Inspection · 2022-12-01
(757) 334-4329
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 12/1/22 from 2:35pm until 4:00pm. At the time of entrance, there were 54 children in care with 4 staff present. Children were observed eating snack, playing table top games and doing homework. Restroom and handwashing procedures and parent pick-up procedures were also observed. A sample of 5 children's records were reviewed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, children's injury reports, medication and required center postings were also reviewed.
A sample of 5 staff records were reviewed at the Greenbrier North YMCA on 12/1/22 from 11:15am until 12:30pm.
Information gathered during the inspection determined non-compliances with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with center administration at the conclusion of the inspection.
Violations
5Evidence:
1. The record for staff 1 (date of hire: 9/22/14) does not contain documentation of a completed fingerprint based national criminal history record check. There was a completed Virginia criminal record check dated 9/22/16.
a. Staff 1 stated that she completed the fingerprint based national criminal history record check in 2018 but that the results of the search were missing from her staff record.
2. The most recent documented central registry search result for staff 1 is dated 8/21/15. Staff 1 was due for an updated central registry search in August 2020.
3. Center administration confirmed that the record for staff 1 is lacking the results of a fingerprint based national criminal history record check and an updated central registry search.
Evidence:
1. The record for staff 3 (date of employment: 9/28/22) does not contain documentation of a negative tuberculosis screening. Staff 3 was working with children on the date of the inspection.
2. Center administration confirmed that staff 3 was working without documentation of a negative tuberculosis screening.
Evidence:
1. The most recent documented tuberculosis test or screening for staff 2 (date of hire: 10/23/19) is dated 6/13/20. Staff 2 was due for an updated tuberculosis screening in June 2022.
2. Center administration confirmed that the tuberculosis screening for staff 2 is expired.
Evidence:
1. The record for child 1 (date of enrollment: 9/6/22) does not contain the name, home address and home phone number of each parent who has custody; the work phone number and place of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency when a parent cannot be reached; and, previous child day care and schools attended by the child.
2. Staff 4 confirmed that the record for child 1 is lacking the above information.
Evidence:
1. Staff 2 (date of hire: 10/23/19) has a documented position title of program director. The record for staff 2 does not contain the documentation to demonstrate that she possesses the education required by the job position.
2. Staff 3 (date of hire: 9/28/22) has a documented position title of program leader. The record for staff 2 does not contain the documentation to demonstrate that she possesses the experience required by the job position.
2. Center administration confirmed that the record for staff 2 is lacking documentation that she possesses the education required for the job position of program director and that the record for staff 3 is lacking documentation that she possessed the experience required for the job position of program leader.