VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care @ Chesterfield Academy
2915 Westminster Avenue
Norfolk, VA 23504
(757) 622-9622

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Feb. 7, 2020 and Feb. 12, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced, mandated renewal inspection was conducted on 02/07/2020. the inspector was at the facility between the hours of 7:05 AM and 8:00 AM. Morning arrivals and activities were observed. Five children were in care. A sample size of five children's records were reviewed. It was reported that no medication has been administered to children in care since the previous inspection and no emergency medication was stored. No children's injuries were reported. A sample size of five children's records were reviewed. An exit meeting was conducted with staff 1 prior to closure of the inspection. A staff record review was conducted on 02/12/2020. Five staff records were reviewed. An exit meeting was conducted with staff 6 prior to ending the record review.

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 immunizations is obtained before a child can attend the facility. Evidence: 1. The record provided for child 5 documented that the child began attending the facility on 9/7/2018. The facility did not have documentation of immunizations for child 5. 2. Staff 1 verified that immunization records were not in the file of child 5 and that child 5 is still actively attending the facility.
Plan of Correction:	The facility responded with the following: Documentation of immunizations will be obtained from the parent for child 5. In the future, we will ensure that documentation of immunizations is obtained before a child can attend.
Standard #:	22VAC40-185-140-A
Description:	Based upon review of fie children's records and staff interview, the facility has not ensured that they have obtained documentation that each child has had a physical examination before the child attends of within one month after attending. Evidence: 1. The record provided for child 4 documented that child 4 began attending care on 10/7/2019. The record did not include documentation of a physical examination. 2. The record provided for child 5 documented that child 5 began attending care on 9/7/2018. The record did not include documentation of a physical examination, 3. Staff 1 verified that neither the record for child 4 nor the record for child 5 included documentation of physical examinations.
Plan of Correction:	The facility responded with the following: Documentation of physical examinations will be obtained and placed in the children's records within 30 days of beginning care.
Standard #:	22VAC40-185-160-C
Description:	Based upon review of five staff records and staff interview, the facility has not ensured that each staff submits results of a tuberculosis screening every two years. Evidence: 1. The record provided for staff 5 did not include results of a tuberculosis screening within the past two years. There was documentation of a tuberculosis test, however there was no documentation that the staff person returned to have the results of the test read. 2. Staff 6 verified that there was no documentation to support a tuberculosis screening for staff 5 within the past two years.
Plan of Correction:	The facility responded with the following: Documentation of tuberculosis screenings will be obtained every two years for all staff.
Standard #:	22VAC40-185-240-A
Description:	Based upon observation and staff interview, the facility has not ensured that staff receive the required training regarding job responsibilities by the end of their first day of assuming responsibilities. Evidence: 1. The inspector asked staff 2 to provide the children's records to be reviewed. Staff 2 produced a locked file box in which the records were kept but was unable to open the box as he did not know the combination to the lock. 2. Staff 2 stated that he began working at the facility the previous Monday, February 3, 2020. 3. Staff 1 stated that she had been orienting the new staff to cite procedures whenever she had time, but had not shared the combination for the children's records with staff 2.
Plan of Correction:	The facility responded with the following: In the future, all staff will receive site specific training prior to the end of the first day of assuming responsibilities.