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Greenbrier Family YMCA

Inspection · 2021-08-25

Date
2021-08-25
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on 08/25/2021 and concluded on 08/27/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 87 school age children present with 9 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 3 children's records and 4 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

2
Standard 22VAC40-185-550-M
Based on record review, the center failed to ensure that the written records of children's injuries shall include written documentation of any future action to prevent recurrence of the injury.

Evidence:
1. Three of four injury reports reviewed lacked written documentation of any future action to prevent recurrence of the injury.
Plan of Correction: Injury reports will be reviewed by administrative staff daily to ensure all required information is completed on all injury forms.
Standard 22VAC40-185-60-A
Based on record review, the center failed to ensure that children's records contain all of the required elements.

Evidence:
1. The enrollment record for child 1, child 2 and child 3 lacked a work phone number and place of employment of each parent who has custody.
Plan of Correction: Children's records will be audited to ensure that all records contain employment information, when applicable.
View original record on Virginia Department of Social Services