VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School-Age Child Care @ Larrymore Elementary
7600 Halprin Drive
Norfolk, VA 23518
(757) 624-9622

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: June 4, 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.

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 7:05 AM and departed at 8:25 AM. Twenty-five children were in care with two staff. Morning arrivals, activities and preparation to transition to public school were observed. A sample size of five children's records were reviewed. Medication administration and injury records were reviewed. An exit meeting to review violations on the acknowledgement form was conducted with the program director prior to closure of the inspection.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based upon review of five children's records and staff interview, the facility has not ensured that documentation of children's immunizations is obtained prior to the child attending. Evidence: 1. The record provided for child 5 indicates that child 5 began attending on 3/19/19. The record did not include documentation of the child's immunizations. 2. Staff 1 verified that documentation of immunizations was not in the child 5's record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-140-A
Description:	Based upon review of five children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician within one month after attending. Evidence: 1. The record provided for child 5 indicates a first date of attendance of 3/19/2019. The record did not include documentation of a physical examination. 2. Staff 1 verified that there was no documentation of a physical examination in the record of child 5.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-260-B
Description:	Based upon review of records and staff interview, the facility has not ensured that the is documentation of annual approval of the health department. Evidence: 1. The most recent health departement inspection provided is dated 4/24/2018. 2. Staff 1 verified that documentation of a more recent health department inspection has not been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-280-B
Description:	Based upon observation, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: The door to the music room was not locked. The music room directly adjoins the gymnasium where the children were in care. There was a container of spray adhesive labeled "precaution, keep out of reach of children" on the teacher's desk in the music rrom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-350-C
Description:	Based upon observation and staff interview, the facility has not ensured that in a mixed age grouping of children, the staff-to-child ratio applicable to the youngest child in the group applies to the entire group. Evidence: At 8:20 AM, there were 25 children in the care of two staff. Staff 2 identified two four year old children in the group. One four year old child was close by staff 2, however the second four year old child was across the gymnasium with older children playing with Legos.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-500-A
Description:	Based upon observation, the facility has not ensured that children's hands are washed with soap and running water or cleaning wipes after eating. Evidence:ree girls were observed eating Cheetos snacks at the breakfast table. After eating, the girls got up from the table and began playing with the other children without washing their hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-C
Description:	Based upon review of the medication and authorizations for the medications stored for administration to the children and staff interview, the facility has not followed their medication procedures requiring written parent and physician authorizations for the medication to be administered to the children. Evidence: 1. There was an albuterol inhaler stored for emergency administration to child 4. There was no documentation of parental or physciian authorization for the medication to be administered. 2. Staff 1 verified that there was no parental or physician authorization for child 4 to be administered the medication if needed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-L
Description:	Based upon review of injury records for April and May 2019 and staff interview, the facility has not ensured that parents are notified of chidlren's injuries by the end of the day on which the injury occurred. Evidence: 1. An injury record dated 4/2/2019 for child 1 documented that the parent was notified of the child's injury on 4/3/2019. 2. An injury record dated 5/17/2019 for child 3 documented that the parent was notified of the child's injury on 5/18/2019. 3. Staff 1 stated that she was unaware of the requirement for parents to be notified of children's minor injuries the same day the injury occurred.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-M
Description:	Based upon review of written injury records for April and May 2019 and staff interview, the facility has not ensured that injury records include all required documentation. Evidence: 1. An injury record dated 5/3/2019 indicates that child 2 was injured at 5:15 PM. The same record indicated that the parent was notified of the injury the same day at 4:50PM. 2. Staff 1 verified that the documentation of the injury of child 2 on 5/3/2019 had incorrect times documented.
Plan of Correction:	Not available online. Contact Inspector for more information.