Mary Bethune Academy
2249 Halifax Street
Lynchburg, VA 24501
Current Inspector: Victoria E Dawson (540) 309-2674
Inspection Date: March 24, 2017
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
An unannounced monitoring inspection was conducted on 3/24/2017. There were 50 children total in care with nine staff present. The inspectors arrived at 9 AM. and departed the program at 1:30 P.M. The inspector reviewed five children's and six staff's records during the inspection. All policies and procedures were reviewed and a building walkthrough was conducted inside and outside. Children were observed during: arrival, morning snack, outside time, lunch, and nap. Discussion with site director and director about: using the work study students as staff unless a complete records is obtained, sanitizing table prior to eating, sanitation report from the health department.
Standard #: 22VAC40-185-160-A Description: Based on review of six staff records, the center failed to ensure that all TB screenings were completed within 21 days of hire or completed 12 months prior to employment. Evidence: 1. The inspector found that staff # 1 was hired on 9/20/2016 and did not have a TB screening within 21 days of hire. The completed date on the TB screening was 1/30/2017. The hire date is based on signed sworn statement. No documented start date in the record. Plan of Correction: In the future the TB screening will be completed within 21 days of hire and will be monitored.
Standard #: 22VAC40-185-70-A Description: Based on review of six staff records, the center failed to ensure that all records were complete. Evidence: 1. The inspector found that staff # 1 did not have the two required references and start date. The signed sworn statement was dated 9/20/2016. 2. Staff # 3 did not have the required two references, the start date for staff # 3 was 11/5/2016. Plan of Correction: The office staff will obtain the references ASAP and will ensure that all records are complete.
Standard #: 22VAC40-185-260-A Description: Based on review of the fire inspection, the center failed to that the annual fire inspection was conducted. Evidence: 1. The inspector observed the most recent fire inspection was completed on 11/19/2015. Plan of Correction: The office staff has called to schedule an inspection and will monitor all dates.
Standard #: 22VAC40-185-440-L Description: Based on observation of the infant room, the center failed to ensure that all infants under the age of a year did not have a pillow or filled comforter. Evidence: 1. The inspector observed child # 1 with the DOB of 11/7/2016 asleep in the crib laying on a bobby pillow. Plan of Correction: A staff member removed the bobby during the inspection. The staff will reminded and monitored.
Standard #: 22VAC40-185-500-A Description: Based on observation in the infant room, the center failed to ensure that all children washed their hands after toileting process. Evidence: 1. The inspector observed a child in the process of a diaper change in the 2 year old room. The child did not wash their hands after having their diaper changed. Plan of Correction: The lead teacher will refresh the TA on diapering procedures.
Standard #: 22VAC40-191-40-D-1-C Description: Based on review of six staff's records, the center failed to ensure that all repeat Background checks were compelted with in the 3 year time frame. Evidence: 1. The inspector found that staff # 6 most recent CRC was 12/18/2013, CPS was 12/20/2013 and the sworn statement was on 11/22/2013. Plan of Correction: The office staff will submit the background ASAP and will monitor all time frames.
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.Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.