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West End Center For Youth

Inspection · 2024-03-13

Date
2024-03-13
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
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
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Inspector Notes

An unannounced monitoring inspection was conducted on 03/13/2024. There were 67 children, ages 5 year-11 years, 6 staff members and various volunteers were present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, and staffing and supervision. The children were observed in the following: arriving to the program, during afternoon snack, in indoor and outdoor free choice activities, and in small group activities. A total of 7 children?s records and 3 staff records were reviewed. The inspector discussed the arrival process, supervision, and outdoor play spaces with the staff. The inspector arrived for the inspection at 1:30 pm and departed at 4:10 pm.

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

4
Standard 8VAC20-780-130-A
Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for Child 1 did not contain documentation that Child 1 has received the required immunizations as required by the State Board of Health.
Plan of Correction: Will contact guardians to request the information.
Standard 8VAC20-780-140-A
Based on staff interviews, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The record for Child 3 did not contain a copy of the child?s physical examination.
Plan of Correction: Will contact guardians to request the information.
Standard 8VAC20-780-260-B
Based on document review, the center failed to obtain an annual approval from the health department.

Evidence: The most recent approval from the Health Department was dated 11/03/2022; an annual update was not obtained by 11/03/2023.
Plan of Correction: An inspection has been scheduled for 03/18/2024.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements are required by the standards.

Evidence:
1.The record for Child 1 did not contain the first date of attendance.
2. The record for Child 2 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and the first date of attendance.
3. The record for Child 3 did not contain the first date of attendance.
4. The record for Child 5 did not contain the first date of attendance.
5. The record for Child 6 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).
Plan of Correction: Will contact guardians to request the information.
View original record on Virginia Department of Social Services