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YMCA of the Virginia Peninsulas - Northumberland

Inspection · 2023-10-30

Date
2023-10-30
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was conducted on October 30, 2023, from approximately 3:12 PM to 4:15 PM. There were 15 school age children present in the center, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A member of management stated there were no medications on site and transportation is not provided. A total of five child records were reviewed on site and three staff records were requested and reviewed, concluding the inspection on November 28, 2023.

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.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304

Violations

10
Standard 8VAC20-780-130-A
REPEAT VIOLATION
Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

Evidence:
The records for child #1 (enrolled: 8/22/23) and child #2 (enrolled: 7/17/23) did not have documentation of immunizations.
Plan of Correction: All children will have documentation of immunization record in file on site. Program Lead will implement and monthly file audits are conducted on each file.
Standard 8VAC20-780-140-A
REPEAT VIOLATION
Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.

Evidence:
The records for child #1 (enrolled: 8/22/23), child #2 (enrolled: 7/17/23), child #3 (enrolled: 8/11/23), and child #5 (enrolled: 7/17/23) did not have a physical examination.
Plan of Correction: All children will have a documentation of physical examination record in file on site. Program Lead will implement and monthly file audits are conducted on each file.
Standard 8VAC20-780-160-A
REPEAT VIOLATION
Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

Evidence:
1. The record for staff #2 (employed: 5/16/23) did not have documentation of a TB screening / test completed within the last 30 calendar days of the date of employment. Staff #2 TB screening / test was dated 08/20/22.
Plan of Correction: Make sure staff have TB screening done within 30 days of employment Hiring manager will implement.
Standard 8VAC20-780-190-A
Based on record review, the center did not ensure that there was a qualified program director.

Evidence:
1. The record of staff #1, identified as the program director, did not have documentation to
meet the qualifications regarding education.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
REPEAT VIOLATION
Based on a review of three staff records, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff.

Evidence:
The record for staff #1 (employed: 6/30/22), did not have documentation of the VA Preservice Training for Child Care Staff.
Plan of Correction: All staff will have Preservice Training completed within 90 days of employment. Program Lead will implement. Deadlines will be set and followed through. Staff audits will be conducted.
Standard 8VAC20-780-280-B
Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
The main entry island with lower cabinets in the child care area had three cans of Lysol, one container of Clorox disinfectant wipes, one container of glass cleaner, and once container of QT Plus disinfectant unlocked and accessible to children. One container of Super Heavy Duty Peroxide cleaner was located on top of the refrigerator in the classroom.
Plan of Correction: Make sure cabinets are locked at all times. Stall will implement.
Standard 8VAC20-780-500-A
Based on observation, the center did not ensure that children's hands are washed with soap and running water or disposable wipes before and after eating meals.

Evidence:
In room #1, children finished eating snack and began the next activity without washing their hands with soap and running water or disposable wipes.
Plan of Correction: Children will wash hand before and after snack before other activities. Staff will implement.
Standard 8VAC20-780-550-E
Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly.

Evidence :
The facility had documentation of one shelter-in-place drill from September 2022 to August 2023. The facility is required to practice two shelter-in-place drills two times per year.
Plan of Correction: Keep past drill logs in binder for review. Two drills will be conducted twice a year Program lead will implement.
Standard 8VAC20-780-550-F
Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

Evidence:
The facility did not have documentation of a lockdown drill for September 2022 to August 2023.
Plan of Correction: Keep past drill logs in binder for review. Two drills will be conducted twice a year.
Staff will implement.
Standard 8VAC20-780-560-J
Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding.

Evidence:
1. In room #1, children finished snack and began other activities at the tables.
2. Staff did not sanitize the tables after use.
Plan of Correction: Tables will be disinfected before and after snack.
View original record on Virginia Department of Social Services