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THE YMCA OF SOUTH HAMPTON ROADS - DEEP CREEK ELEMENTARY

Inspection · 2023-05-25

Date
2023-05-25
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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

Inspector Notes

A monitoring inspection was conducted on 05/17/2023. There were 36 school aged children present with 4 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 total of 8 child records were reviewed.

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 and discussed with the site administrator during the exit interview.

Violations

4
Standard 8VAC20-780-320-B
Based upon observation, the facility has not ensured that bathrooms are equipped with paper towels.
Evidence:
The girls were taken to the bathroom at the end of the hallway outside of the gymnasium to wash their hands prior to eating afternoon snack. The girls came out of the bathroom shaking off their hands to dry them and said that there were no paper towels. The inspector mentioned this to staff 2 who sent an assistant to retrieve paper towels.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-E
Based upon review of medication, the facility has not ensured that the procedures for administering medication include methods to prevent the use of outdated medication and that expired medication is returned to the parent within 14 days or the medication is disposed of by the facility.
Evidence:
1. There was an EpiPen stored for emergency administration to child 9. The medication expired in April 2023 and was not returned to the parent or disposed of.
2. Staff 1 confirmed that the medication was expired.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based upon review pf records and staff interview, the facility has not ensured that they have implemented a monthly evacuation drill.
Evidence:
1. The written record of emergency drills did not include documentation of an emergency evacuation drill in April 2023.
2. Staff 1 acknowledged that an evacuation drill had not been documented in the emergency drill record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers of two persons to be contacted when a parent cannot be reached. In addition, each child's record must include a written care plan for any child with a physician diagnosed food allergy.
Evidence:
1. The record provided for child 6 included only one emergency contact person other than parents.
2. Staff 1 acknowledged that there was only one emergency contact person in the record provided for child 6.
3. The written care plan in the record provided for child 9 indicated that diphenhydramine is to be administered if there is a mild allergic reaction, however the facility did not have diphenhydramine for emergency administration to the child,
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services