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YMCA School Age Child Care at Great Bridge Intermediate School

Inspection · 2024-09-30

Date
2024-09-30
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 09/30/2024 and completed on 10/01/024. The on-site inspection of the program began at 4:30 pm and ended at 5:45 pm. The on-site review of staff records (10/01/2024 at the Greenbrier North YMCA Office) began at 12:20 pm and ended at 1:40 pm.
The inspector reviewed compliance in the areas listed above. There were 25 children present and 3 staff. The inspector reviewed 4 children's records and 5 staff records on-site.

This inspection included:
*Document review (injury logs, emergency drill logs, medication administration logs and authorization forms)
*Tour of the facility
*Interviews
*Observations

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

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/16/2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 8VAC20-780-130-A
Repeat Violation
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

On-site staff could not locate documentation of required immunizations for child 1 and child 2.
Child 1 and child 2 were in care during the inspection.
Plan of Correction: All children's files will be reviewed to ensure all health records are kept accurate and that immunizations are turned in from the parent before their first day of attendance.
Standard 8VAC20-780-160-C
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.

The TB screening for staff 2 has not been updated as required as the screening was completed 25 months from the original TB screening.
Plan of Correction: Directors will complete monthly audits on staff files to ensure that any requirements expiring are renewed so that each staff member remains in compliance.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

Staff 1 lacked written documentation of completion of The Virginia Department of Education-sponsored orientation course.
Plan of Correction: The program director will ensure that all staff have completed the orientation course within the timeframe allotted.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Staff 1 and staff 3 do not have documentation of completing any training for calendar year 2023.
Staff 1 and staff 3 began employment before calendar year 2023.
Plan of Correction: Both staff have completed the minimum number of hours of training. However, going forward the program director will ensure that all training completed by the staff will be documented accordingly.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include duration of the parent's authorization for medication. Long-term prescription drug use may be allowed with written authorization from the child's physician and parent.

On-site staff were not able to locate a current long-term prescription medication authorization form for child 3 who was in care during the inspection and had been administered the medication.
Plan of Correction: Staff will ensure all medication forms are correctly filled out with all pertinent information. If a doctor's authorization is needed, staff will ensure this is completed prior to accepting any medication
Standard 8VAC20-780-550-D
Repeat Violation

The center shall implement a monthly practice evacuation drill.

The emergency log for the program does not have documentation of a fire drill for March, April, May and June of 2024.
Plan of Correction: Drills will be completed monthly.
Standard 8VAC20-780-60-A
Repeat Violation
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information.

Evidence:
The staff working on-site could not locate an enrollment record for child 1 and child 2.
Child 1 and child 2 were in care during the inspection.
Plan of Correction: Staff will audit the children's files and ensure that all files are printed and stored together in one location. As new children are enrolled in the program, staff will ensure the children's files are printed out and on-site prior to their first day in the program.
Standard 8VAC20-780-90-A
Repeat Violation

A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include:
*Authorization for emergency medical care;
*Notification and pick-up of ill child;
*A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.

None of the on-site staff could locate a signed parent agreement for child 1 and child 2.
Child 1 and child 2 were in care during the inspection.
Plan of Correction: Staff will ensure all children's files have been audited and that all signatures have been collected for the various agreements.
View original record on Virginia Department of Social Services