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Lynchburg Community Action Group - Madison Heights
287 Learning Lane
Madison heights, VA 24572
(434) 849-7542

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Oct. 28, 2022

Complaint Related: 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.

Comments:
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:
Standard #: 8VAC20-780-60-A
Description: 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.

Standard #: 8VAC20-780-280-B
Description: 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
Description: 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.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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