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

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Sept. 23, 2024

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

Technical Assistance:
Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/.

Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:
An unannounced, on-site renewal inspection was initiated on 09/23/2024 and completed on 09/25/2024. The on-site inspection began at 2:20 pm and ended at 5:10 pm. The inspector reviewed compliance in the areas listed above. There were 21 children, 4 staff providing direct care and supervision, and various support staff present. The inspector reviewed 5 children?s records, 5 staff records and 5 applicant records while onsite. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations:
Standard #: 22.1-289-036-B-4
Description: The center is required to obtain background checks from any state in which the individual has resided in within the preceding five years.

Agent 2 and Agent 3, who have been agent for 8 months, did not have documentation of requesting background checks from a state outside of Virginia.

Plan of Correction: New sworn statements have been obtained and the out of state checks are no longer required. Moving forward sworn statements will be added to the application process and board officer process to ensure that all background checks are requested.

Standard #: 22.1-289.035-B-4
Description: The center is required to obtain background checks from any state in which the individual has resided in within the preceding five years.

Staff 3, employed for more than 7 months, did not have documentation of requesting a child abuse and neglect check from a state outside of Virginia.

Plan of Correction: Will request the information if the staff member plans to remain on staff. Moving forward sworn statements will be added to the application process and board officer process to ensure that all background checks are requested.

Standard #: 22.1-289.036-A
Description: The center is required to have board officer/agents undergo background checks every five years.

The most recent criminal record check for Agent 1 was overdue by 13 months.

Plan of Correction: Going today to have updated.

Standard #: 22.1-289.036-B-3
Description: The center is required to request a search of the central registry by the end of the 30th day of taking office for board officers/agents.

Agent 3 and Agent 4, who have been agents for 8 months, did not have a completed search of the central registry.

Plan of Correction: The requests have been made.

Standard #: 8VAC20-780-160-C
Description: Each staff member shall submit documentation of a negative tuberculosis screening every two years from the initial screening.

The updated screening for Staff 2 was due 3 months ago.

Plan of Correction: The staff was asked to get an updated TB screening.

Standard #: 8VAC20-780-530-A
Description: At least one staff in each classroom or area where children are present shall have a current certification in both CPR and first aid.

Staff 1 and Staff 4 were the only two staff members with the 9-12 year old group of children and neither staff member has a current certification CPR and first aid.

Plan of Correction: Will adjust the staffing to ensure each group has someone with CPR/first aid. Will have all staff obtain CPR/first aid certification.

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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