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Greenbrier Family YMCA

Inspection · 2024-01-26

Date
2024-01-26
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

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 conducted on 01/26/2024. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Inspector reviewed children and staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

4
Standard 8VAC20-780-160-C
Based on a record review the center did not ensure all staff had a tuberculosis screening at least every 2 years from the date of the last screening.

Evidence:
Staff #5's last tuberculosis screening was dated 06/03/2021. Staff #5's record did not have a repeat tuberculosis test/screening 2 years from the date of the last one.
Plan of Correction: Administration will have staff get a tuberculosis screening or test by the end of the week and keep a copy of the results in the staff member's file.
Standard 8VAC20-780-260-B
Based on a record review the center did not ensure there was an annual inspection from the health department.

Evidence:
The center's last health inspection was dated 01/11/2023. The interim director verified that was the last time the center had an inspection.
Plan of Correction: The health department will be contacted tomorrow and a request for an inspection will be made. The center will document who they spoke with and they date.
Standard 8VAC20-780-280-B
Based on observation the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
In the main room used for care, there was a bottle of disinfectant on the check-in table in reach of children.
Plan of Correction: This was an oversight. The chemical was put in a locked place during the inspection.
Standard 8VAC20-780-340-D
Based on observation and record review the center did not ensure that in each grouping of children there was at least one staff member who meets the qualifications of a program leader or program director.

Evidence
Staff #5 was observed supervising 13 children (the youngest was 5 years) in the teen room. 1. Staff #5 was listed in the file as an assistant and did not have documentation of meeting the qualifications of a program leader.
2. Administration confirmed staff #5 was supervising the 13 children alone and did not have the qualifications of a program leader.
Plan of Correction: Administration will ensure that on the next school-out day children will be supervised without a staff that meets the qualifications of a program leader or director.
View original record on Virginia Department of Social Services