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YMCA School Age Child Care @ Blocker Norfolk Family YMCA

Inspection · 2024-10-28

Date
2024-10-28
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 10/28/2024, as a part of the licensure period. The inspection began at 11:30 AM and ended at 1:52 PM. The inspector reviewed compliance in the areas listed above. There were 47 children present and 9 staff. The inspector reviewed 6 children?s records and 12 staff orientation records on site. This inspection included:
- document review,
- tour of the facility,
- interviews, and
- 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 6, 2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.

Violations

7
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

The most recent fire inspection provided was dated 10/20/2022.
Plan of Correction: The facility responded with the following:
Annual fire inspection has been scheduled
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care and protection.

Child 1, child 2, child 4 and child 6 have diagnosed food allergies requiring emergency medication should there be exposure to the allergens. The facility did not have the prescribed emergency medications on site for these children.
Child 3 had an emergency medication for a diagnosed food allergy, however there was no written parent authorization for the medication to be administered in an emergency.
The facility was not following a plan to ensure staff take steps to avoid cross contamination of potential food allergens,
Plan of Correction: The facility responded with the following:
Staff will be required to cross reference roster and ensure proper medication and medication authorization forms prior to admitting children into program during check in
Standard 8VAC20-780-510-F
The medication authorization shall be available to staff during the entire time it is effective.

There was emergency medication stored for potential administration to child 3. There was no parent authorization for the medication.
Plan of Correction: The facility responded with the following:
Medication authorization form completion will be required prior to the enrollment of children into school aged programs
Standard 8VAC20-780-510-G
Medication shall be labeled with the child's name, the name of the medication, the dosage amount and the time or times to be given.

There was emergency medication in a bag hand labeled with a child's name. The medication did not have a prescription or other label indicating the name of the medication, the dosage amount or the times to be given.
Plan of Correction: The facility responded with the following:
Medication will be reviewed for original casing including proper labeling (child and medication name, dosage amount, times and expiration) prior to admitting medication and child into program
Standard 8VAC20-780-560-L
Staff shall sit with the children during meal times.

The nine staff on duty during the children's lunch time did not sit with the children.
Plan of Correction: The facility responded with the following:
Staff shall be trained to sit with children during all meal times to ensure proper engagement and child supervision
Standard 8VAC20-780-560-M
No child shall be allowed to drink or eat while walking around.

Children were observed standing up, walking and running around while eating their lunches and drinking their drinks.
Plan of Correction: The facility responded with the following:
Staff shall be trained to sit with children during all meal times to ensure proper engagement and child supervision
Standard 8VAC20-780-560-O
When food is prepared to which a child is allergic, staff shall take steps to avoid cross contamination to prevent an allergic reaction.

Five children in care had documented food allergies. When asked, staff were uncertain where the children with food allergies were sitting during lunch. As the children brought their lunches from home, steps were not taken to ensure that children with food allergies were not exposed to food allergens from another child's lunch.
Plan of Correction: The facility responded with the following:
Staff will acknowledge the presence of food allergens in the program through the use of program allergy roster and ensure that all children with food allergies have been separated from possible exposures at all times.