VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School-Age Child Care @ Taylor Elementary
1129 West Princess Anne Road
Norfolk, VA 23507
(757) 622-9622

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Nov. 15, 2019 and Nov. 19, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Please be sure that the site has a complete / updated copy of the program's Emergency Preparedness Plan on site.

Comments:

An unannounced monitoring inspection for the renewal of the program's license was conducted on 11/15/19 from. to 3:00 p.m. to 5:00 p.m. At the time of entrance the following adult to child ratios were observed: 5 children, ages 4 to 5 years old, with one staff 33 children ages 6 to 8 years old with 3 staff The records sample size consisted of 5 children?s records. Four (all) staff records for this site were reviewed at the Blocker YMCA administrative offices on 11/19/19. Children were observed completing homework assignments, playing table top games and gross motor games in the gymnasium, and eating an afternoon snack which consisted of pretzels and fruit juice. Restroom procedures and table sanitizing were also observed. Medication administration was not observed. The center had four medications stored on site which were reviewed with regard to storage, labeling, written authorization and required documentation. Staff report that children are not routinely transported while in care and that there have been no accidents or injuries requiring first aid or medical attention since the last inspection. Violations were found during the inspection and are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:

Standard #:	22VAC40-185-510-A
Description:	Based on a review of medication stored on site for children in care and written authorization forms, the program was not able to demonstrate that medication is administered to children only with written parent authorization. Evidence: The program identified two children in care as having a food allergy. The written emergency plan that the program accepted for child #7 documented that child #7 had allergies to cashews and Pistachios. The plan, completed and signed by the child's physician said that child #7 must be administered Benadryl and/or Epinephrine if an allergic exposure occurs. The form was not signed by Child #7's parent and no other written authorization was available to administer Benadryl or Epinephrine.
Plan of Correction:	Staff #1 stated that he would speak with child #7's parent at pick up the same day and have them review and sign the allergy plan authorizing the administration of the medications in an emergency allergic reaction.
Standard #:	22VAC40-185-510-C
Description:	Based on a review of medication stored on site for children in care and written authorization forms, the program was not able to demonstrate that they have followed their center procedures to include methods to prevent use of outdated medication. Evidence: The program identified two children in care as having a food allergy. The written emergency plan that the program accepted for child #6 documented that child #6 had allergies to eggs and tree nuts.. The plan, completed and signed by the child's physician and the child's parent said that child #6 must be administered Benadryl and/or Epinephrine if an allergic exposure occurs. The medication labeled with child #6's name included Benadryl and/or Epinephrine. This Benadry was labeled with an expiration date of 9/2019.
Plan of Correction:	Staff #1 stated that he would speak with child #6's parent at pick up the same day and ask that the medication be replaced by Monday.