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Young Men's Christian Association - Cool Spring Elementary
1450 Talley Avenue
Petersburg, VA 23803
(804) 861-3765

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: March 28, 2023

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)
22.1 Background Checks Code, Carbon Monoxide

Comments:
A renewal inspection was conducted on 3/28/2023 with the center director and staff. There were 19 children present, ranging in ages from 5 years to 12 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were doing a science experiment and playing in the gym. Snack was observed. Staff files were shared electronically 3/30/2023. A total of 5 child records and 2 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.
Time of today?s inspection: 3:50 p.m. to 5:00 p.m.
Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:
Standard #: 8VAC20-770-60-B
Description: Based on review of two staff files, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 2 (date of employment 9/27/2021) signed a sworn disclosure statement form on 9/03/2021, but did not mark answers to the four questions on the form.

Plan of Correction: Management will ensure sworn disclosure statements are completed.

Standard #: 8VAC20-770-60-C-2
Description: Based on review of two records, the facility failed to have documentation of a completed search of the central registry (CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 2 (date of employment 9/27/2021) did not have a completed search of the central registry on file until 3/11/2023. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.

Plan of Correction: Management will submit CPS checks within 7 days of employment.

Standard #: 8VAC20-780-130-A
Description: Based on review of five children?s records, the facility failed to have documentation that each child has received the immunizations, as required, before the child can attend the center. Evidence: Child 2 (date of enrollment 1/07/2023) did not have documentation of an immunization record.

Plan of Correction: Staff will request the immunization record from the parent.

Standard #: 8VAC20-780-140-A
Description: Based on review of five children?s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1 (date of enrollment 10/7/2022) and Child 2 (date of enrollment 1/07/2023) did not have documentation of a physical.

Plan of Correction: Staff will request the information from the parent.

Standard #: 8VAC20-780-60-A
Description: Based on review of five children's files, the facility failed to have required information in each child's file. Evidence: Child 2 did not have documentation of the name, address, and phone number of two designated people to contact in an emergency if a parent cannot be reached. Child 4 and Child 5 only had one (non-parent) emergency contact name, address, and phone number listed.

Plan of Correction: Staff will request emergency contact information from the parent.

Standard #: 8VAC20-780-540-C
Description: Based on observation and staff interview, the facility failed to have a complete first aid kit wherever children are in care. Evidence: the first aid kit did not have an antiseptic cleansing solution, single use gloves, or triangular bandages.

Plan of Correction: Staff request missing supplies from management.

Standard #: 8VAC20-780-550-G
Description: Based on review of the emergency drill log and staff interview, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in February 2023.

Plan of Correction: Evacuation drills will be conducted monthly and documented.

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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