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New Beginnings Learning Center
614 Leesville Road
Lynchburg, VA 24502
(434) 386-8483

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: July 14, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted in the Center on July 14, 2017. The LI observed 4 children present with 2 staff. Staff reported 11children are currently enrolled in the program. The LI reviewed a sample of 5 children's records. Three staff records were reviewed; one record was not available for review. Documentation of the annual fire and health inspections was current. The center was maintained clean and orderly. Findings were reviewed with staff at the exit. The inspection was conducted from approximately 11:40am to 3:00pm. If you have any questions, please contact this LI at (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a sample review of children's records, the Center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before the child's attendance. Evidence: Documentation of an immunization record was not available for review in two of five records (children 3 and 4) first date of attendance noted 6/19/17.

Plan of Correction: Staff will notify each child's parent to provide an immunization record, documentation will be filed in each child's record.

Standard #: 22VAC40-185-140-A
Description: Based on a sample review of children's records, the Center failed to obtain documentation of a physical examination by or under the direction of a physician Evidence: Documentation of a physical examination was not available in one of five reviewed records. Documentation of a PE was not available for child #1. The record noted that the child withdrew from the center on 08/12/16 and was enrolled again on 04/12/17.

Plan of Correction: The responsible staff will notify the child's parent to request a copy of a physical examination.

Standard #: 22VAC40-185-160-A
Description: Based on a sample review of staff records, the Center failed to obtain documentation of a negative tuberculosis screening no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: Staff #4, date of rehire 05/2017; date of TB screening was dated 3/11/15.

Plan of Correction: Staff will schedule an appt. for a TB screening, documentation of a current TB screening will be filed in the record.

Standard #: 22VAC40-185-60-A
Description: Based on a sample review of children's records, the Center failed to ensure information as required by the Standards was complete in each child's record. Evidence The following information was not complete when records were reviewed: child #1: work phone number of each parent who has custody; child #2: name and phone number of child"s physician; child #3: date of birth, work phone number and place of employment of each parent who has custody, name and phone number of child's physician, documentation of viewing proof of the child's identity and age, home phone number of each parent who has custody, and names of persons authorized to pick up the child; child #4: date of birth, home address of each custodial parent or guardian, documentation of viewing proof of the child's identity and age, name and phone number of designated emergency contact and child #5.: the record was not updated at the time the child was re-enrolled in the center on 03/08/17. The child had previously enrolled at the center on 04/6/16 and left the program on 12/13/16. The reviewed record was dated 4/6/16.

Plan of Correction: The acting Program Director will review all children's records with each child's parent to ensure information is complete and current.

Standard #: 22VAC40-185-70-A
Description: Based on staff report, the Center failed to maintain a complete record for each staff person. Evidence: The LI requested to review the record of staff #3 who was present at the time of the inspection and was observed working with the children. Staff reported that a record was not available for review in the Center. 2. Staff reported that her record was located off site and that the record would be provided that day by the end of the inspection. 3. The record was not available by the time the LI departed from the Center.

Plan of Correction: Staff will ensure all records are maintained on-site and available for review.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a sample review of staff records, the Center failed to ensure background checks were updated before three years since the dates of the last sworn statement, most recent central registry finding and the most recent criminal history record check report. Evidence: The background checks for staff #1 are not current, reports were not updated before three years since the dates of the last reports. Documentation of the verified background checks was dated 5/29/14 criminal record check and 5/15/14 search of the central registry.

Plan of Correction: Staff will mail completed forms and fees to the agencies to have the background checks updated. Documentation will be maintained in staff records.

Standard #: 22VAC40-191-40-D-6
Description: Based on a sample review of 4 staff records, the facility failed to obtain current background reports that were dated no more than 90 days prior to the date of employment or volunteering. Evidence: The record of staff #4 noted date of employment as 2/26/16; separation from employment on 01/13/17; and rehired/orientation 5/8/17. The background checks were dated as follows: search of central registry 3/16/16; sworn disclosure 1/22/16 and criminal record report 4/26/16.

Plan of Correction: New background checks will be requested, documentation of current reports will be filed in staff's record.

Standard #: 22VAC40-191-60-C-1
Description: Based on a sample review of staff records, a staff member is not elligible to work in the Center; the Center failed to ensure an original criminal history record report was verified for staff within 30 days of employment or volunteer service. Evidence: 1. Staff #2, date of hire 02/10/17. 2. Documentation of a verified criminal history record was not available for review in the record.

Plan of Correction: Follow-up will be made to check on the criminal record check, staff will not work in the center until background check is received.

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.

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.

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