VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys & Girls Club of Greater Lynchburg
1101 Madison Street
Lynchburg, VA 24504
(434) 846-1111

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: June 1, 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. 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced monitoring inspection was conducted on 06/01/2022. There were 40 children, ages 6 years-12 years, and 6 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed in the following: arrival, free choice activities and lunch. A total of 5 children?s records and 4 staff records were reviewed. The inspector discussed the following with staff: record keeping, supervision, online resources and emergency preparedness. The inspector arrived for the inspection at 8:45 am and departed at 12:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for Staff 2 contained documentation that Staff 2 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 2. The documented hire date in the Record for Staff 2 was 05/02/2022. 2. The record for Staff 3 contained documentation that Staff 3 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check nor a criminal record check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 3. The documented hire date in the Record for Staff 3 was 08/19/2021.
Plan of Correction:	Administration will request the out of state background information.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child #1 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addressed provided for the designated contacts); previous child day care and schools attended by the child; the name of any additional programs or schools that the child is concurrently attending and the grade or class level; and first date of attendance. 2. The record for Child #2 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the first contact was incomplete and there was no address for the second contact); allergies and intolerance to medication or any other substances and actions to take in an emergency situation; and first date of attendance. 3. The record for Child #3 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one contact provided); and first date of attendance. 4. The record for Child #4 did not contain the following required information: phone number of child?s physician; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second contact was incomplete); allergies and intolerance to medication or any other substances and actions to take in an emergency situation; and first date of attendance. 5. The record for Child #5 did not contain the following required information: documentation of health information as required by the standards; and the first date of attendance.
Plan of Correction:	Administration will request the missing information from parents.
Standard #:	8VAC20-780-240-B
Description:	Based on record review and discussion with staff, the center failed to ensure that all staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for Staff 1 did not contain documentation that Staff 1 had received orientation training; the record for Staff 1 had a documented hire date of 02/22/2022. 2. The record for Staff 2 did not contain documentation that Staff 2 had received orientation training; the record for Staff 2 had a documented hire date of 05/02/2022.
Plan of Correction:	Administration will review the orientation information with the staff.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center failed to ensure when food is brought from home it is clearly dated and labeled in a way that identifies the owner. Evidence: There were 3 lunchboxes and various items of food brought from home that were not dated or labeled in a way that identified the owners.
Plan of Correction:	Administration will assign a staff member to label food from home when children arrive.