VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Five Star Academy Childcare
5916 Fort Avenue
Lynchburg, VA 24502
(434) 239-3413

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Dec. 5, 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. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced monitoring inspection was conducted today 12/5/2018. The inspection began at 8 am and concluded at 12:15pm. There were a total of 20 children present with six staff members. During the inspection five children's and five staff's records were viewed, two buildings were viewed, emergency supplies were viewed, infant care was observed, diapering was observed, food service was viewed, emergency supplies were viewed. The center does not administer any medication per policy and does not provide any transportation. Discussion with director and owner: phase 2 training, new subsidy requirements, email verification, and restroom protocol.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of five staff's records, the center failed to ensure that staff had a TB screening within 21 days of hire. Evidence: 1. Staff # 4 was hired on 10/29/2018 and on the day of the inspection there was no documentation of a TB screening.
Plan of Correction:	The director and owner stated that it has been done, but the physican's office is holding the results due to administration reasons. The owner will find a solution.
Standard #:	22VAC40-185-70-A
Description:	Based on review of five staff's records, the enter failed to ensure that all records were complete. Evidence: 1. Staff # 1 was missing the two required references. The hire date was 12/3/2018. 2. Staff # 4 was missing one of the two required references. The hire date was 10/29/2018.
Plan of Correction:	The director and owner will document all references and will in future will make sure that all documented prior to the start date.
Standard #:	22VAC40-185-420-E-1
Description:	Based on review of the infant log, the center failed to ensure that all required components were on the log as required by the standard. Evidence: 1. The current infant log was missing developmental milestones and tummy time.
Plan of Correction:	The director or owner will add the missing components to the log and will ensure all infant staff is using the new form.
Standard #:	22VAC40-185-490-E
Description:	Based on observation of diaper changes, the center failed to ensure that all surfaces that have been contaminated with body fluids were cleaned and sanitized. Evidence: 1. Observed staff in the two year old room changing diapers and the staff placed a soiled diaper on a lid of a toilet seat. The seat was not cleaned or sanitized once the soiled diaper was removed and discarded.
Plan of Correction:	The trash can will be moved to a closer location and will be used as soon as the child is changed.
Standard #:	22VAC40-185-500-A
Description:	Based on observation of the infant room, the center failed to ensure that all hands were washed prior to and after feeding. Evidence: 1. Observed one child being fed a bottle and then baby food. The infants hands were not washed prior to either feeding.
Plan of Correction:	The owner and or director will remind staff to wash hands prior to eating.
Standard #:	22VAC40-185-550-D
Description:	Based on review of the evacuation log, the center failed to ensure that monthly drills were practiced monthly. Evidence: 1. The evacuation log most recent drill documented was in August of 2018. The past three months of drill were not practiced.
Plan of Correction:	The center will conduct a drill monthly and will use to staff to help remind.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of five staff's records, the center failed to ensure that CPS checks were returned within 30 days of hire. Evidence: 1. Staff # 3 was hired on 8/30/2018 and on the day of the inspection there was no CPS findings in the record.
Plan of Correction:	The owner and director did contact the OBI and stated that the finding were never sent. An email was sent to OBI to request the findings.