Virginia
Sign in
Back
YMCA OF SOUTH HAMPTON ROADS - SALEM FAMILY CENTER

Inspection · 2021-11-12

Date
2021-11-12
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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

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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a in-person tour of the program A renewal inspection was initiated on 11/12/21 and concluded on 11/17/21. The provider was contacted by telephone to initiate the inspection. There were 45 children present and 6 staff. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

4
Standard 22VAC40-185-160-C
Based on a review of three staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence:
1. The record for staff #2, contained documentation of TB screening that was dated 9/28/18.
2.The record for staff #3, contained documentation of TB screening that was dated 3/18/19.
3. Staff #4 (Program Director), reviewed the record for staff #2 and staff #3, and confirmed that an updated TB screening had not been received for either staff.
Plan of Correction: The facility responded: Both staff will be sent to complete an updated TB screening. All current staff will be sent to complete an updated TB screening within two years of their last TB screening.
Standard 22VAC40-185-270-A
Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition.

Evidence:
1. The wooden fence that surrounds the outside play area broken and missing boards along with exposed nails.
2. Staff #4 (Program Director) confirmed the fence surrounding the outside play area was not being maintained in a safe and operable condition.
Plan of Correction: The facility responded: We will place a work order with the property manager to complete repairs of the fence.
Standard 22VAC40-185-550-H
Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center.

Evidence:
1. There was not a document available for viewing during the inspection on the center's bus that is used for transporting the children that included the local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business.
2. Staff #4 (Program Director) confirmed that there was not a transportation document maintained on the bus that contains all of the required information..
Plan of Correction: The facility responded: All required documentation will be completed and placed in each of the buses used for transporting children.
Standard 22VAC40-191-60-C-2
Based on a review of three staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #1 (date of hire 6/27/21) did not contain documentation of a completed search of the central registry finding.
2. Staff #4 (Program Director) reviewed the record for the staff #1, and confirmed that the search of the central registry finding has not been received.
Plan of Correction: The facility responded: The search of the central registry for staff #1 was previously sent off to be completed. We will contact the Office of Background Investigations to see if they have the results. if not, staff #1 will complete a new search of the central registry and the results will be forwarded to our Licensing Inspector.
View original record on Virginia Department of Social Services