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Young Men's Christian Association of the Virginia Peninsulas-Mat

Inspection · 2022-08-17

Date
2022-08-17
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
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
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A monitoring inspection was initiated on August 17, 2022 and concluded on August 17, 2022. There were 13 children present, ranging in ages from 5 to 12, with 3 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 5 staff 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.

Violations

3
Standard 8VAC20-780-160-A
Based on review of five staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Evidence: Two out of five records reviewed did not have documentation of TB screening/ test available for review for the following staff that was conducted in the required timeframe.
1. Staff #2?s TB screening was dated May 23, 2022 and the first date of employment was December 26, 2021.
2. Staff #5`s TB screening was dated March 9, 2022 and the first date of employment was June 6, 2022.
Plan of Correction: Director will work with HR to ensure proper staff documentation is completed prior to actual date of employment.
Standard 8VAC20-780-510-B
Based on medication review, documentation review and staff interviews, the licensee did not ensure that prescription medication shall be given to a child only with written authorization from the parent.

Evidence; The medication log for Child #1 was reviewed and medication (methylphenidate) had been administered a total of 28 days between June 14, 2022 and August 16, 2022. The medication authorization for Child #1 was reviewed and the parent had not authorized administration of the medication.
Plan of Correction: Mat certified staff will ensure authorized administration signatures are secured prior to accepting medications.
Standard 8VAC20-780-60-A
Based on review of five children?s records and staff interviews, the licensee did not ensure that each child shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

Evidence: Two out of five children?s records reviewed did not include compete emergency contact information.
1. Child #2 did not have a second emergency contact listed.
2. Child #3 did not have complete home addresses for both emergency contacts listed.
Plan of Correction: Director will ensure proper emergency contact documents will be in place before the registrations are accepted to the center.
View original record on Virginia Department of Social Services