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Altavista Area YMCA -Tomahawk Elementary

Inspection · 2023-09-20

Date
2023-09-20
Complaint Related
No
Licensing Inspector
Krysten Hunt
(804) 335-6724
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted on 09/20/2023. There were 38 children, ages 4 years- 12 years, and 7 staff members providing direct care present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies and nutrition. The children were observed during snack time, homework time, self-directed activities and departure. A total of 5 children?s records, 2 staff records and 7 medications were reviewed. The inspector discussed the following with the provider: children?s records and medication. The inspector arrived for the inspection at 4:00 pm and departed at 6:00 pm.

The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider. No violations were issued.

Violations

3
Standard 8VAC20-780-130-A
Based on record review and staff interviews, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

Evidence:
1.The record for Child 4 documented the first date of attendance as 08/16/2023. The immunization record was dated 08/28/2023.
2.The record for Child 5 documented the first date of attendance as 08/16/2023. No immunization record was available for review. Staff 1 confirmed no immunization record was available for review.
Plan of Correction: Provider will obtain immunization before children attend.
Standard 8VAC20-780-510-G
Based on medication review and staff interviews, the center failed to medication shall be labeled with child?s name, the name of the medication and dosage amount, and time to times to be given.

Evidence: The label on Medication 1 stated ?Please see attached for detailed directions?. No dosage amount or time(s) to be given was on label. Staff 1 confirmed that no detailed directions were available.
Plan of Correction: Provider will ask the parent take medication back to pharmacy for a proper label.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Evidence: The record for Child 1 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (both designated people were parents) and written agreements between the parent and the center.
Plan of Correction: Provider will obtain all information from parents.