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Lynchburg Community Action Group, Inc. - Big Island

Inspection · 2023-11-27

Date
2023-11-27
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
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced non-mandated inspection, as required by the conditional license was conducted onsite on 11/27/2023 and concluded with an electronic record review on 12/1/2023 and 12/4/2023. There were 11 children, ages 3 years - 5 years, and 2 staff members providing direct care and supervision present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies, and nutrition. The children were observed during mealtime, teacher directed activities and outdoor time. A total of 5 children?s records, and 2 staff records were reviewed. The inspector arrived for the inspection at approximately 11:00 am and departed at approximately 12:35 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 22.1-289.035-B-2
Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

Evidence: The record for Staff 1 contained a documented hire date of 08/11/2023. The employee eligibility letter was dated 08/31/2023.
Plan of Correction: Provider will obtain before hire.
Standard 8VAC20-780-160-A
Based on record review, 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 coming into contact with children.

Evidence: The record for Staff 2 contained a documented hire date of 08/11/2023. The date on the tuberculosis screening results in the record was 08/13/2023.
Plan of Correction: Provider will obtain before hire.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Evidence: The record for Child 2 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached. The record contained only 1 designated person.
Plan of Correction: Staff will obtain information from the family.
View original record on Virginia Department of Social Services