VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christan Association of the Virginia Peninsulas at M
11487 General Puller Highway
Hartfield, VA 23071
(804) 316-9191

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: April 22, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

An unannounced Subsidy Health and Safety (SHSI) Inspection was conducted on April 22, 2019, from approximately 10:25 am to 2:10 pm. Upon entrance there were two staff present with eight children. Children were observed playing outside preparing for and eating lunch. The sample size of records reviewed included five children's records and two staff records. The center is not administering medications. Areas of non-compliance were noted on the violation notice. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover the Subsidy Health and Safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. The exit interview was conducted with the center owner. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on vendor interviews, the vendor did not ensure all staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: During the inspection on April 22, 2019, the record for staff #1 indicated first day of employment was 3-25-19 and the TB screening available for review was dated 6-11-18. Staff #1 did not have documentation of a TB screening within the last 30 days and prior to coming into contact with children. Staff #1 was observed working during inspection.
Plan of Correction:	The center director will have staff not work until has a new TB screening.
Standard #:	22VAC40-665-650-E
Description:	Based on vendor interviews, the vendor did not ensure all required written procedures for supervision were developed and implemented. Evidence: During the inspection on April 22, 2019, the Center Director confirmed there was not a written policy for ensuring there are procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members.
Plan of Correction:	The center director will write procedure to ensure consistent care.
Standard #:	22VAC40-665-770-B-5
Description:	Based on vendor interviews, the vendor did not ensure the emergency plan contained all required procedures. Evidence: During the inspection on April 22, 2019, the Center Director confirmed the emergency plan did not include continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	The center director will write procedure to ensure continuity of operations during emergency.
Standard #:	22VAC40-665-780-A-3
Description:	Based on vendor interviews, the vendor did not ensure the lockdown procedures shall be practiced at least annually. Evidence: During the inspection on April 22, 2019, the Center Director confirmed a lockdown drill had not been conducted in 2018.
Plan of Correction:	The center director will have a lockdown drill by end of May and will add lockdown drills to our schedule.