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New Beginnings Learning Center
614 Leesville Road
Lynchburg, VA 24502
(434) 386-8483

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: Aug. 18, 2016

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)

Comments:
An unannounced monitoring inspection was conducted in the Center on August 18, 2016. Three children and two staff members were present during the inspection. The children's ages ranged from 2 years10months to 3 Years-old. As reported, 6 children are currently enrolled in the program. The children were observed during outdoor play and during the lunch meal. A staff member read books to the children. The children did not take a nap during the inspection. A discussion was held with staff regarding a child's observed disruptive, aggressive behaviors. The LI reviewed 6 children's records and one staff record. Documentation of the practiced evacuation drills was reviewed. A minimum of two shelter-in-place drills shall be conducted annually. It was reported that the PD's weekly schedule in the Center is Monday, Wednesday, and Friday. The findings of the inspection were reviewed with a Program Leader at the exit. If you have any questions, you may call (540)309-2310 or e-mail @ elaine.moore@dss.virginia.gov The on-site inspection was conducted from approximately 10:30am to 4:15pm. Thank you.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of children's records, the Center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before attendance in the Center. Evidence: The LI reviewed 6 children's records, four of six records did not contain documentation of immunization records. (children 3, 4, 5, 6)

Plan of Correction: Staff will talk to parents today and will ensure that parent brings immunization record no later than Wednesday.

Standard #: 22VAC40-185-140-A
Description: Based on review of children's records, the Center failed to obtain documentation of a physical examination by or under the direction of a physician. The children have been enrolled in the Center over 30 days. Evidence: Four of six records reviewed by the LI did not contain documentation of a completed physical examination.

Plan of Correction: Staff will inform parents and will obtain documentation of physical examination.

Standard #: 22VAC40-185-60-A
Description: Based on reviewed children's records, the Center failed to ensure complete records were maintained for each child. Evidence: The following information was incomplete in the children's records: the custodial parent's work phone numbers, children 2 and 3 the physical address was not complete for one of the listed emergency contacts for children 4, 5 and 6

Plan of Correction: Staff will review with parents and have information completed in each record.

Standard #: 22VAC40-185-260-B
Description: Based on reviewed documentation, the Center failed to obtain annual approval from the Health Department for meeting requirements for water supply and sewage disposal system. Evidence: Documentation of the last health inspection available for review was dated 03/13/2015. As reported by staff, the Center does not prepare foods, children bring packed lunches from home.

Plan of Correction: Will contact Health Department tomorrow and obtain current documentation.

Standard #: 22VAC40-185-270-A
Description: Based on inspection of the physical plant, the Center failed to maintain areas in a clean, safe and operable condition. Evidence: A floor board on the enclosed back porch was not nailed down securely, a hole was observed in the bathroom ceiling with cloth stuffed in the opening, plaster is peeling from the area and an uncovered trash can was beside the back door used for entrance into the center

Plan of Correction: Maintenance has started on the ceiling and is to return on Friday to finish repairs (08/19/16); the board on the porch will be fixed on Friday (08/19/16); the trash can will be removed and thrown away today.

Standard #: 22VAC40-185-510-G
Description: The Center failed to ensure medications were administered in compliance with the Standards. The Center failed to comply with the following requirements: 1. The medication is administered by a staff member who has satisfactorily completed medication administration training; 2. The Center has obtained written authorization from the parent; 3. The center administers only those drugs that were dispensed from a pharmacy and maintained in the origal, labeled container; and 4. The center administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. No staff in the center have completed MAT training. 2. The center's medication policy states that medications will not be administered. 3. The LI observed a baby bottle in the refrigerator with milk. The youngest child in care is two years old. The LI asked staff about the bottle, staff replied that the bottle was brought in the center for child a. This child is 2Years10months old. Staff reported that the child's bottle had medications for an ear infection mixed in the bottle. Staff reported that they were going to give the bottle to the child to drink.

Plan of Correction: The center will not receive medications for any child.

Standard #: 22VAC40-185-560-F
Description: Based on direct observations of the lunch meal the Center failed to follow nutritional requirements of a recognized authority such as (USDA). The recognized authority recommends serving milk with each meal, the children were served juice with lunch. Evidence: The LI observed the lunch meal, the center served apple juice to the children. A notice to a parent was observed in one of the reviewed children's records which stated that milk and apple juice would be provided by the Center and the parent would agreed to send 2 snacks and the lunch meal daily for their child.

Plan of Correction: Will serve milk with lunch.

Standard #: 22VAC40-185-560-K
Description: Based on direct observations, the Center failed to sanitize tables before and after each use for feeding. Evidence: The LI observed the children during the lunch meal. The table was not sanitized prior to serving the children lunch and was not sanitized after the lunch meal was completed. A child was observed playing with toys at the table prior to going outdoors for play. An enrolled child has been identified with a food allergy. The table was not sanitized prior to lunch being served to the children.

Plan of Correction: Will begin to sanitize immediately before and after food is served.

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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