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Lynchburg Community Action Group-Diamond Hill

Inspection · 2025-09-08

Date
2025-09-08
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 monitoring inspection was initiated on 09/08/2025 and completed on 09/17/2025. The on-site inspection began at 10:00 a.m. and ended at 11:10 a.m. The inspector reviewed compliance in the areas listed above. There were 5 children present and 3 staff. The inspector reviewed 5 children?s records on-site and 3 staff records electronically on 09/17/2025. This inspection included document review, tour of the facility, interviews, observations, and measurements.

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

4
Standard 8VAC20-780-510-L
SYSTEMIC VIOLATION
Medication shall be kept in a locked place using a safe locking method that prevents access by children.

Aspirin, non-aspirin pain reliever, and antacids were located in an unlocked first aid kit hanging on the wall in the hallway.
Plan of Correction: Medication from first aid kit was discarded during the inspection.
Standard 8VAC20-780-550-D
REPEAT VIOLATION, SYSTEMIC VIOLATION
The center shall implement a monthly practice evacuation drill.

The was no documentation of a monthly practice evacuation drill for August 2025.
Plan of Correction: Staff will practice evacuations monthly.
Standard 8VAC20-780-550-I
SYSTEMIC VIOLATION
A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

Required numbers were not posted.
Plan of Correction: Staff will post numbers.
Standard 8VAC20-780-60-A
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, Child 2, Child 3, Child 4 and Child 5 enrolled over three weeks, were each missing several of the required components.
Plan of Correction: Staff will obtain information from parents.