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Caterpillar Clubhouse #4
20106 Leesville Road
Lynchburg, VA 24502
(434) 239-0301

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: March 15, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was completed on 3/15/19. There were 184 children children present with 24 staff. Six children's records and 12 newly hired staff records were reviewed. Four emergency medications were reviewed. The inspector arrived at the center at 1:15 pm and departed at 5:30 pm. The children were observed during nap, during arrival of school-age children, during free time in classrooms, during afternoon snack time, during outside time, and during departures. There was discussion with the director about the following: allergy information being available with each grouping of children, upcoming fire inspection due (March 20), non-absorbent pad for diapering.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center failed to ensure that documentation of immunizations were received prior to the child attending the center. Evidence: 1. The immunization records for children #1, #2, and #5 did not have a documented date (signature of physician or print date) that the record was received before attendance. The documented first date of attendance and the date of the immunization record are as follows: child #1 1/7/19; 1/8/19; child #2 10/29/18; 11/28/18; child #5 12/31/18; 1/2/19.

Plan of Correction: The director will ensure that documentation of immunizations were obtained before the child attends.

Standard #: 22VAC40-185-340-F
Description: Based on observation and interview, the center failed to ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. The inspector went to the upstairs part of the center where the school age children were in care in two different rooms. There were 17 children observed in one room. Five of the children were under 10 years of age (one six year old, one seven year old, two eight year olds, and one nine year old). The staff person was observed physically out of the room and approximately 25 feet away from the classroom door at the other classroom door. The room that the staff person left the children alone and unsupervised had full length walls and no windows; only a door which the children were not in sight with the door open.

Plan of Correction: This was corrected during the inspection. When the inspector arrived at the top of the stairs, the staff person went back into the classroom.

Standard #: 22VAC40-185-550-D
Description: Based on record review and interview, the center failed to ensure that two shelter-in-place drills were practiced each year. Evidence: 1. There was documentation of one shelter-in-place (tornado) drill for 2018. The director was asked about a second and could not determine that a second drill was practiced for the year 2018.

Plan of Correction: The director will make sure that two shelter-in-place drills are practiced and documented for 2019.

Standard #: 22VAC40-185-560-F
Description: Based on observation and interview, the center failed to ensure that menus were posted in a place conspicuous to parents for meals and snacks provided by the center. Evidence: 1. The menus for breakfast and snack were not observed posted. The director was asked and stated that the menus are posted in the kitchen.

Plan of Correction: The director will make sure that all meal and snack menus are posted in an area conspicuous to the parents.

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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