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YMCA School Age Child Care-Cedar Road Elementary
1605 Cedar Road
Chesapeake, VA 23322
(757) 312-0366

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Nov. 13, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
63.2(17) License & Registration Procedures

Technical Assistance:
The acknowledgment of inspection form is required to be posted until receipt of the complete inspection documentation - which is the inspection summary and violation notice.

Comments:
An unannounced monitoring inspection was conducted on 11/13/2019 from 3:15 pm - 5:05 pm. At the time of entrance there were 47 school age children in care with four staff. At 3:38 pm there were 51 school age children in care with five staff. Children were observed during afternoon program time which included art activities and organized games in the gym.
Records were reviewed for nine children in care. Medication and emergency supplies were additionally reviewed.

Violations were observed in two parts of the CDC standards and General Procedures and Information for Licensure. These violations are listed on the violation notice and were reviewed with administrative staff at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. Documentation of required immunizations was not on file for child 6 who was in care during the inspection.
2. Administrative staff confirmed that immunization documentation was not available for child 6.

Plan of Correction: Paperwork will be attended to, parents have been contacted for records.

Standard #: 22VAC40-185-140-A
Description: Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance.

Evidence:
1. There was no documented physical exam on file for child 6 who was in care during the inspection.
2. Administrative staff confirmed that a physical exam was not on file for child 6.

Plan of Correction: Paperwork will be updated and checked.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that children's records contain all of the required elements.

Evidence:
1. The enrollment record for child 1, child 3, child 4 and child 6 lacked a work phone number for one parent.
2. The enrollment record for child 2 lacked documentation of a second emergency contact.
3. The enrollment record for child 5 and child 6 lacked documentation of the first date of attendance.
4. Administrative staff confirmed the above required information was missing for children's enrollment records.

Plan of Correction: Child 1, 2 - 6 files will be corrected.

Standard #: 22VAC40-185-560-F
Description: Based on observation, the center failed to ensure that when snack is provided the following shall apply: Centers shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
*The current posted menu shall list the foods served to children for the current one-week period.

Evidence:
The snack served to children on 11/13/2019 did not meet USDA guidelines:
1. Children were served one 2 oz fig bar for snack. This fig bar did not provided the required serving of 3/4 cup of fruit and 3/4 cup of grain to meet USDA guidelines for snack for children ages 6 - 12 years.
a. Additionally, this type of snack bar does not meet current USDA guidelines due to the high sugar content.
b. Three of the first six ingredients, of this bar, are listed as a form of sugar.
2. The posted menu did not list the foods served each Friday in November for snack.
a. Snack for each Friday is listed as "Kids Choice."

Plan of Correction: That has been brought to the Director's attention. The correct food/snack will be ordered.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the center failed to ensure the tables shall be sanitized after use for each feeding.

Evidence:
1. The inspector observed two tables sanitized after afternoon snack. The tables were wiped down with a paper towel after the sanitizer was sprayed.
a. The tables were not allowed to air dry after application of the sanitizing solution as required.

Plan of Correction: This has been corrected and staff knows proper protocol.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility shall be posted on the premises of the facility.

Evidence:
1. The most recent inspection summary and violation notice from the 05/29/2019 & 05/30/2019 monitoring inspection were not posted.

Plan of Correction: This has been corrected and staff know to update board.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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