VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc of Virginia's Blue Ridge- Waddell
100 Pendleton Place
Lexington, VA 24450
(540) 464-9622

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: Jan. 14, 2020

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 renewal inspection was completed on 1/14/2020. There were 27 children present with three staff supervising. Five children's records and five staff records were reviewed. Two emergency medications for one child in care was reviewed. The inspector arrived at the school at 3:45 pm and departed at 6:00 pm. The children were observed during free time, during second shift of snack, during various craft/art activities, and during departures.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on record review, the center failed to ensure that there was documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The dates in the electronic system of records that the immunizations were received for children #1, #2, and #5 were not before the child attended. The first dates of attendance were: #1 - 8/12/19; #2 - 8/20/19; #5 - 8/12/19. The dates that the immunizations were added to the children's electronic records were: #1 - 8/16/19; #2 - 8/30/19; #5 - 9/19/19. All of the dates that the immunizations were received into the children's records were not before attendance.
Plan of Correction:	The child care director will document the date that the record is received if not scanned in the electronic system by the parent prior to attendance.
Standard #:	22VAC40-185-260-A
Description:	Based on documentation review and interview with staff, the center failed to ensure that there was documentation of an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last fire inspection was observed to be dated 10/2/18. The site director was asked for an updated fire inspection report form and did not have another inspection report other than the one completed in 2018.
Plan of Correction:	The site director will ask the school office staff for an updated inspection report form.
Standard #:	22VAC40-185-550-E
Description:	Based on interview, the center failed to ensure that there was a record of emergency drills maintained. Evidence: 1. The site director was asked for documentation of the fire drills and shelter-in-place drills. The site director stated that he does not maintain a copy of the dates the drills were practiced. According to the site director, there has been a fire drill practiced monthly but no shelter-in-place (tornado) drills or lockdown drills practiced.
Plan of Correction:	The site director will document all emergency drills.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on record review, the center failed to ensure that a new person designated as an applicant (Board officer) had a completed central registry check within 30 days of the registrant change. Evidence: 1. Board officer #4 did not have a completed DSS search of the central registry within 30 days. This officer signed a Sworn Statement as an officer on 11/15/2019 and had a fingerprint record completed 11/5/2019. The Board officer did not have a completed central registry as of 1/14/2020.
Plan of Correction:	According to staff, the central registry was sent and returned for incomplete information. The registry was returned to DSS to be completed.