VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School-Age Child Care @ Ingleside Elementary
976 Ingleside Road
Norfolk, VA 23502
(757) 605-8892

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: June 5, 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. 22VAC40-80 THE LICENSING PROCESS.

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 7:00 AM and departed at 8:20 AM. Morning arrivals and activities were observed. A sample size of five children's records were reviewed. It was reported that there is currently no medication stored for administration to the children. Violations were cited in four of the eight areas of the standards to include administration, physical plant, staffing and supervision and special care provisions and emergencies. An exit meeting was conducted with staff 2 prior to closure of the inspection.

Violations:

Standard #:	22VAC40-185-50-A
Description:	Based upon observation, the facility has not ensured that staff and children's records are treated confidentially. Evidence: The Supplemental Information Sheet, on which are listed staff and children's names, from the inspection which ended on 12/7/2018 was posted on the parent information bulletin board. The supplemental Information sheet specifically indicates that the information on the sheet is confidential and that the sheet is not to be posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-60-A
Description:	Based upon review of five children's records, the facility has not ensured that children's records include the first dates of attendance. Evidence: The record provided for child 1 did not indicate the child's first day of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-270-A
Description:	Based upon observation, the facility has not ensured that areas and equipment of the center are maintained to be safe. Evidence: There is a large sound system mounted high on the wall in the cafeteria where the children were in care. A five foot loop of cord was hanging from the sound system. A heavy metal microphone was on the end of the cord and could be pulled off of the sound system shelf, injuring a child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-280-B
Description:	Based upon observation and staff interview, the facility has not ensured that Hazardous substances are kept in locked places using safe locking methods that prevent access by children and that if a key is used, it is not accessible to the children. Evidence: 1. There was a container of pump hand sanitizer labeled "warning, keep out of reach of children" on a child height table outside of the kitchen area. 2. Staff 2 verified that the hand sanitizer was accessible. 3. Upon asking staff 1 to open the locked storage cabinet where cleaning materials and first aid supplies are kept, child 4 opened the unlocked supply cabinet beside the hazardous substance storage cabinet and showed where the key to unlock the hazardous substance storage closet was kept. 4. Staff 2 witnessed child 4 showing where the key was stored.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-340-C
Description:	Based upon observation and staff interview, the facility has not ensured that during the stated hours of operation, there is always on the premises when one or more children are present, one staff member and an immediately available staff member, volunteer or other employee with direct means of communication between the two of them. Evidence: 1. Staff 1 was alone with the children from the time the facility opened at 7:00 AM until staff 2 arrived at 8:10 AM. Fifteen children arrived and were in care before the arrival of staff 2. 2. When asked, staff 1 stated that he had not yet heard from staff 2 who was to have been no duty with him. At 7:50 AM, staff 1 stated that he had heard from staff 2 who was on her way to the facility.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-340-F
Description:	Based upon observation and staff interview, the facility has not ensured that children under ten years of age are within actual sight and sound supervision of staff. Evidence: 1. At 7:20 AM, child 6, age three years, walked out of the cafeteria and went to the bathroom. Staff 1, who was on duty alone, did not accompany the child or acknowledge her absence from the group until the inspector informed him that child 6 was returning from the bathroom where she was unsupervised. 2. At 8:15 AM, a child, observed and identified by staff 2 as an eight year old, returned from the bathroom where he had gone by himself. 3. The children's bathrooms are down the hallway past the staff lounge near the entrance to the gymnasium.
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 the staff to child ratio applicable to the youngest child in the group applies to the entire group. Evidence: 1. Staff 1 was on duty by himself at the facility. The youngest child in the group was child 6, three years old, requiring a staff to child ratio of no more than ten children per staff. At 7:40 AM, the eleventh child arrived, placing the staff to child ratio out of compliance. Four more children arrived and joined the group, making a total of fifteen children, prior to the arrival of staff 2 at 8:10 AM. 2. Staff 1 and staff 2 acknowledged the ratio non-compliance.
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 after toileting. Evidence: 1. At 7:20 AM, child 6, age three years, walked out of the cafeteria and went to the bathroom alone. Staff 1 did not inquire as to whether or not child 6 washed her hands after using the toilet. 2. The sink in the girls bathroom was dry, indicating the child 6 did not wash her hands after using the toilet.
Plan of Correction:	Not available online. Contact Inspector for more information.