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Boys & Girls Club of Greater Lynchburg
1101 Madison Street
Lynchburg, VA 24504
(434) 846-1111

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Oct. 2, 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 10/2/19. There were 67 children present with six staff directly supervising and other staff present and available. Five children's records and four staff records were reviewed. There were no medications at the center.

The inspector arrived at the center at 3:00 pm and departed at 6:00 pm.

The children were observed during arrivals, during snack, during homework time, during open gym time, and during free times.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that all children's records contained documentation of all required information.

Evidence:
1.The record for child #1 did not have anything documented in the space asking about any allergies.

2. The record for child #2 was missing the following required information: work phone number for the mother (there was a work place documented for the mother), allergy information (left blank), an address for one of two emergency contacts for the child.

3. The record for child #3 was missing the following required information: the first date of attendance, an address for two of two emergency contacts for the child, the child's physician's name and phone number.

4. The record for child #4 was missing the following required information: the name, address, and phone number for one of two required emergency contacts.

5. The record for child #5 was missing the following required information: the work phone number for the mother (there was a work place documented for the mother).

Plan of Correction: The front desk staff person will have the parents document all of the missing information.

Standard #: 22VAC40-185-280-G
Description: Based on observation, the center failed to ensure that hazardous substances not kept in original containers were labeled in the substitute containers to clearly indicate their contents.

Evidence:
1. The generic clear spray bottle with the cleaner with bleach used to sanitize the tables was not labeled to indicate the contents.

Plan of Correction: Program director will label the bottle; staff will be reminded to check the label on the bottle.

Standard #: 22VAC40-185-500-A
Description: REPEAT VIOLATION

Based on observation, the center failed to ensure that children washed their hands or used disposable wipes after eating as required.

Evidence:
1. Approximately 20 children were observed eating snack. None of the children washed their hands or used disposable wipes after eating.

Plan of Correction: Staff will ensure children wash their hands or use disposable wipes after eating.

Standard #: 22VAC40-185-560-K
Description: Based on observation and interview, the center failed to ensure that the tables used for eating were sanitized as required before and after use for eating.

Evidence:
1. The tables were observed to be sprayed with a commercial cleaner with bleach and immediately wiped off with rag. The manufacturer's instructions for this product stated to allow the solution to sit for five minutes. The staff who sanitized the tables were asked if any other solution was used and stated that was the only solution used. The staff further stated when asked that this is the normal process of spraying and wiping the tables.

2. A group of children was observed to use five different tables for snack. After this group of children used the tables for snack and homework, another group of children used the same five tables for either eating snack or doing homework. The tables were not sanitized after use by the first group and before use of the second group. Two tables were observed to be used by two groups of children for snack and then immediately used by different groups of children for homework. The tables were not sanitized after use for snack before they were used for homework.

Plan of Correction: Staff will be instructed on requirements for sanitizing the tables.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the center failed to ensure that all staff had a completed DSS search of the central registry within 30 days of employment.

Evidence:
1. There was no search of the central registry for staff #2 who had a hire date of 8/12/19. Staff #2 was observed working during the inspection.

Plan of Correction: The Executive Director (ED) will follow up with the central registry to check on the search that was sent 8/21/19 according to the ED.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review, the center failed to ensure that all staff had a completed fingerprint check as a part of the background check required prior to hire.

Evidence:
1.Staff #1, #3, #4 did not have a completed fingerprint record completed prior to hire. The documented hire dates for the staff were: #1 - 4/18/19; #3 - 7/30/19; #4 - 7/31/19. The fingerprint dates were: #1 - 4/24/19; #3 - 8/2/19; #4 - 8/23/19.

Plan of Correction: The Executive Director will ensure staff are not hired prior to the fingerprint record being completed.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review and interview, the center failed to ensure that documentation was maintained that an out-of-state central registry check was completed for staff who have lived out of the state within the last five years.

Evidence:
1. Staff #4 disclosed on a document dated by the staff person as 9/5/19 that the staff person had lived in another state within the past five years. There was no documentation of this being sent to the appropriate state. According to the Executive Director, the search for the central registry was sent by the administrative assistant but documentation could not be located during the inspection.

Plan of Correction: The administrative assistant will locate the documentation of the search that was sent.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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