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Young Men's Christian Assoc of Virginia's Blue Ridge- Fairview
648 Westwood Blvd. NW
Roanoke, VA 24017
(540) 344-9622

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Nov. 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.
8VAC20-820 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:
An unannounced monitoring inspection was conducted on 11/3/2022. There were 24 children, ages 4 -9 years and 3 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 3 children?s records and 3 staff records were reviewed. The children were observed active time, restroom break, snack time and homework. The inspector arrived for the inspection at 3:05pm and departed the center at 4:38pm.

Discussion on standards related to centers serving Pre-K children.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 8VAC20-780-130-A
Description: Based on review of three children?s records, the center failed to ensure that each child has received the immunizations required before the child can attend.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required immunization record documented.

Plan of Correction: Provider will obtain immunization record from parent.

Standard #: 8VAC20-780-140-A
Description: Based on review of three children?s records, the center failed to ensure that all physical records shall be obtained within 30 days after the first day of attendance.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required physical examination record.

Plan of Correction: Provider will obtain physical record from parent.

Standard #: 8VAC20-780-160-C
Description: Based on review of three staff records, the center failed to ensure that at least every two years that follow up tuberculosis results were obtained.

Evidence:
1. Staff 1 started on 9/16/2016 and on the day of the inspection the most recent tuberculosis screening results were dated 10/15/2018.
2. Staff 3 started on 9/21/1999 and on the day of the inspection the most recent tuberculosis screening results were dated 2/3/2020.

Plan of Correction: Provider will obtain follow tuberculosis screenings for staff.

Standard #: 8VAC20-780-60-A
Description: Based on the review of three children?s records, the center failed to ensure all children?s records were complete per the requirement of the standard.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection documentation of viewing proof of the child?s identity and age were not obtained.

Plan of Correction: Provider will obtain documentation verifying identity and age of child.

Standard #: 8VAC20-780-70
Description: Based on observation, the center failed to ensure the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.

Evidence:
1) Staff 1 start date was 09/16/2016 and on the day of the inspection did not have the required emergency contact information documented.
2) Staff 2 start date was 4/10/2022 and on the day of the inspection did not have the required emergency contact information documented.
3) Staff 3 start date was 9/21/1999 and on the day of the inspection did not have the required emergency contact information documented.

Plan of Correction: Provider will ensure emergency contact information is onsite for each staff person.

Standard #: 8VAC20-780-260-B
Description: Based on observation and discussion with staff, the center failed to ensure that annual approval from the health department shall be provided.

Evidence: The annual health inspection was not available onsite for review by licensing staff.

Plan of Correction: Provider will obtain annual health inspection to be made available for review onsite.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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