Inspection · 2023-01-27
Date
2023-01-27
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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.
8VAC20-770 Background Checks (8VAC20-770)
Inspector Notes
An unannounced renewal inspection was conducted on 01/27/2023 from 3:00 pm - 4:10 pm. At the time of entrance there were 26 children in care, ages 4 years - 12 years, with 5 staff. Children were observed during the completion of snack and watching a movie. Five children's records were reviewed.
The inspector reviewed five staff records on 01/30/2023 at the Greenbrier North YMCA where staff records are maintained.
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
11Standard 22.1-289.035-A
Based on record review, the center failed to ensure that all employees shall undergo a background check every five years.
Evidence:
1. The central registry check for staff 2 has not been updated every five years as required.
a. The most recent central registry check was conducted on 11/10/2016.
Evidence:
1. The central registry check for staff 2 has not been updated every five years as required.
a. The most recent central registry check was conducted on 11/10/2016.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years.
Evidence:
1. A criminal record check was not available for another state that staff 3 has resided in within the past five years.
Evidence:
1. A criminal record check was not available for another state that staff 3 has resided in within the past five years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on record review, the center failed to ensure that all staff have a central registry finding within 30 days of employment.
Evidence:
1. There is no central registry finding on file for staff 3 who began employment on 11/07/2022.
Evidence:
1. There is no central registry finding on file for staff 3 who began employment on 11/07/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. Documentation of immunizations were not available for child 1 and child 2 who were in care during the inspection.
2. The immunizations on file for child 5 and child 6 were incomplete as the documentation on file was missing page 1 of two pages listing immunizations administered.
3. Administrative staff confirmed that complete immunization documentation was not available for these children.
Evidence:
1. Documentation of immunizations were not available for child 1 and child 2 who were in care during the inspection.
2. The immunizations on file for child 5 and child 6 were incomplete as the documentation on file was missing page 1 of two pages listing immunizations administered.
3. Administrative staff confirmed that complete immunization documentation was not available for these children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after attendance.
Evidence:
1. A written physical exam was not on file for child 1 and child 2 who were in care during the inspection.
a. Administrative staff stated these children had been in care more than 30 days.
2. Administrative staff additionally stated he had no access to electronic records and confirmed that a hard copy was not on hand at the after school site.
Evidence:
1. A written physical exam was not on file for child 1 and child 2 who were in care during the inspection.
a. Administrative staff stated these children had been in care more than 30 days.
2. Administrative staff additionally stated he had no access to electronic records and confirmed that a hard copy was not on hand at the after school site.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure that the documentation of a tuberculosis screening shall be obtained within the last 30 days of employment and prior to coming into contact with children .
Evidence:
1. The TB screening for staff 1 was obtained on 06/23/2022 which is after her employment date of 05/28/2022.
Evidence:
1. The TB screening for staff 1 was obtained on 06/23/2022 which is after her employment date of 05/28/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff 4, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course.
2. Staff 2, hire date 09/30/2016, lacks documentation of completion of Virginia Preservice training - 10 hour course.
Evidence:
1. Staff 4, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course.
2. Staff 2, hire date 09/30/2016, lacks documentation of completion of Virginia Preservice training - 10 hour course.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. Staff 4 lacks documentation of any annual training for calendar year 2022.
Evidence:
1. Staff 4 lacks documentation of any annual training for calendar year 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-G
Based on observation and interview, the center failed to ensure that If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.
Evidence:
1. A bottle of sanitizing agent was not labeled to indicate the contents.
a. Administrative staff stated the bottle contained the sanitizing liquid used to sanitize tables.
Evidence:
1. A bottle of sanitizing agent was not labeled to indicate the contents.
a. Administrative staff stated the bottle contained the sanitizing liquid used to sanitize tables.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on interview and record review, the center failed to maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements.
Evidence:
1. Enrollment records were not in the children's record binder for child 1 and child 2 who were in care during the inspection.
a. Administrative staff confirmed these records were not available as a hard copy.
b. Administrative staff stated he did not have access to the electronic copy of enrollment records for child 1 and child 2.
2. The enrollment record for child 3 lacked documentation of the first day of attendance.
3. A written allergy care play is not on file for child 4 who has a diagnosed food allergy to two different foods.
a. Administrative staff verified that an allergy care plan had not been obtained for child 3.
Evidence:
1. Enrollment records were not in the children's record binder for child 1 and child 2 who were in care during the inspection.
a. Administrative staff confirmed these records were not available as a hard copy.
b. Administrative staff stated he did not have access to the electronic copy of enrollment records for child 1 and child 2.
2. The enrollment record for child 3 lacked documentation of the first day of attendance.
3. A written allergy care play is not on file for child 4 who has a diagnosed food allergy to two different foods.
a. Administrative staff verified that an allergy care plan had not been obtained for child 3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance.
Evidence:
1. The written parent agreement was not available for child 1 and child 2 who were in care during the inspection.
2. Administrative staff verified this information was not on site and access to electronic records was not available to staff in the after school program.
Evidence:
1. The written parent agreement was not available for child 1 and child 2 who were in care during the inspection.
2. Administrative staff verified this information was not on site and access to electronic records was not available to staff in the after school program.
Plan of Correction: Not available online. Contact Inspector for more information.