VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Childcare at First Tee
2400 Tournament Drive
Virginia beach, VA 23456
(757) 563-8990

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: July 19, 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) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Technical assistance was provided in the following areas of the standards: Background checks, play areas, children's records, staff records, physical examinations, Program leader qualifications, hand washing, nutrition, and carbon monoxide detectors.

Comments:

An unannounced monitoring inspection was conducted on 7/19/22 from 9:50am - 12:50pm. During the inspection there were 51 children ages five years old through twelve years old in care with 12 staff. Children were observed participating in various activities in the classrooms, , playing golf and eating lunch. Records were reviewed for five children and ten staff during the inspection. Medication, emergency procedures and emergency supplies were reviewed during the inspection. 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 program, and were discussed during the exit interview.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of ten staff records, it was determined that the facility 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. The record for staff #6, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 3. The record for staff #7, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 4. The record for staff #9, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 5. Staff #11 (Program Administrator) reviewed the record for the staff listed above, and confirmed that she had not received the results of the national criminal record check (finger printing).
Plan of Correction:	The facility responded: Staff missing a criminal record check will complete a new one. All new staff will complete a criminal record check prior to employment.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of ten staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed. Evidence: 1. The record for staff #2, working during the inspection, did not contain a sworn statement or affirmation. 2. The record for staff #4, working during the inspection, did not contain a sworn statement or affirmation. 3. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation. 4. Staff #11 (Program Administrator) reviewed the record for staff listed above, and confirmed the sworn statement or affirmation was not completed prior to employment.
Plan of Correction:	The facility responded: Staff #5 will complete a sworn statement or affirmation. All new staff will complete a sworn statement or affirmation prior to employment.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of ten staff records, it was determined that the facility 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 #1 (date of hire 6/22/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #10 (date of hire 6/29/21) did not contain documentation of a completed search of the central registry finding. 3. Staff #11 (Program Administrator) reviewed the records for the staff listed above, and confirmed that the search of the central registry finding has not been received.
Plan of Correction:	The facility responded: Staff #1 and staff #10 have previously submitted a search fot he central registry. If the results can't be found they will complete a new search of the central registry.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #5, present during the inspection, did not contain documentation of an immunization record. 2. Staff #11 (Program Administrator) reviewed the record for child #5, and confirmed there was no immunization record available for viewing during the inspection.
Plan of Correction:	The facility responded: The parents of child #5 will be asked to provide a current immunization record.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of five staff records, it was determined that the facility 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 shall have been completed in the last 30 calendar days. Evidence: 1. The record for staff #2, working during the inspection did not contain documentation of a negative tuberculosis screening. 2. The record for staff #4, working during the inspection did not contain documentation of a negative tuberculosis screening. 3. The record for staff #6, working during the inspection did not contain documentation of a negative tuberculosis screening. 4. The record for staff #7, working during the inspection did not contain documentation of a negative tuberculosis screening. 5. The record for staff #8, working during the inspection did not contain documentation of a negative tuberculosis screening. 6.The record for staff #9, working during the inspection did not contain documentation of a negative tuberculosis screening. 7. Staff #11 (Program Administrator) reviewed the records for the staff listed above, and confirmed that the documentation of a negative tuberculosis screening had not been received.
Plan of Correction:	The facility responded: All staff missing a TB screening will be sent to complete a TB screening. All new staff will complete a TB screening prior to beginning employment.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five children's records and interview, it was determined that the facility 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 #5 did not contain the enrollment form which contains all of the information about the child. 2. Staff #11 (Program Administrator) confirmed that the record for child #5 did not contain all of the required information.
Plan of Correction:	The facility responded: The parents of child #5 will be asked to provide the missing information.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, a review of ten staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. The Licensing Inspector observed nine separate groups of children on the golf course wiht one staff in each grouping of children. 2. None of the records for staff present with the children contained documentation to demonstrate any of the staff were Program Leader qualified. 2. Staff #11 (Program Administrator) confirmed that there was no documentation available for viewing during the inspection to demonstrate that any of the staff were Program Leader qualified.
Plan of Correction:	The facility responded: We will ensure that there is a Program leader qualified staff in each grouping of children.
Standard #:	8VAC20-780-530-C
Description:	Based on a review of ten staff records and interviews, it was determined that the facility did not ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. Evidence: 1. The Licensing Inspector reviewed ten staff records and none of the staff had a current CPR/First aid certification. Staff #12 who was also present did have a current certification in CPR/First Aid. 2. Staff #11(Program Administrator) confirmed that there was not two staff present with a current CPR/First aid certification.
Plan of Correction:	The facility responded: The facility responded: All staff will complete the current CPR/First Aid certification. We will ensure that there is always two staff present with a current CPR/First Aid certification.
Standard #:	8VAC20-780-550-G
Description:	Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year. Evidence: 1. The emergency drill log did not have documentation to indicate an emergency evacuation drill was completed for the month of June 2022. 2. Staff #11 (Program Administrator) stated that an emergency evacuation drill had been completed during the month of June 2022, but that staff had forgot to document it on the emergency drill log.
Plan of Correction:	The facility responded: We will make sure each emergency practice drill is documented on the emergency drill log.
Standard #:	8VAC20-780-560-G
Description:	Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. None of the lunch boxes that the children brought to the facility were labeled with the date. In addition, there were several lunch boxes that were not labeled with the child's name. 2. Staff #11 (Program Administrator) confirmed that all of the lunch boxes were not labeled with their name or the date.
Plan of Correction:	The facility responded: We will labeled all lunch boxes with the child's name and the date.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (4/11/22) was not posted anywhere in the facility. 2. Staff #11 (Program Administrator) confirmed that the results of the most recent inspection were not posted anywhere in the facility.
Plan of Correction:	The facility responded: We will ensure that the most recent inspection is always posted.