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The YMCA Of South Hampton Roads - Deep Creek Central

Inspection · 2023-02-16

Date
2023-02-16
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was conducted on 2/16/23 from 2:35pm until 3:35pm. At the time of entrance, there were 59 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 6 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 2/17/23 from 10:00am until 10:50am.
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

3
Standard 8VAC20-780-130-A
Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Heath have been received before the child can attend the center.

Evidence:
1. The record for child 1 (date of enrollment: 9/16/22) does not contain documentation of immunizations.
2. Staff 3 confirmed that the record for child 1 is lacking documentation of immunizations.
Plan of Correction: The center responded with the following: The parent of child 1 will be contacted and a copy of her most recent immunizations will be obtained and placed in the child's record.
Standard 8VAC20-780-240-A
Based on record review and interview, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence:
1. The record for staff 1 (date of hire: 10/3/22) and staff 2 (date of hire: 6/7/21) do not contain documentation that the Virginia Department of Education-sponsored orientation course has been completed.
2. Center administration confirmed that the records for staff 1 and staff 2 are lacking documentation that the required VDOE orientation training course has been completed within the required timeframe.
Plan of Correction: The center responded with the following: Staff 1 and staff 2 will complete the VDOE orientation course and documentation will be placed in their records. Going forward, center management will ensure all required training is completed within the required timeframes.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.

Evidence:
1. The record for staff 1 (date of hire: 10/3/22) has a documented position title of program leader. The record for staff 1 does not contain the documentation to demonstrate that she possesses the experience required by the job position.
2. The record for staff 2 (date of hire: 6/7/21) has a documented position title of program leader. The record for staff 2 does not contain the documentation to demonstrate that he possesses the education required by the job position. Also, the name, address and telephone number of a person to be notified in an emergency was not available at the site for staff 2.
3. Administrative staff confirmed that the above items are missing from the records for staff 1 and staff 2.
Plan of Correction: The center responded with the following: Staff 1's previous experience will be confirmed by management and documentation will be placed in her record. Staff 2's high school diploma will be obtained and placed in his record. The site orientation checklist with the emergency contact information will be completed for staff 2 and placed in the staff binder at the site.
View original record on Virginia Department of Social Services