Boys & Girls Club of Greater Lynchburg
1101 Madison Street
Lynchburg, VA 24504
(434) 846-1111
Current Inspector: Susan Mallory (276) 608-4267
Inspection Date: Jan. 13, 2023
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
- Technical Assistance:
-
The LI and Director had a discussion regarding child records and the use of model forms available on the DOE website. Ways to document whether staff had health issue(s) that could interfere with the ability to perform job duties was discussed. Information on how to sign up for CDC Health and Safety training was emailed to the Director.
- Comments:
-
An unannounced monitoring inspection was conducted on 2/13/2023 from 3:05 pm to 5:35 pm. There was a total of 42 children, ages 6 years to 12 years under the care of three staff. The Licensing Inspector reviewed four children?s records and four staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. The children were observed doing homework, having a snack, and free play.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
- Violations:
-
Standard #: 22.1-289.058 Description: Based on observation and interview, the center failed to have a carbon monoxide detector, required for buildings built prior to 2015.
EVIDENCE:
The Lynchburg, VA GIS website shows the building was built prior to 2015. There was no Carbon Monoxide monitor visible, and Staff 1 was unable to locate one.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-130-A Description: Based on record review, the center failed to obtain immunization records for a child prior to the first day of attendance.
EVIDENCE:
Child 2 began attending on 9/6/2022 and the record does not contain any immunization records.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Based on record review, the center failed to obtain a TB on a staff person prior to that person coming into contact with children.
EVIDENCE:
Staff 3 began work in the center on 3/30/2021 and their record does not have documentation of a TB screening.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: REPEAT VIOLATION
Based on record review, the center failed to ensure that children?s records were complete.
EVIDENCE:
1. The record for Child 1 was missing required information: food allergies and actions to take; physician name and phone number; and complete addresses for both emergency contacts.
2. The record for Child 2 is missing the physician?s phone number.
3. The record for Child 4 is missing: any health/chronic physical problems; physician name and phone number; the address and phone of one emergency contact; and the address of the other emergency contact.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Based on record review, the center failed to ensure that staff records were complete.
EVIDENCE:
1. The record for staff 2, hired on 6/2/2022, is missing a job application and emergency contact.
2. Staff 2 was hired on 6/2/2022 and their record does not contain any references.
2. The record for staff 3, hired on 3/30/2021, was missing an emergency contact.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-90--A Description: Based on record review, the center failed to obtain signed parent agreements by the first day of attendance, with the three required sections.
EVIDENCE:
1. Child 1 began attending on 12/9/2022 and the three-part parent agreement has not been signed.
2. Child 2 began attending on 9/6/2022 and the three-part parent agreement has not been signed.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-A Description: Based on record review, the center failed to ensure that a staff person had the VDOE-sponsored preservice orientation training within 90 calendar days of employment for staff hired after 10/13/2021.
EVIDENCE:
Staff 2 was hired 6/2/2022 and their record has no documentation that the pre-service training was completed.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-B Description: Based on record review, the center failed to ensure that a staff person had orientation no later than seven days of the date of assuming job responsibilities.
EVIDENCE:
Staff 2 was hired 6/2/2022 and their record has no documentation to show the new staff orientation has been done.Plan of Correction: Not available online. Contact Inspector for more information.
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.
