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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 30, 2017

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 completed on 3/30/17. There were 128 children present in eight groupings from infant through five years of age. Five children's records and three staff records were reviewed. All new staff records (12) were reviewed to verify background checks. Three emergency medications were observed. The inspector arrived at the center at 11:00 am and departed at 6:00 pm. The children were observed during lunches, during movie time, during naps, during gym time, during outside time, and during departures. All infant activities were observed. There was discussion with the director about the following: supervision/child activity during lunch - while eating/drinking, ensuring all substitute containers are clearly labeled with the contents, infant hand washing.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, the center failed to ensure that two of 10 newly hired staff had a tuberculosis (TB) test completed within 21 days of hire or completed within 12 months prior to employment. Evidence: 1. Staff #2 and staff #3 who were hired 1/23/17 and 9/27/16, respectively did not have a TB test completed within the time frame required. Staff #2 had a TB test completed 3/10/17 and staff #3 had a TB test completed 2/24/17.

Plan of Correction: The director will document a date of inactive for each staff who does not have a TB test within 21 days in the future. When the staff have a completed test, the staff will be reinstated.

Standard #: 22VAC40-185-260-B
Description: Based on record review, the center failed to ensure that there was annual approval from the health department. Evidence: 1. The last "Report of Environmental Sanitation Inspection" form was completed by the health inspector on 10/15/15. The last "Food Establishment Inspection Report" form was completed by the health inspector 4/13/16 which is an inspection of the food service areas only. The "Report of Environmental Sanitation Inspection" form is required by VDSS Division of Licensing Programs to be completed at least annually.

Plan of Correction: The director called the health inspector during the inspection and left a voice mail message. The director will have the form completed by the health inspector. In the future, the director will ensure that the "Report of Environmental Sanitation Inspection" form is completed during the food inspection.

Standard #: 22VAC40-185-430-I
Description: Based on observation, the center failed to ensure that personal articles were individually assigned. Evidence: 1. There were six pacifiers observed in the infant room. The pacifiers were not individually assigned. Five were hanging on a hook with a child's name but the actual individual pacifiers were not labeled.

Plan of Correction: The director will remind all staff to make sure all individual personal items are labeled.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the center failed to ensure that a non-absorbent diapering surface was provided for the children for changing diapers. Evidence: 1. A diaper pad was observed in the infant room to have a tear in it approximately an inch long. The diaper surface was observed being used during the inspection. The diaper surface was no longer non-absorbent with the tear.

Plan of Correction: The director has an extra non-absorbent pad at the center and it will be replaced. The staff will be reminded to inform the director of items needing replacement.

Standard #: 22VAC40-185-530-A
Description: Based on record review and interview with the director, the center failed to ensure that there was at least one staff member trained in first aid and CPR on the bus where the children were in care. Evidence: 1. The bus driver observed transporting school-age children from the public schools to the center did not have training in first aid and CPR. The driver has been transporting children since October 2016. The bus driver is the only staff person on the bus with the children during transportation.

Plan of Correction: The director will provide first aid and CPR classes the next two weekends for staff. In the future, a driver will not be allowed to drive alone with children without first aid and CPR.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation, the center failed to ensure that foods were not offered to children that were considered potential choking hazards. Evidence: 1. The three and four year old children were observed during lunch. The toddler and two year old children had already finished eating lunch. There were 38 three year old children who were observed being served and eating hot dogs that were not prepared in a manner to reduce the risk of a potential choking hazard. The hot dogs were, according to the cook and director, cut lengthwise four times and then cut into pieces. The pieces that were observed were larger than minced pieces. Some of the chunks of hot dogs that were served were larger than the size of a marble and were round/chunks.

Plan of Correction: The hot dogs will be minced or cut smaller for children three years and younger. The cook and director will find a method that will work to provide the smaller pieces of hot dog for the children.

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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