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

Inspection · 2024-06-20

Date
2024-06-20
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was conducted on 6/20/2024 from 11:20am-2:15pm. At the time of entrance, 96 children, ages 4 to 13 years old were in care with 10 staff members present. The sample size consisted of 10 children?s records and 5 staff records and a review of Background checks for 5 additional newly hired staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition Children were observed having lunch (brought from home) and engaged in group activities. Transitions from one area to another were observed as well as restroom procedures. Hand washing and table sanitizing were observed. Medication administration was not observed. However, 8 medications stored on site were reviewed with regard to storage, labeling, written authorization and required documentation. 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. Repeat violations were found and are identified within this report.

Violations

3
Standard 8VAC20-780-510-P
Based on a review of medication stored at the center and written medication authorizations, the licensee did not notify the parent that an authorization for medication had expired and have the parent pick up the non-authorized medication or dispose of the medication within 14 days, if it has not been picked up.

Evidence:
A sampling of 8 medications present at the center were reviewed with regard to storage, labeling, written authorizations and required documentation.
The written authorization form for one of the eight medications, an Auvi-Q injector, was expired with the listed effective dates of 5/2023 through 12/2023.
The program director confirmed that an updated written authorization was not available.
Plan of Correction: The program director will contact parent of the child for whom the Auvi-Q was prescribed today and ask that the parent either brings a new authorization form by the end of next week.
Standard 8VAC20-780-60-A
Based on a review of records and interview, the licensee did not always maintain and keep at the center a separate record for each enrolled child which contains all of the required information.
Evidence:
Ten children's records were reviewed.
The record for child #4 (enrolled 6/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4's record listed the child's parents' information as the emergency contacts.

The record for child #5 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #5's record listed the child's parent for one of the two contacts.

The record for child #9 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #9's record listed the child's parent for one of the two contacts.
Plan of Correction: The program director will contact the parents of child #4, #5 and #9 to obtain the name address and phone number of two emergency contacts to be called in the event of an emergency of the parent cannot be reached. This information will be updated int he children's records by the end of next week.
Standard 8VAC20-780-60-A-8
***REPEAT VIOLATION***
Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
Ten children's records were reviewed.
The record for child #8 contained documentation that child #8 had a food allergy to eggs, peanuts and tree nuts.
Child #8's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.
The program director confirmed that this documentation had not been obtained for child #8..
Child #8 has been attending the program since 6/17/2024.
The record for child #9 contained documentation that child #9 had a food allergy to shellfish.
Child #9s record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.
The program director confirmed that this documentation had not been obtained for child # 9 .
Child # 9 has been attending the program since 6/17/2024.
Plan of Correction: The program director will contact the parents of child #8 and child #9 and request that they submit an allergy care plan, signed by their child's physician, by the end of next week.
View original record on Virginia Department of Social Services