VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: May 9, 2022

Complaint Related: No

Areas Reviewed:

? 8VAC20-780 Administration. ? 8VAC20-780 Staff Qualifications and Training. ? 8VAC20-780 Physical Plant. ? 8VAC20-780 Staffing and Supervision. ? 8VAC20-780 Programs. ? 8VAC20-780 Special Care Provisions and Emergencies ? 8VAC20-780 Special Services. ? 8VAC20-820 THE LICENSE. ? 8VAC20-820 THE LICENSING PROCESS. ? 8VAC20-820 HEARINGS PROCEDURES. ? 8VAC20-770 Background Checks (8VAC20-770) \

Comments:

An unannounced monitoring inspection was conducted on site on 5/9/2022. The inspectors arrived at 8:15 AM and departed at 11:30 A.M. There were 68 children 12 staff were present. Reviewed 7 children records and 6 staff records during the inspection. Discussion with staff about virtual record keeping, and attendance. Observed the children during arrival, free play outside, and morning snack. Kelly Campbell Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 540-309-2494 Kelly.campbell @doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of three staff's records, the center failed to ensure that all out of state background checks were obtained per the Code of Virginia. Evidence: 1. Staff # 1 disclosed on their Sworn Statement that they had lived outside of Virginia in the past five years. The staff lived in a NFF (national fingerprint file). The staff person was missing the CPS check for the NFF state. The staff person hire date was 8/29/2021.
Plan of Correction:	One will be purchased.
Standard #:	22.1-289.036-B-2
Description:	Based on review of four staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Staff # 1 had a documented hire date of 8/29/2021 and on the day of the inspection did not have a fingerprint letter of eligibility. 2. Staff # 6had a documented hire date of 1/25/2022 and on the day of the inspection did not have a fingerprint letter of eligibility.
Plan of Correction:	The administration will look into where the finger prints are and will ensure they are completed ASAP.
Standard #:	22.1-289.058
Description:	Based on observation and interviews the center failed to ensure that a carbon monoxide detector was in the center. Evidence: 1. Verified through interviews and observation the center did not have at least one required carbon
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of six staff?s records, the center failed to ensure that all staff had a returned CPS background check within 30 days of hire. Evidence: 1. Staff # 2 with hire date of 8/29/2021 did not have a returned CPS check on the day of the inspection. 2. Staff # 6 with hire date of 1/25/2022 did not have a returned CPS check on the day of the inspection.
Plan of Correction:	The administration will verify the status of the CPS check and will follow through with what is required to have them returned.
Standard #:	8VAC20-780-160-A
Description:	Based on of four staff?s records, the center failed to ensure that all staff had a TB screening or test within the last 30 calendar days of the date of employment and signed by physician or designee. Evidence: 1. Staff # 4 did started on 3/18/2022 and was working on the day of the inspection without a TB screening or test.
Plan of Correction:	Administration will send the staff person to obtain a TB screening and will make sure all new staff have one prior to starting.
Standard #:	8VAC20-780-40-D
Description:	Based on observation, the center failed to ensure that the license was posted conspicuous to the public.
Plan of Correction:	The license will be posted on the parent board.
Standard #:	8VAC20-780-40-K
Description:	Based on interviews with the director, the center failed to ensure that they developed a written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Plan of Correction:	The director/owner will develop and written procedure as soon as possible and will ensure that all staff are trained.
Standard #:	8VAC20-780-60-A
Description:	Based on review of four children?s records the center failed to ensure that all records were complete per the standard. Evidence: 1. Child # 7 has a diagnosed food allergy and did not have a written care plan that included instruction from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. The child had an epi pen on site at the center.
Plan of Correction:	The administration will work with the parent to obtain the allergy action plan as quick as possible.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that all areas and equipment were maintained in a clean, safe and operable condition. Evidence: 1. One of the upstairs classrooms had a missing light switch cover. The wires were exposed.
Plan of Correction:	Administration will work to have a light switch put on ASAP and will monitor.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that all chemicals were locked. Evidence: 1. In three of the classrooms on the bottom level had unlocked chemicals. 2. On the upper floor the men?s restroom that is used by the children had paint cans sitting on the floor and had an air freshener sitting on the counter.
Plan of Correction:	All chemicals were locked during the inspection.
Standard #:	8VAC20-780-550-A
Description:	Based on review and interviews, the center failed to ensure that all components of the emergency preparedness plan were written. Evidence: 1. The plan did not contain the lock down procedures and the continuity of care.
Plan of Correction:	Administration will add the missing procedures to the plan and will ensure staff are trained.
Standard #:	8VAC20-780-560-F
Description:	Based on observation of the parent board, the most recent menu was not current. Evidence: 1. The most recent menu posted was from Feb. 2022.
Plan of Correction:	The newest menu will be posted.