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The Family YMCA, Inc. Mt. Olivet
255 Lancer Lane
Martinsville, VA 24112
(276) 632-6455

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Feb. 2, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 PHYSICAL PLANT
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES.
22.1 EARLYCHILDHOOD CARE AND EDUCATION

Comments:
An unannounced renewal inspection took place on-site on 02/02/2022 and the inspection concluded on 02/03/2022 with a virtual record review inspection. There were 10 children, ages 4 years-10 years, and 3 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed washing hands, having an afternoon snack, in free choice activities and during homework time. A total of 5 children?s records, 3 staff records, 3 medications and 5 Board Officer/Agent Records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 8VAC20-780-245-J-3
Description: Based on observation, record review and discussion with the staff, the center failed to ensure that any child for whom emergency medications (such as albuterol, glucagon and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed an approved training program for medication administration.

Evidence: Staff 1 and Staff 2 were the only staff members present from 2:45 pm-3:45 pm; neither were trained in medication administration. Staff 3 arrived at 3:45 pm; Staff 3 is trained in medication administration.

Plan of Correction: Will get another staff member medication administration trained.

Standard #: 8VAC20-780-260-B
Description: Based on document review and discussion with the staff, the center failed to obtain an annual approval from the health department.

Evidence: There was not an annual approval from the health department available for review during the 02/02/2022 inspection. The most recent inspection reviewed was dated 10/15/2020

Plan of Correction: Will call the health department.

Standard #: 8VAC20-780-550-D
Description: Based on observation and document review, the center failed to implement a monthly practice evacuation drill.

Evidence: There was no documentation of a practice evacuation drill for January 2022.

Plan of Correction: Will remind the staff to complete the drills.

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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