Boys & Girls Club of Greater Lynchburg
1101 Madison Street
Lynchburg, VA 24504
(434) 846-1111
Current Inspector: Susan Mallory (276) 608-4267
Inspection Date: Aug. 23, 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 renewal inspection was conducted on 08/23/2022. There were 16 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 to the program, free choice activities and during homework time. A total of 6 children?s records, 6 staff records and 6 board officer/agent records were reviewed. The inspector discussed policies and procedures with the staff. The inspector arrived for the inspection at 1:45 pm and departed at 4:10 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-2 Description: Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence: The record for Staff 1 contained a documented hire date of 05/16/2022. There was not an employment eligibility letter available for review.Plan of Correction: Will make an appointment and send for fingerprints.
Standard #: 8VAC20-770-60-C-2 Description: Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment.
Evidence: The documented hire date in the record for Staff 3 was 05/16/2022. The findings from a search of the central registry were dated 06/28/2022.Plan of Correction: Will get within 30 days or will document.
Standard #: 8VAC20-780-60-A Description: Based on record review, 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 was no address provided for the second designated contact).
2. 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 no address provided for the second designated contact).
3. The record for Child #4 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 (both addresses were incomplete).
4. The record for Child #6 did not contain the following required information: the name and phone number of the child?s physician; 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 designated person listed); allergies and intolerance to medication or any other substances, and actions to take in an emergency; and the first date of attendance.Plan of Correction: Will get in contact with Club Member's parents to get the missing information.
Standard #: 8VAC20-780-80-A Description: Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: There was not a written record of daily attendance to document the arrival and departure of each child as it occurs.Plan of Correction: The front desk staff will ensure it is done.
Standard #: 8VAC20-780-510-L Description: Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: There was an unlocked first aid kit that contained individual packets of aspirin, non-aspirin and antacids.Plan of Correction: The medication was removed from the first aid kit and locked in the office.
Standard #: 8VAC20-780-560-F Description: Based on observation, the center failed to ensure that when centers choose to provider meals a menu listing foods to be served for meals and snacks during the current one-week period shall be posted in a location conspicuous to parents or given to the parents.
Evidence: A menu for the current week was not posted.Plan of Correction: A menu was posted on 08/25/2022.
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.
