VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA Child Care at Portsmouth YMCA
4900 High Street West
Portsmouth, VA 23703
(757) 483-9622

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: Nov. 1, 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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A renewal inspection was conducted on 11/1/2022 from 9:45 AM until 11:50 AM. There were 35 children present, ranging in ages from 3 years to 5 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 8 staff 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 program and discussed with the program director during the exit interview.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based upon review of staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment or they have denied continued employ of the staff member. Evidence: 1. The record provided for staff 2 indicated a hire date of 9/21/2022. The record did not include the results of a central registry finding. 2. The record provided for staff 3 indicated a hire date of 9/9/2022. The record did not include the results of a central registry finding. 3. The record provided for staff 4 indicated a hire date of 9/7/2022. The record did not include the results of a central registry finding. 4. The record provided for staff 7 indicated a hire date of 9/6/2022. The record did not include the results of a central registry finding. 5. The record provided for staff 9 indicated a hire date of 9/12/2022. The record did not include the results of a central registry finding. 6. Staff 1 verified that the results of central registry findings were not in the records of the above staff and that the staff were still employed to work with the children.
Plan of Correction:	The facility responded with the following: Program Director has followed up with Central Register Unit in retrieving all pending backgrounds checks. Program Director was able to retrieve all violated background checks, with one pending. Moving forward the Program Director will follow up weekly with Central register Unit after background form is submitted. A documented copy will be place in staff file for record keeping.
Standard #:	8VAC20-780-140-A
Description:	Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician before attending or within 30 days after the first date of attending. Evidence: 1. The record provided for child 5 indicated that child 5 began attending on 6/1/2022. The record did not include documentation of a physical examination. 2. Staff 1 verified that the record for child 5 did not include documentation of a physical examination.
Plan of Correction:	The facility responded with the following: Facility will require parents to upload all medical documentation on family app. Both the shot records and physicals are required. All parents will be required student's physical within the first 30 days of entry. Child physical is requested, pending disenrollment until received.
Standard #:	8VAC20-780-160-A
Description:	Based upon review of staff records, the facility has not ensured that each staff member submits documentation of a negative tuberculosis screening at the time of employment and before coming into contact with the children and that the screening was completed within the last 30 calendar days prior to employ. Evidence: 1. The record provided for staff 4 indicated a hire date of 9/7/2022. The tuberculosis screening in the record was obtained 5/12/2022 which is not within 30 days prior to employ. 2. The record for staff 6 indicated a hire date of 8/12/2022. The tuberculosis screening in the record was obtained on 8/22/2022 which was not prior to employ.
Plan of Correction:	All staff members who currently have a current TB record with be required to re-screen prior to their first day on the floor. All staff members will be required to obtain a TB test prior to their first day on the floor and within the last 30 days.
Standard #:	8VAC20-780-60-A
Description:	Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two people to be contacted in an emergency when a parent cannot be reached. Evidence: 1. The record provided for child 5 had only the parents listed as persons to be contacted in an emergency. 2. Staff 1 verified that two emergency contacts other than parents were not in the child's record.
Plan of Correction:	The facility responded with the following: Child 5 record is now corrected. Facility will ensure that all parents list two emergency contacts outside of themselves.
Standard #:	8VAC20-780-70
Description:	Based upon review of staff records and staff interview, the facility has not ensured that each staff record include the name, address and telephone number of a person to be contacted in an emergency. Evidence: 1. The records for staff 2, 3 and 8 did not include the names, addresses and telephone numbers of a person to be contact in an emergency. 2. Staff 1 verified that the records for staff 2, 3 and 8 did not include emergency contact persons.
Plan of Correction:	The facility responded with the following: Staff 2, 3, 8 emergency information is now updated in staff files. Moving forward, all emergency contacts and required before first day of work.
Standard #:	8VAC20-780-80-A
Description:	Based upon observation, the facility has not ensured that they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There were 18 children in care in the older 4/5 year old classroom at the time of the inspection. The written attendance record in the classroom had 19 children documented as being in care. Staff 10 stated that one child had gone to school. The departure of the child had not been documented on the attendance sheet.
Plan of Correction:	The facility responded with the following: Instead of placing a check mark to indicate the student is out of the program for school, the staff member will put a direct time of departure. Although the student will return I the afternoon, the student exit time is now required on the written attendance record.
Standard #:	8VAC20-780-270-A
Description:	Based upon observation and staff interview, the facility has not ensured that areas inside the center are maintained to be clean and safe. Evidence: 1. Upon arrival of the inspector at 9:45 AM, the girls bathroom used by the school age children before going to public school was inspected. One toilet containing feces had not been flushed. In another stall, there was an empty potato chip bag and there were potato chips strewn across the floor. 2.Staff 10 also saw the condition of the girls bathroom. 3. The hinges on the door to the tall cabinet in the school age classroom are broken, causing the door to sage.
Plan of Correction:	The facility responded with the following: During bathroom transitions and usage, staff will scan for items before student(s) enter the restroom. Staff members will listen for flushes during bathroom usage. Facility is requiring a cleaning checklist to ensure all bathrooms are clean and checked throughout the time of care during school-age operational hours. A maintenance order is created for the broken cabinet in the school age classroom.
Standard #:	8VAC20-780-280-B
Description:	Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: There was a case and several loose cans of chafing fuel labeled combustible, caution and keep out of reach of children in an unlocked upper cabinet in the school ager classroom.
Plan of Correction:	The facility responded with the following: Facility will ensure after all weekend party rentals, that all materials are to be secure, locked , and out of reach of all school-age students. Cabinets with chemicals and hazardous materials are to be lock, at all times. Cabinets are to be lock after each usage.
Standard #:	8VAC20-780-340-A
Description:	Based upon observation and staff interview, the facility has not ensured that when supervising children, they always ensure their care. Evidence: When asked how many children were in her care in the three year old classroom, staff 11 responded that some of the children were by the bathroom and that there were 20 children. She stated that she had only been on duty about half an hour and that she wasn't sure. There were actually 17 children in the classroom.
Plan of Correction:	The facility responded with the following: A documenting system is now in place. When staff member arrive for their shift, in the Preschool Program, they will first conduct a name-to-face count of all student and document on the ratio count sheet. A signature is required. Program leaders are required to conduct random staff to ratio checks with all staff throughout the day. All staff members are required to know how many children are under there care at all times. Re-Training on supervision will be conducted.
Standard #:	8VAC20-780-560-G
Description:	Based upon observation, and staff interview, the facility has not ensured that when food is brought from home it is clearly labeled and identified for the child to whom it belonged. Evidence: 1. Three lunch boxes in the preschool hallway were not identified as to the child to whom it belonged. 2. None of the lunch boxes were dated. 3. Staff 10 observed that some lunch boxes did not have children's names and none of the lunch boxes were date.
Plan of Correction:	The facility responded with the following: A labeling system is now in place. A monthly calendar with the student's name and calendar dates will be attach to each student's lunch bag. The current date will be marked daily as students arrive into the Preschool program.