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Young Mens Christian Association of the Virginia Peninsulas-R.F.
301 Sentara Circle
Williamsburg, VA 23188
(757) 229-9622

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Feb. 24, 2021 , Feb. 25, 2021 and March 3, 2021

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A monitoring inspection was initiated on February 24, 2021 and concluded on March 4, 2021. The director was contacted by telephone to initiate the inspection. There were 28 children present and 4 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of 3 children's records, the licensee failed to maintain obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for child #3 did not include documentation of immunizations required by the State Board of Health before the child can attend the center. Child #3 was in care during the inspection.

Plan of Correction: A new copy of the child's records will be obtained.

Standard #: 22VAC40-185-160-A
Description: Based on review of 3 staff records, the licensee failed to have staff submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.

Evidence: The record for staff #1, date of hire 9-10-2013 did not include a TB screening available for review.

Plan of Correction: The staff will have an updated TB test result.

Standard #: 22VAC40-185-240-D-5
Description: Based on documentation review, the licensee failed to ensure there shall be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation (DHO) of children.

Evidence: There was not documentation available for review of a staff member who obtained the DHO training.

Plan of Correction: All staff will have their DHO.

Standard #: 22VAC40-185-280-B
Description: Based on observation and staff interviews, the licensee failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: The center director confirmed, 1 hand sanitizer container and 2 disinfectant spray containers were observed stored on cart and 2 hand sanitizer containers and 1 disinfectant spray was stored on a book shelf. These items were not stored in a locked place.

Plan of Correction: Hazardous substances will be locked away out of reach.

Standard #: 22VAC40-185-540-E
Description: Based on observation and staff interviews the licensee failed to obtain all required nonmedical emergency supplies.
Evidence: The center director confirmed they did not have a battery operated radio available for review.

Plan of Correction: A battery operated radio will be purchased & in the first aid kit.

Standard #: 22VAC40-185-550-M
Description: Based on documentation review, the licensee failed to ensure the center maintained a written record of childrens serious and minor injuries in which entries are made the day of occurrence and include all required information.
Evidence: Four injury reports were available for review and the following information was missing;
1) Four reports did not include any future action to prevent recurrence
2) Four reports did not include not include the date and time parents were notified
3) One did not include the required two signatures, a staff and parent signature or 2 staff signatures
4) One did not include documentation on how parent was notified.

Plan of Correction: Injury reports will include all important information including time parent is notified.

Standard #: 22VAC40-185-560-G
Description: Based on observation and staff interviews the licensee failed to ensure when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence: The center director confirmed 5 out of 5 lunch boxes observed did not have the date and 3 did not have their name.

Plan of Correction: Lunches will all be labeled w/ names & dates.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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