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YMCA School Age Child Care-Cedar Road Elementary

Inspection · 2022-03-01

Date
2022-03-01
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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.
8VAC20-770 Background Checks (22VAC40-191)

Inspector Notes

An unannounced monitoring inspection was conducted on 03/01/2022 from 4:15 pm - 6:05 pm. At the time of entrance there were 19 school age children in care with 3 staff.
Children were observed engaged in various games in the cafeteria. A large motor game was observed in the gym. Records were reviewed for four children. A serious injury that occurred on 12/06/2021 was reviewed.
Four staff records were reviewed earlier at the Greenbrier North YMCA School Based Child Care office.
Violations were found in the areas of children and staff records, TB screening for staff, care and protection of children and injury documentation.
These violations are listed on the violation notice and were discussed with the program director at the exit interview.

Violations

5
Standard 8VAC20-780-160-C
Based on record review, the center failed to 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 most recent TB screening on file for staff 1 was conducted on 10/24/2019.
Plan of Correction: Staff 1 will obtain an updated TB screening.
Standard 8VAC20-780-340-A
Based on observation and interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Evidence:
The center failed to ensure the care and protection of children based on the following incident:
1. The medication log for child 1 indicated a check of Child 1's glucose was not conducted prior to snack on 03/01/2022.
a. Written information from the physical of child 1 indicates that glucose should be checked prior to meals and snacks.
b. Center staff confirmed they failed to check child 1's glucose level prior to serving snack.
Plan of Correction: This lapse was discussed with the site director and stronger procedures are being put in place to ensure that child 1's glucose is checked before eating.
Standard 8VAC20-780-550-P
Based on record review and interview, the center failed to ensure that a written record of a child's serious injury was documented on the day of occurrence.

Evidence:
1. Child 5 sustained a serious injury to the arm on 12/06/2021. This injury required medical attention and a written injury report was not written until 12/07/2021.
a. Administrative staff confirmed that the written injury report was not made on the day of occurrence.
Plan of Correction: Going forward, all injuries will be documented on the date of occurrence.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that children's records contain all of the required elements:

Evidence:
1. The enrollment record for child 2 lacked a work phone number for one parent.
2. The enrollment record for child 3 lacked a place of employment and work phone number for both parent's.
3. The enrollment record for child 4 lacked a work phone number for both parent's.
4. There was not enrollment record available for child 5.
Plan of Correction: Each parent has been asked to provide all missing information.
Standard 8VAC20-780-70
Based on record review and interview, the center failed to maintain the name address and phone number for a designated emergency contact which shall be kept at the site.

Evidence:
1. Staff 2 and staff 3, present during the inspection, lacked documentation of an emergency contact on site at the after school program.
a. The program director confirmed that staff 2 and staff 3 had not completed an emergency contact sheet for the program.
Plan of Correction: Both staff will complete an emergency contact sheet which shall be maintained on site.
View original record on Virginia Department of Social Services