VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc of Virginia's Blue Ridge- Central
85 Central Road
Lexington, VA 24450
(540) 464-9622

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: Oct. 1, 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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was completed on 10/1/19. There were 28 children present with three staff supervising. Five children's records and two staff records had been reviewed completely; one staff record was reviewed partially for background checks only. There were no medications at the site. The inspector arrived at the school at 3:10 pm and departed at 6:00 pm. The children were observed during preparation for snack, during snack, during outside play time, during a group game in the gym, during homework time, and during departures.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on record review, the center failed to ensure that each child had a physical examination in their record within 30 days of enrollment that was conducted by or under the direction of a physician. Evidence: 1. There was no physical examination in the record of child #4. The first date of attendance documented for child #4 was 8/12/19.
Plan of Correction:	There was documentation that the parent had been contacted on 9/30/19 to obtain a physical for the child. The staff will follow up with the parent to get this documentation.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, the center failed to ensure that the children's records had documentation of all required information. Evidence: 1. The records for children #4 and #5 were both missing documentation of the mother and the father's work phone number. A work place was documented for each parent. 2. There was no work phone number documented for the father of child #3. There was a work place documented. 3. The father of child #1 was listed as not authorized to pick up the child. There was no legal paperwork to support that this parent could not pick up the child.
Plan of Correction:	There was documentation in all the children's records that the parents had been contacted to provide the phone numbers. Staff #2 will ask the parent for this documentation or remove the father's name as not authorized to pick up the child.
Standard #:	22VAC40-185-540-C
Description:	Based on observation and interview, the center failed to ensure there were two triangular bandages in the first aid kit. Evidence: 1. One triangular bandage was observed. Staff were asked if there was another triangular bandage available. There was not a second triangular bandage available.
Plan of Correction:	The child care director will purchase a second triangular bandage.
Standard #:	22VAC40-185-560-N
Description:	Based on observation, the center failed to ensure that no child ate while walking around. Evidence: 1. There were two children observed eating snack (apples and peanut butter crackers) while walking around. The children were five years old and eight years old.
Plan of Correction:	Staff will remind children to sit down and ensure they are all sitting while eating.