VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA Summer Camp @ Camp Arrowhead
275 Kenyon Rd.
Suffolk, VA 23434
(757) 923-3303

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: July 22, 2019

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(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-185-(5)-340 (Supervision); 22VAC40-185-(6)-460; (Swimming); 22VAC40-185-(6)-470; (Swimming); 22VAC40-185-(6)-480; (Swimming);

Comments:

An unannounced monitoring inspection was conducted on 7/22/19 from 10:00am - 12:45pm. During the inspection there were 120 school age children in care with 30 staff. Children were observed participating in various activities in the classrooms, swimming in the pool, and eating lunch. Records were reviewed for ten children and ten staff during the inspection. 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 #:	22VAC40-185-270-A
Description:	Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. There is board on the front bench located in the amphitheater that is cracked and has an exposed nail. It has also started to bow outward. 2. One of the Portable Bathrooms located near the Alpine Tower has an area where the plastic is cracked and broken. 3. One of the picnic tables located near the Alpine Tower has a broken leg 4. Staff #11 confirmed the items listed above were not in a safe and operable condition.
Plan of Correction:	The facility responded: A maintenance work order will be placed to have all of the items repaired to ensure the safety of the children. staff will be reminded to report any equipment or areas that are damaged or not operable to center management.
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 medication (Epi-pen) for child #8 was expired and the parent had not signed the medication authorization form. The only signature on the medication authorization from was the doctor's signature. 2. Staff #5 confirmed that the medication for child #8 was expired, and that the medication did not have written authorization from the parent to be given.
Plan of Correction:	The facility responded: The medication for child #8 will be given back to the parent. All new medication will not be accepted unless there is a parent authorization. All current and new medication will be checked to ensure that it is not expired.
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 #2 expired during the month of June 14, 2019, but the medication (Epi-pen) was still at the center. 2. Staff #5 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 parent of child #2 will be asked to complete a new medication authorization or the medication will be returned. All medication authorizations will be routinely reviewed to ensure they are not expired.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of the emergency drill log and interviews, it was determined that the facility did not ensure that a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios is completed. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that a second shelter-in-place practice drill was completed during 2018. 2. Staff #12 confirmed that only one shelter-in-place practice drill was completed during 2018.
Plan of Correction:	The facility responded: We will ensure that at least a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios is completed.
Standard #:	22VAC40-185-560-G
Description:	Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed the children eating lunch during the inspector and noticed that none of the lunch boxes were labeled with the date. 2. Staff #11 acknowledged that none of the lunch boxes were labeled with the date.
Plan of Correction:	The facility responded: We ran out of the labeled we normally use for the lunch boxes of children who bring their lunch from home. Until new labels are received we will use tape to label the lunch boxes.