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YMCA School Age Child Care @ Academy of Discovery at Lakewood

Inspection · 2024-01-23

Date
2024-01-23
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

Inspector Notes

A monitoring inspection was initiated and concluded on 01/23/2024. The inspector arrived at 7:30 AM and departed at 8:20 AM. There were 5 school aged children present with 2 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 5 child records and 2 staff emergency/orientation 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 designated staff in charge, staff 1, and the site supervisor during the exit interview.

Violations

8
Standard 8VAC20-780-245-J-3
Based upon review of medication, children's records and staff interview, the facility has not ensured that any child for whom emergency medications have been prescribed are always in the care of a staff member who meets the requirement of Medication Administration Training (MAT).
Evidence:
1. Child 6 was in care during today's inspection. There is an albuterol inhaler stored for emergency administration to child 6. Neither staff 1 nor staff 2, the only staff on duty during today's inspection, have MAT certification to be able to administer the albuterol in an emergency.
2. Staff 1 confirmed that neither before school care staff have MAT certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based upon review of records and staff interview, the facility has not ensured that there is an annual fire marshal inspection.
Evidence:
1. There was not documentation of a fire marshal inspection within the past year.
2. Staff 1 confirmed that they did not have documentation that a fire marshal inspection was conducted within the past year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based upon staff interview, the facility has not ensured that they have maintained a current written list of all children's allergies, sensitivities and dietary restrictions.
Evidence:
Staff 1 confirmed that there was not a written list of children with allergies, sensitivities and dietary restrictions.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-50-A
Based upon observation, the facility has not ensured that children's records are treated confidentially.
Evidence:
The children's records were kept in a notebook under the table in the back entrance foyer to the school. This table was not in view of the staff on duty with the children in the school cafeteria.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-E
Based upon review of medication procedures, medication stored for administration to children and staff interview, the facility has not followed their procedures for administering medication.
Evidence:
1. The facility's procedures for administering medication require current written authorization for all medication stored for potential administration to children.
2. The parent authorization for child 1 to be administered the stored Benadryl and epi-pen expired on 8/24/2023.
3. Staff 1 confirmed that the parent authorization for the medication for child 1 had expired.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-G
Based upon review of medication stored for administration to children and staff interview, the facility has not ensured that medication is labeled with the child's name, the name of the medication, the dosage amount and the time to be given.
Evidence:
1. There is an EpiPen stored for potential administration to child 1. The prescription label on the EpiPen was for child 1's sibling, not for child 1.
2. Staff 1 confirmed that the EpiPen prescription label was not for child 1, but for the sibling of child 1.
2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-E
Based upon review of emergency supplies and staff interview, the facility has not ensured that there is a working battery operated flashlight and radio.
Evidence:
1. The batteries in the flashlight/radio are not working.
2. Staff 1 confirmed that they did not have working batteries for the flashlight/radio.
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 the record for each child includes all required information.
Evidence:
1. The record provided for child 4 did not include the parent information.
2. The record provided for child 4 did not include the names, addresses and telephone numbers for two persons to be contacted if a parent cannot be reached.
3. Staff 1 confirmed the missing information listed above from the record for child 4.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services