VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care @ Indian River Family YMCA
5660 Indian River Road
Va beach, VA 23464
(757) 366-0488

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: May 3, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Technical assistance was provided in the following areas of the standards: Background checks, Program Leader qualifications, staff records, immunization records, child records, attendance, supervision, medication, CPR/First aid certification, first aid/emergency supplies, emergency drills and procedures ,hand washing, and allergies.

Comments:

An unannounced monitoring inspection was conducted on 5/3/22 from 2:45pm - 4:45pm. During the inspection there were 38 children ages five years old through twelve years old in care with 5 staff. Children were observed participating in various activities in the classrooms, eating snack, and doing homework. Records were reviewed for six children and six staff. Medication, transportation, emergency procedures, and emergency supplies were also reviewed during the inspection. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Areas of non-compliance were discussed during the exit interview.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of six staff records, it was determined that the licensee did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #5, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 2. Staff #7 (Program Director) reviewed the record for the staff #5 and confirmed that she had not received the results of the national criminal record check (finger printing).
Plan of Correction:	The facility responded: Staff #5 will complete a national criminal record check (finger printing). All new staff will not be allowed to begin employment without completing a national criminal record check (finger printing).
Standard #:	22.1-289.035-B-4
Description:	Based on a review of nine staff records, it was determined that the licensee did not ensure that they obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #5 (date of hire 8/12/21) did not contain documentation of a completed sex offender registry check and search of the central registry from New York. The sworn statement indicated staff #5 had previously lived in New York within the last 5 years. 2. Staff #7 (Program Director) confirmed the sex offender registry check and search of the central registry from the State of New York.
Plan of Correction:	The facility responded: Staff #5 will complete a sex offender registry check and search of the central registry for New York. All new staff who have resided outside the state of Virginia will complete required background checks form that state.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of six staff records, it was determined that the licensee did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #2 (date of hire 1/21/22) did not contain documentation of a completed search of the central registry finding. 2. Staff #7 (Program Director) reviewed the record for the staff #2, and confirmed that there was not a search of the central registry finding available for viewing during the inspection.
Plan of Correction:	The facility responded: Staff #2 will complete a new search of the central registry if we are unable to locate it. All new staff will complete a search of the central registry upon employment and we will ensure the results are received within 30 days.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of six children's records, it was determined that the licensee did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child #3 did not contain a physical examination. 2. Staff #7 (Program Director) confirmed that the record for child #3 did not contain a physical examination, and that child #3 had been enrolled for more than 30 days.
Plan of Correction:	The facility responded: The parents of child #3 will be asked to provide a copy of the most recent physical examination. All children will have documentation of a physical examination within 30 days of enrollment.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of six staff records, it was determined that the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record for staff #2, working during the inspection, did not contain documentation of a negative tuberculosis screening. 2. Staff #7 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.
Plan of Correction:	The facility responded: Staff #2 will be sent to complete a TB screening. All new staff will complete a TB screening prior to employment.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of six children's records and interview, it was determined that the licensee did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #3 did not contain the employment information for the parents, information for the two emergency contacts and the contact information for the child's physician. 2. The record for child #6 did not contain the enrollment agreement with all of the required information about the child and the parents. 3. Staff #7 (Program Director) confirmed that the record for child #4 did not contain all of the required information.
Plan of Correction:	The facility responded: The parents of child #3 and child #6 will be asked to provide the missing information. All new child files will be check prior to enrollment to ensure the records are complete.
Standard #:	8VAC20-780-240-A
Description:	Based on a review of six staff records, it was determined that the licensee did not ensure that all new staff complete the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #1 (date of hire 10/29/21) did not contain documentation to demonstrate that staff #1 had completed the Virginia Department of Education-sponsored orientation course. 2. The record for staff #2 (date of hire 1/21/22) did not contain documentation to demonstrate that staff #2 had completed the Virginia Department of Education-sponsored orientation course. 3. The record for staff #3 (date of hire 12/16/21) did not contain documentation to demonstrate that staff #3 had completed the Virginia Department of Education-sponsored orientation course. 4. The record for staff #4 (date of hire 12/18/21) did not contain documentation to demonstrate that staff #4 had completed the Virginia Department of Education-sponsored orientation course. 5. The record for staff #5 (date of hire 8/12/21) did not contain documentation to demonstrate that staff #5 had completed the Virginia Department of Education-sponsored orientation course. 6. The record for staff #6 (date of hire 9/5/21) did not contain documentation to demonstrate that staff #6 had completed the Virginia Department of Education-sponsored orientation course. 7. Staff #7 (Program Director) confirmed there was no documentation available for viewing during the inspection to demonstrate that any of the staff had completed the Virginia Department of Education-sponsored orientation course.
Plan of Correction:	The facility responded: All staff will be required to complete the the Virginia Department of Education-sponsored orientation course. All new staff will complete the Virginia Department of Education-sponsored orientation course within 90 days of employment.
Standard #:	8VAC20-780-350-B-5
Description:	Based on on observation and interviews, it was determined that the licensee did not ensure that for children, from the age of eligibility to attend public school through eight years, one staff member for every 18 children is maintained at all times children are in care. Evidence: 1. The Licensing Inspector observed staff #8 working alone in the main classroom with 29 children, so the facility was not maintaining the required 1 staff for every 18 children. 2. Staff #7 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio for approximately 10 minutes.
Plan of Correction:	The facility responded: We had a staff not show up for work . An additional staff was sent to the classroom as soon as the ratio issue was discovered by the Licensing Inspector.
Standard #:	8VAC20-780-530-A
Description:	Based on a review of six staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #5 and staff #6 were each driving one of the facility's buses to transport children to the facility from the local school. and staff #2 were working at the facility during the inspection. 2. The records for staff #5 and staff #6 did not contain a current certification in cardiopulmonary resuscitation (CPR) and First Aid. 3. Staff #7 (Program Director) confirmed that neither staff driving a bus had a current certification in cardiopulmonary resuscitation (CPR) and First Aid.
Plan of Correction:	The facility responded: Both staff will be sent to complete a certification in cardiopulmonary resuscitation (CPR) and first aid. We will ensure that all staff that drives a bus to transport children to come to and from the local school will have a certification in cardiopulmonary resuscitation (CPR) and first aid.
Standard #:	8VAC20-780-540-E
Description:	Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #7 (Program Director) could not find batteries during the inspection to demonstrate that the battery-operated radio was working.
Plan of Correction:	The facility responded: We will purchase new batteries to ensure we have a working battery powered radio.
Standard #:	8VAC20-780-560-L
Description:	Based on observation and interviews, it was determined that the licensee did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. The Licensing Inspector observe two children walking around while eating food. 2. Staff #7 (Program Director) confirmed that the two children were walking around while eating.
Plan of Correction:	The facility responded: The children were instructed to sit down while eating. Staff were retrained about the requirements for children when eating.