VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of South Hampton Roads-Suffolk
2769 Godwin Boulevard
Suffolk, VA 23434
(757) 934-9622

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Jan. 27, 2020

Complaint Related: 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical assistance was provided in the following areas of the standards: Background checks; 22VAC40-185-(4)-260-B (Annual health inspection); 22VAC40-185-(4)-330 (Play areas)

Comments:

An unannounced monitoring inspection was conducted on 1/27/20 from 1:45pm - 4:15pm. During the inspection there were 57 children ages four to ten years old in care with nine staff. Children were observed participating in various activities in the gym, and eating snack. Records were reviewed for five children and seven staff. Medication, emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:

Standard #:	22VAC40-185-510-C
Description:	Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that they did not follow their procedures to prevent the use of outdated medication. Evidence: 1. The medication (Pro-Air inhaler) for child #6 had an expiration date of April 2019. 2. The medication (Epi-Pen injector) for child #7 had an expiration date of October 2019. 3. Staff #6 confirmed the medication for child #6 and child #7 were expired.
Plan of Correction:	The facility responded: We will return the expired medication tot he parents. Medication will be checked on a regular basis and return to parents when it is expired.
Standard #:	22VAC40-185-510-G
Description:	Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The written medication authorization to administer the medication (Pro-Air inhaler) for child #6 was not signed by the parent. 2. The written medication authorization to administer the medication (Pro-Air inhaler) for child #8 was not signed by the parent. 3. Staff #6 confirmed that there was medication at the facility that did not have written authorization from the parent to be administered.
Plan of Correction:	The facility responded: We will have the parents sign the written authorization to administer medication form. Medication will not accepted unless there is a written authorization to administer medication form.
Standard #:	22VAC40-185-510-N
Description:	Based on a review of the medication being stored at the center, it was determined that the licensee did not ensure that when an authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The medication authorization for child #9 expired on 12/3/19, but the medication was still at the center. 2. Staff #6 confirmed that the medication had been present in the center for more than 14 days since the expiration of the written authorization.
Plan of Correction:	The facility responded: The parents of child #9 will be asked to sign a new medication authorization or the medication will be sent home.
Standard #:	22VAC40-185-550-H
Description:	Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. The document prepared and maintained on the center's bus did not include the routes frequently driven by center staff when picking up children from the local public schools. 2. Staff #6 confirmed that the routes frequently driven were not maintained on the bus.
Plan of Correction:	The facility responded: The maps for the routes that are driven daily will be added to the transportation books on each bus.