above. There were 26 children present and 4 staff. The inspector reviewed 5 children?s records on-site, and 4 staff records and 3 agent/applicant records electronically on 2/19/2025. 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.

Violations

6
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

There was no immunization in the record of child 1, who had been enrolled over three months and no immunization in the record of child 5, who had been enrolled over five months.
.
Plan of Correction: Staff will obtain information from admin staff.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There was no physical examination in the record of child 1, who had been enrolled over three months and no immunization in the record of child 5, who had been enrolled over five months.
Plan of Correction: Staff will obtain information from admin staff.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children.

In Class 1, an aerosol can of Lysol and a container of Clorox wipes were unlocked on top of the cubby shelf.
Plan of Correction: Hazardous materials were locked during the inspection.
Standard 8VAC20-780-510-L
Medication, except for those prescriptions designated otherwise by written physician?s order, including refrigerated medication and staff personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

In Class 1, Medication 1 was unlocked in a cubby shelf.
Plan of Correction: Medication was locked during the inspection.
Standard 8VAC20-780-540-E
The following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children.

A working battery-operated radio was not available during the inspection.
Plan of Correction: Staff will obtain new batteries or new radio.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The records for child 1, enrolled over three months and child 5 enrolled over five months, were each missing several of the required components.
Plan of Correction: Staff will obtain information from admin staff.
View original record on Virginia Department of Social Services