VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rappahannock Area YMCA
212 Butler Road
Falmouth, VA 22405
(540) 371-9622 (1038)

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: June 21, 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:

Provided consultation on: 1) Discussed sight and sound supervision and active supervision by staff 2) Discussed over-the-counter medication, authorization forms and staff requirement to apply except that children nine years or older may apply sunscreen if under supervision by staff 3) Discussed maintaining an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child in care as it occurs, that staff confirm with head counts and name to face recognition when leaving or arriving at a new area. 4) Discussed lockdown drills and procedures

Comments:

An unannounced monitoring inspection was conducted from 12:00 ? 4:00 pm with the site director. There were 142 children, ranging from five years to 15 years of age, present with 13 staff supervising. Children were observed eating lunch, which is brought from home, completing an arts and crafts project, playing on the playground, and swimming at the waterpark. Six children's records and five staff records were reviewed. Ten medications and authorization forms, and six allergy care plans were reviewed. The emergency drill log, daily attendance, written allergy list, fire and health inspections were reviewed. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Thursday, 6/30/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-330-B
Description:	Based on an inspection of the playground, it was determined that the mulch under and around play equipment was not resilient. Evidence: The depth of the wood chips under and around the composite play structure was approximately one - two inches in depth.
Plan of Correction:	Staff stated that mulch was ordered on 7/5/2022.
Standard #:	8VAC20-780-340-A
Description:	Based on observation, the facility failed to ensure the children's care, protection, and guidance. Evidence: on 6/21/22, for a period of time between the hours of 1:00 ? 3:00 pm, two staff were observed supervising a group of 22 children approximately 7-8 years of age. Staff did not have a system of communicating or accounting for children. Staff #1 was observed sitting on the edge of the pool with their feet in the water. Staff #2 was observed standing in the water. Staff stated that neither was responsible for a set group of children. When pool time was over, neither staff took attendance or counted the children to determine that all children had exited the pool. Staff followed the group of children to the pavilion, without coordinating or confirming that all children were with them. When they arrived at the pavilion, another group of children was present, and staff again failed to do a head count or check the attendance until the LI intervened.
Plan of Correction:	Retrain staff to ensure that they communicate with each other and account for all children each time they transition to a new area including when the children get out of the pool (there will be a designated location), arrive at the pavillion and leave the waterpark area.
Standard #:	8VAC20-780-480-C
Description:	Based on observation, and an interview with staff, it was determined that the facility failed to utilize a system for accounting for all children in the water. Evidence: Two staff were supervising 22 children at a public waterpark. Staff stated that they could not identify where the 22 children were, and whether or not they were in or out of the water. The children in care did not have anything to distinguish themselves from non daycare children at the public waterpark.
Plan of Correction:	Staff stated that going forward they will ensure that all children are wearing the appropriate swim wrist bands. Staff and children will be retrained and reminded that they are not to go into swimming areas without the wrist bands.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to ensure that children wash their hands with soap and water or disposable wipes after eating. Evidence: Children were observed eating lunch and they did not wash their hands or use disposable wipes afterwards.
Plan of Correction:	Staff and children will be reminded to wash hands before and after meals and disposable wipes will be made available.
Standard #:	8VAC20-780-510-E
Description:	Based on review of 10 medications and authorization forms, the facility failed to follow the facility?s medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child?s physician and parent. Evidence: 1. The medication for child #1 did not have a parent?s authorization. Three medications for child #2 did not have a parent?s authorization or a physician's signature for long-term administration.
Plan of Correction:	Will obtain all missing medication authorization forms.
Standard #:	8VAC20-780-520-B
Description:	Based on observation, and an interview with staff, it was determined that not all sunscreen requirements were met. Evidence: 1) Not all sunscreen was labeled with the child?s name 2) Children under nine years of age were observed administering sunscreen on themselves and others, including spraying the sunscreen on faces.
Plan of Correction:	All sunscreen will be labeled with a child's full name going forward and staff will be retrained and reminded to administer sunscreen on all children under age 9.
Standard #:	8VAC20-780-520-D
Description:	Based on observation, and an interview with staff, it was determined that not all insect repellent requirements were met. Evidence: 1) Not all children with insect repellent had parent authorization noting adverse reactions 2) Not all insect repellent was labeled with the child?s name; children were observed sharing it 3) Not all insect repellent was inaccessible to children; insect repellent was observed in a child?s backpack 4) A record was not kept that included the child?s name, date of use, frequency of application and any adverse reactions 5) Children were observed administering insect repellent on themselves and others
Plan of Correction:	Parent authorization will be obtained for all insect repellant and only staff will administer it. Insect repellent will be labeled with the child's full name, and stored inaccessible to children in bins assigned to all groups. MAT forms, or similar, will be used to maintain a record of all required information.