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Young Men's Christian Assoc of Virginia's Blue Ridge- Fairview

Inspection · 2022-11-03

Date
2022-11-03
Complaint Related
No
Licensing Inspector
James R Basham
(804) 588-2370
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted on 11/3/2022. There were 24 children, ages 4 -9 years and 3 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 3 children?s records and 3 staff records were reviewed. The children were observed active time, restroom break, snack time and homework. The inspector arrived for the inspection at 3:05pm and departed the center at 4:38pm.

Discussion on standards related to centers serving Pre-K children.

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.

Violations

6
Standard 8VAC20-780-130-A
Based on review of three children?s records, the center failed to ensure that each child has received the immunizations required before the child can attend.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required immunization record documented.
Plan of Correction: Provider will obtain immunization record from parent.
Standard 8VAC20-780-140-A
Based on review of three children?s records, the center failed to ensure that all physical records shall be obtained within 30 days after the first day of attendance.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required physical examination record.
Plan of Correction: Provider will obtain physical record from parent.
Standard 8VAC20-780-160-C
Based on review of three staff records, the center failed to ensure that at least every two years that follow up tuberculosis results were obtained.

Evidence:
1. Staff 1 started on 9/16/2016 and on the day of the inspection the most recent tuberculosis screening results were dated 10/15/2018.
2. Staff 3 started on 9/21/1999 and on the day of the inspection the most recent tuberculosis screening results were dated 2/3/2020.
Plan of Correction: Provider will obtain follow tuberculosis screenings for staff.
Standard 8VAC20-780-260-B
Based on observation and discussion with staff, the center failed to ensure that annual approval from the health department shall be provided.

Evidence: The annual health inspection was not available onsite for review by licensing staff.
Plan of Correction: Provider will obtain annual health inspection to be made available for review onsite.
Standard 8VAC20-780-60-A
Based on the review of three children?s records, the center failed to ensure all children?s records were complete per the requirement of the standard.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection documentation of viewing proof of the child?s identity and age were not obtained.
Plan of Correction: Provider will obtain documentation verifying identity and age of child.
Standard 8VAC20-780-70
Based on observation, the center failed to ensure the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.

Evidence:
1) Staff 1 start date was 09/16/2016 and on the day of the inspection did not have the required emergency contact information documented.
2) Staff 2 start date was 4/10/2022 and on the day of the inspection did not have the required emergency contact information documented.
3) Staff 3 start date was 9/21/1999 and on the day of the inspection did not have the required emergency contact information documented.
Plan of Correction: Provider will ensure emergency contact information is onsite for each staff person.
View original record on Virginia Department of Social Services