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Caterpillar Clubhouse #2
101 Leroy Bowen Drive
Lynchburg, VA 24502
(434) 239-3140

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: Nov. 27, 2018

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
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was completed on 11/27/18. There were 87 children present in five groupings. Nine children's records and five staff records were reviewed (four additional staff records were reviewed for completion of background checks only). Seven medications were observed. The inspector arrived at the center at 10:30 am and departed at 5:00 pm. The children were observed during free play time in the classrooms, during lunch, during nap, during outside time, and during departures. All infant activities were also observed. The arrival, snack, and departures of 43 school-age children was observed. There was discussion with the director about the following: changing dates on the Sworn Statement forms (can be completed before hire), orientation training dates, changes in subsidy requirements effective 10/17/18, upcoming inspections due, medication authorizations being more specific for as needed medication, confidential information from the inspection not being posted.

Violations:
Standard #: 22VAC40-185-490-E
Description: Based on observation and interview, the center failed to ensure that any surface that was contaminated with body fluids was cleaned and sanitized. Evidence: 1. An infant was observed to get sick onto the classroom's carpet. A staff person was observed to clean the area with soap and water. The area was not observed to be sanitized. 2. The staff person was asked by the inspector of the method by which the area was cleaned. The staff person was asked if any sanitizing solution was used and stated that only soap and water was used on the area.

Plan of Correction: The director will remind all staff of the proper method of cleaning and sanitizing any area contaminated with body fluids.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to ensure that staff washed their hands with soap and running water before and after helping a child use the toilet or a diaper change. Evidence: 1. A staff person in the three year old classroom was observed changing six children's pull-up diapers without washing her hands after each change. The staff person wore the same pair of gloves for each change and there was no hand washing in between each child being changed. The staff person did not wash her hands after removing the gloves after the last child was changed.

Plan of Correction: The director will remind all staff of proper hand washing procedures.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the center failed to ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. A staff person was observed changing several three year old children's pull-ups standing on the classroom tile floor across the classroom from the diaper changing station. The diapers (pull ups) were placed in a trash bag that was loose on the floor. The staff person was observed to change the child and then touch the outside of the trash bag to dispose of the used/soiled diapers. The trash bag was not contained and was in the floor with several used pull-up diapers.

Plan of Correction: This was corrected during the inspection. A staff member came in and directed the staff person to use the bathroom and foot operated trash can for the remainder of the children.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the center failed to ensure that medications were labeled with the child's name, the name of the medication, the dosage amount and the time or times to be given. Evidence: 1. The over-the-counter medications for children #1, #2, #4, #5, and #7 were not labeled with the dosage amount or the time/times to be given. 2. The over-the-counter medication for child #6 was not labeled with the time or times to be given. 3. The over-the-counter topical medication for child #3 was not labeled with the child's name, dosage amount, or time/times to be given.

Plan of Correction: This was corrected during the inspection. The staff labeled all medications as required.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the center failed to ensure that there was a DSS search of the central registry finding within 30 days of employment. Evidence: 1. Staff #1 with a documented hire date of 10/12/18 did not have a completed DSS search of the central registry. There was no documentation in the staff person's record of the DSS search of the central registry being sent.

Plan of Correction: The director called the central registry office and checked on the status during the inspection. There was no indication the search was received by the central registry office. The director will send a DSS central registry search for staff #1.

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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