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Young Men's Christian Association of the Virginia Peninsulas-Tom

Inspection · 2024-03-29

Date
2024-03-29
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
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
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE DETECTOR

Inspector Notes

A unannounced non- mandated focus monitoring inspection was initiated on March 29, 2024 from 8:10am - 11:23 am. There were 30 children with 4 staff present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six children records and six staff records were reviewed. The children were observed freely playing and transitioning to go outside. The outside areas were inspected.

Center requested to modify there license to toddlers (16 months ). Classroom was inspected to check for supplies that are age and stage appropriate.

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

Violations

8
Standard 22.1-289.035-A
Based on record review, the licensee did not ensure background checks are completed every year.

Evidence:
Staff #6 most recent finger prints were 2/2019. Staff confirmed the background check was not completed.
Plan of Correction: Staff had the fingerprints done immediatley after. File has been since updated as 4/18/2024.
Standard 22.1-289.035-B-4
Based on record review, the licensee did not ensure out of state child abuse and neglect check were completed.

Evidence:
Staff #1 first date of emplyment 06/23/2023. Staff #1 lived outside of VA in past 5 years. Staff #1 record did not contain results of the out state criminal background for New Jersey .
Plan of Correction: HR went back and conducted out of state check no records were found staff file has been since updated as of 4/18/2024.
Standard 8VAC20-780-245-L
Based on record review, the licensee did not esnure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

Evidence:
Upon arrivial the staff present at the center did not have documentation of someone present with Daily Health observation that was obtain in the past three years.
Plan of Correction: DHO has been scheduled for all staff. Files will be updated accordingly.
Standard 8VAC20-780-330-B
Based on observation, the licensee did not ensure the playground equipment did not have appropriate resilent surfacing in the fall zone areas.

Evidence:
The preschool playground and school age playground had mulch in multiple areas has become soil causing the mulch to be only 1 to 2 inch depth. Resilent surfacing should be at least 6 inches depth.

Staff confirmed resilent surfacing has been scheduled to be delivered in the next week.
Plan of Correction: Facilities is aware of surfacing plans to replace mulch is in works.
Standard 8VAC20-780-550-F
Based on record review, the licensee did not ensure lockdown procedures shall be practiced at least annually.

Evidence:
The center did not have documentation of a lockdown conducted in 2023. Confirmed by staff.
Plan of Correction: Lockdown procedures were gone over again with staff. Moving forward it will be practiced annually.
Standard 8VAC20-780-550-P
Based on record review, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence with all required documentation.

Evidence:
Staff provided a 4 ouch reports (injury reports)that did not have the following information was missing: staff present, date and time when parents were notified, any future action to prevent recurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.
Plan of Correction: Ouch reports and incidents reports will be completed together to ensure proper documentation.
Standard 8VAC20-780-60-A
Based on record review the licensee did not ensure the children records contained all required information .

Evidence:
Child #1 was missing a second emergency contact .
Plan of Correction: Emergency contact has been added child's file has been updated since.
Standard 8VAC20-780-60-A-8
Based on record review, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include

Evidence:
Child #3 and Child #4 had doctor diagnosed allergy and did not have instructions from a physician regarding the food to which the children were allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: Parents was contacted immedialtey after . Parent has since provided documents to update both kids file. Staff will follow action plan in event of reaction.
View original record on Virginia Department of Social Services