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Lynchburg Children and Family Services Head Start
701 Thomas Road
Lynchburg, VA 24502
(434) 849-7542

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

Inspection Date: Oct. 11, 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.

Comments:
An unannounced monitoring inspection was completed on 10/11/19. There were 47 children present in four groupings with eight staff supervising and two other staff (kitchen) present. Five children's records were reviewed. Staff records are scheduled to be reviewed at the end of the month. Five medications for four children in care were reviewed.

The inspector arrived at the center at 9:15 am and departed at 1:30 pm.

The children were observed during free play time in the classrooms, during center times, during small group activities, during story times, during outside times, during music and movement activities, during a fire drill and an earthquake drill, during lunches, and during nap.

Violations:
Standard #: 22VAC40-185-50-A
Description: Based on observation, the center failed to ensure that staff and children's records were treated confidentially.

Evidence:
1. The "Supplemental Information" (SI) sheet was observed to be posted from the 5/21/19 inspection in four places at the center including the entrance hallway bulletin board and in three classrooms. The SI contains information identifying children, staff, medications, and risk ratings from the inspection. The SI has a typed statement at the bottom "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility."

2. There was a SI page also posted in one classroom from a 2016 inspection also containing confidential information.

Plan of Correction: All of the SI pages will be removed.

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

Evidence:
1. The record for child #4 was missing the father's work information (space for this information left blank). The emergency contact address for one of two required emergency contacts for this child was not complete.

2. The emergency contact addresses for one of two required emergency contacts were not complete in the record for child #5. A name, address, and phone number for two people who can be contacted in an emergency if the parents can not be reached is required.

Plan of Correction: The staff will get the required information completed.

Standard #: 22VAC40-185-260-A
Description: Based on observation and interview, the center failed to ensure that there was an annual fire inspection reportfrom the appropriate fire official having jurisdiction.

Evidence:
1. The last observed fire inspection that was posted was dated 6/4/18. The lead teacher was asked about a more recent inspection and stated that she was unaware of one.

Plan of Correction: The lead teacher will report the need for a fire inspection to administration.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
1. The fence surrounding the playground was in disrepair. There were approximately six horizontal metal support poles at the top of the fence (approximately four feet high) that were detached and hanging loose. Some of the metal presented sharp edges. There were approximately three vertical metal support poles from the ground to the top of the fence that were detached and loose. Any of the poles could have present a pinch or cut hazard. One gate that was observed being used by all 47 children to access the playground area was broken. The top hinge on the gate used to keep the gate that opens attached to the fence for support was out of the hinge and loose. The gate was hanging as this hinge was not supporting the opening and closing of the gate.

Plan of Correction: The lead teacher will report the needs of repair to the administration.

Standard #: 22VAC40-185-550-F
Description: Based on observation, the center failed to ensure that 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.

Evidence:
1. There was a phone observed in an office that was directly accessible from a classroom that did not have any phone numbers posted.

Plan of Correction: Staff will make sure emergency numbers are posted at each phone.

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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