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Mary Bethune Academy
2249 Halifax Street
Lynchburg, VA 24501
(434) 847-4221

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: May 22, 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

Comments:
An unannounced monitoring inspection was conducted on 5/22/2023 from 11:00 am to 2:55 pm. There were 46 children in care, ages 7 months to 5 years, in 4 groups under the care of 12 staff. The Licensing Inspector reviewed four children?s records, two medications, four staff records, and other program records. The children were observed on the playground, having lunch, napping, and free play indoors.

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 #: 8VAC20-780-160-A
Description: Based on record review, the center failed to obtain a TB screening on a new staff member within the last 30 calendar days of the date of employment.

EVIDENCE:
Staff 3 began employment on 5/22/2023 and the TB screening was done on 7/28/2022.

Plan of Correction: The Directors will ensure that, from this point forward, all TB screenings on new staff members are completed during the required time-frame.

Standard #: 8VAC20-780-270-A
Description: Based on observation, an area outside on the playground failed to be maintained in a clean, safe, and operable condition.

EVIDENCE:
A wooden fence in the playground had gaps approximately 4 ? inches wide at the top of the fence. A child?s head/neck could get stuck in the gap. Some of the boards of the fence were splintered.

Plan of Correction: The Director made arrangements to have the fence removed on the day of the inspection, and children will not be on the playground until the work is completed.

Standard #: 8VAC20-780-330-B
Description: Based on observation, the center failed to have resilient surfacing under climbing equipment on the playground.

EVIDENCE:
A piece of climbing equipment (slide/climber) was approximately 2 ? feet high and had not resilient surfacing at the base of the slide.

Plan of Correction: The Director moved the horse mat surfacing directly at the base of the slide/climber to ensure child safety.

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.

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