VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Mens Christian Association of the Virginia Peninsulas-R.F.
301 Sentara Circle
Williamsburg, VA 23188
(757) 229-9622

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 16, 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 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

Discussed the requirements for staff records and their access related to licensing codes/ standards. .

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A monitoring inspection was initiated and concluded on November 16, 2022. There were 17 children present, ranging in ages from 2 to 5 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 5 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.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The records for Child #3, (first date of attendance 10-11-2022) and Child #5 (first date of attendance was verified by Staff # 5 as September 2022), did not include documentation of required immunizations prior to attendance.
Plan of Correction:	All participant files will have immunizations records available for review. C.L.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #3, (first date of attendance 10-11-2022) and Child #4 (first date of attendance 5-9-2022) did not include documentation of a physical.
Plan of Correction:	All participant files will have physical examinations submitted before or within 30 days of enrollment. Physicals will be available for review. C.L.
Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #6 confirmed there was not a policy available for review related to head trauma.
Plan of Correction:	Center's EOP will be updated to reflect written procedures for abusive head trauma. EOP on site and available for review. C.L.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In the Preschool classroom there was list posted on the wall with 7 children?s names listing their allergies and food sensitivities. The allergy was not dated and was for the public to view.
Plan of Correction:	All allergy lists will be dated and revised monthly based on enrollments. C.L.
Standard #:	8VAC20-780-70
Description:	Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: 1) The records for Staff #1, #2, #3, #4 and #5 were requested for review. 2) The records for Staff #2, #3 and #4 were not available for review to include but not limited to their background checks. 3) The required information to be kept at the center related to any health problems that may interfere with fulfilling the job responsibilities was not available for review for Staff #2, #3, #4 and #5. 4) Staff #6, confirmed, staff records are supposed to be kept on site, however Staff #6 ?has them because they are working on a scanning project for the records?. 5) Staff #1, #2, #3, #4 and were observed working during the inspection.
Plan of Correction:	All staff files will be available for on-site review. This includes the evidence of background checks, physical health information that may interfere with job responsibilities, and all other required information for complete staff files. C.L.
Standard #:	8VAC20-780-260-A
Description:	Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent copy of the fire inspection available for review was dated 4-20-2021.
Plan of Correction:	A annual fire inspection will be scheduled, completed, and available for review. C.L.
Standard #:	8VAC20-780-260-B
Description:	Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: The most recent copy of the health inspection available for review was date 6-15-2021.
Plan of Correction:	A up-to-date, annual health inspection will be scheduled, completed and available for review. C.L
Standard #:	8VAC20-780-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the preschool room there were 2 containers of hand sanitizer, stored on the shelf on the back wall. These items are hazardous chemicals and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction:	All hand sanitizer will be stored in a locked place, out of reach from any participants.- C.L.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the preschool classrooms 7 lunch boxes/containers were observed and 2 did not have dates and 2 did not have their name (identifiable information).
Plan of Correction:	All food containers for every participant will be sealed, dated and named effective 11/17/2022/ C.L.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection results dated March 22, 2022 were not posted in a conspicuous place.
Plan of Correction:	All required documentation pertaining to license, etc. Will be posted in a conspicuous place and available for review. C.L.