Five Star Academy Childcare
5916 Fort Avenue
Lynchburg, VA 24502
Current Inspector: Kelly Campbell (540) 309-2494
Inspection Date: April 2, 2018
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.
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)
Today's visit was a routine monitoring inspection. The inspection began at 10am and concluded at 3:00pm. There were a total of thirty-two children present with six staff members. During the inspection five out of sixty-seven children's records were viewed, three outdoor play grounds were viewed, two buildings were viewed, emergency supplies were viewed, four out of eight staff records were reviewed, infant care was observed, diapering was observed, food service was viewed, emergency supplies were viewed, and some policies and procedures were reviewed. School age children were observed in care as it was Spring break. the center does not administer any medication per policy and does not provide any transportation. A background check violation was cited during today's inspection and does not require follow-up as it related to required fingerprint based results before a staff member can be employed. Background check requirements were discussed with the programs administrator during the tiem of the inspection. Thank you for your time, please call me at (540)309-2051 if you have any questions.
Standard #: 22VAC40-185-270-A Description: Based on the inspector's observations, the center failed to maintain some areas of the center in a clean safe and operable manner. Evidence #1: At the bottom of the middle playground with the shade structure, the inspector observed two wooden boards measuring approximately three feet in length and six inches in width that are splintering and there general construction debris to include chunks of concrete and pieces of brick in this same area. The children were observed on the playground during the inspection. Evidence #2: The inspector observed along a fence line between the main building and the school age building construction debris to include three metal poles, pieces of chain link fencing that have become rusted, wooden boards, what looks to be pieces of siding and additional construction debris was in a pile in an area accessible to the children when they are outside. Evidence #3: the inspector observed a piece of wood door framing at the entrance to a children's rest room that is no longer attached to the actual door frame. There are exposed nails and the wood measure approximately four feet in legnth. Plan of Correction: Items will be removed from the outdoor spaces and the door in the school age room will be repaired.
Standard #: 22VAC40-185-350-C Description: Based on observations and interview with a staff member in the school age building, the center failed to ensure the ratio applied to the youngest child in the group. Evidence: the inspector observed the school age building and their were eleven children with one staff member. The youngest child in care was reported to the inspector to be four years of age. The program's administrator verified the age of the child to be four. The ratio applies to the age of the youngest child in the group which is one staff member for every ten children. There were eleven children observed with one staff member at the time of observation. Plan of Correction: Ratios will me monitored to ensure they apply to the youngest child in care at all times. The four years old left the center during the inspection..
Standard #: 22VAC40-185-370-1 Description: Based on the inspector's observations, the center failed to ensure an infant who fell asleep in an area other than a crib, rest mat or cot was moved to a crib, rest mat or cot when the sleep environment was uncomfortable or unsafe. Evidence: The inspector observed an infant who was reported by staff to be over the age of one asleep in a bouncy seat. The child's feet extended over the end of the seat, the child's face was partially covered with a poly filled blanket, and the child had a sippy cup up to his mouth as he slept. The seat was not big enough to hold the child and the blanket and sippy cup demonstarte an unsafe sleep environment. Plan of Correction: Administration will remind all staff to move children to a crib, rest mat, or cot if a child falls asleep in an area that looks uncomfortable or unsafe. All poly filled blankets will be removed from the infant classroom.
Standard #: 22VAC40-185-370-5 Description: Based on the inspector's review of an infant daily log for a five month old child who cannot roll over on their own, The center failed to ensure tummy time was conducted and documented for the child. Evidence: Infant daily logs for 3/26, 3/27,3/29, and 3/30 were reviewed in the infant room's binder for a five month old infant. the child was in attendance during the inspection and it was confirmed through staff interviews the child cannot roll over on their own. There was no tummy time indicated on the above dates on the infant daily log for the child. Plan of Correction: Staff will be reminded to ensure tummy conducted and documented tummy time for all infants who can not roll over.
Standard #: 22VAC40-185-420-E-3 Description: Based on the inspector's review of a sample of five out of sixty-seven children's records, the center failed to ensure a portin of the records had documentation of the parent's annual review of required information. Evidence: The record for child #1 and #5 have the most recent annual review documented as 9/22/16. Required information has not been reviewed by the parent for more than a year. Plan of Correction: The parent will be asked to conduct and document an annual review by the end of the program week.
Standard #: 22VAC40-185-550-C Description: Based on the inspector's observations in the school age building, the center failed to ensure emergency evacuation and shelter-in-place procedures/maps were posted in this building. Evidence: The inspector viewed the school age building, as school age children were present due to Spring break. There were no emergency evacuation and shelter-in-place procedures/maps posted in this building. This building is a stand alone building on the property. Plan of Correction: The emergency map/procedures will be posted by the next program day.
Standard #: 22VAC40-185-560-F Description: Based on the inspector's observations, the center failed to ensure the current one week menu was posted or available to parents. Evidence: The posted menu was for the previous month and no the current week. Plan of Correction: The menu will be posted by the next program day.
Standard #: 22VAC40-191-60-C-2 Description: Based on the inspector's review of four out of eight staff records, the center failed to ensure the records for a portion of the staff had the results of the search of the central registry within the first thirty days of employment. Evidence: The record for staff member #3 has a documented date of hire of 2/28/18 and there are no CPS results and the staff member has been employed for more than thirty days. There is no follow-u documented in the staff member's record. Plan of Correction: The PD will re-submit a CPS request by the end of the week.
Standard #: 22VAC40-80-120-E-2 Description: Based on the inspector's observations, the center failed to post the results results of the most recent inspection. Evidence: the only posted inspection results were the Subsidy Health and Safety Inspection. These results are not required to be posted and no other licensing inspection results were posted. Plan of Correction: Today's inspection results will be posted.
Standard #: 63.2-1720.1-B-2 Description: Based on the inspector's review of a sample of four out of seven staff records, the center failed to ensure the finger print based background check was received before the individual began employment at the center. Evidence: Staff member #3 has a documented start date of 2/28/18 and has documentation that the staff member completed orientation on 2/28/18. The finger print based eligibility letter is dated 3/1/18. A staff member may not be employed until the finger print based background check is received by the center. Plan of Correction: The administrator for the center will not employee a staff member until the eligibly letter is received for all future hires.
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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