VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Bowling Green Elementary
17502 New Baltimore Road
Milford, VA 22514
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Sept. 27, 2022 and Oct. 14, 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. 8VAC20-820 THE LICENSE. 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:

n/a

Comments:

A monitoring inspection was initiated on September 27, 2022 and concluded on October, 14, 2022. The licensing inspector conducted an announced inspection on October 14, 2022 at the administrative office to review two staff records from 11:00am to approximately 2:20pm. The licensing inspector conducted an unannounced monitoring inspection on-site on Tuesday, September 27, 2022 from 4:00pm to approximately 5:10pm. There were a total of 10 children present in the direct care of two staff members. During the inspection, the children were observed in the cafeteria after snack, washing hands, and reading books. The staff were observed having positive interactions with the children. All areas used by the program were inspected to include the cafeteria, the library, and the bathrooms. The required postings were reviewed and found to be in compliance. The program is equipped with toys and supplies and items were available to the children. Medication is administered when required, but there were no medications on site at the time of the inspection. Five children's records were reviewed on September 27, 2022 and two staff records were reviewed on October 14, 2022. 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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of two staff records and interview, the center did not ensure one staff obtained a fingerprint-based national criminal background check prior to employment. Evidence: 1) The record of Staff #1, employed 06/14/21, did not contain the results of a fingerprint-based national criminal background check. 2) During interview, management confirmed the fingerprint-based national criminal background check for Staff #1 could not be located.
Plan of Correction:	The staff has scheduled a new appointment t and the fingerprints will be filed accordingly.
Standard #:	22.1-289.035-B-4
Description:	Based on a review of two staff records, the center did not obtain 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 one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #1, employed 06/14/21, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry. The out-of-state sex offender registry check is required to be obtained prior to employment. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. 2) During interview, management confirmed the required out-of-state checks were not obtained for Staff #1 within the required timeframe.
Plan of Correction:	The out-of-state background checks have been requested and will filed upon receipt.
Standard #:	8VAC20-780-70
Description:	Based on staff interview and observation on 09/27/2022, the center did not ensure that the required information for each staff was kept at the center. Evidence: 1) Staff #1 and Staff #2 were observed at the center on 09/27/2022. 2) Staff interviewed stated that an emergency contact and information about any health problems staff have were not available for review at the center. The center should maintain at the center the name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities for each staff member.
Plan of Correction:	The information is now on-site whenever staff are present. Staff have been trained to know where to locate the information.
Standard #:	8VAC20-780-550-P
Description:	Based on a review of documentation on 09/27/2022, the center did not ensure that written injury records contained the required information. Evidence: Three injury records were reviewed. The three injury records did not contain documentation of any future action to prevent recurrence of the injury. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.
Plan of Correction:	Staff have received training on completing an injury report form that includes all the required information.