VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA Summer Camp @ Camp Arrowhead
275 Kenyon Rd.
Suffolk, VA 23434
(757) 923-3303

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: June 22, 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 monitoring inspection was initiated on 6/22/2022 and concluded on 6/30/2022. At the time of the inspector's arrival, there were 165 children present, ranging in ages from 5 years to 12 years old, with 12 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 #:	8VAC20-780-160-A
Description:	Based on a review of records and documentation provided to the inspector, the licensee was unable to demonstrate that all staff submit documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children. Evidence: 1. Five staff Records were reviewed. 2. The record for staff #3 (hired 6/10/2022) and who was working with children during the inspection on 6/22/2022 did not contain documentation of a negative tuberculosis screening.
Plan of Correction:	Documentation of a tuberculosis screening for staff #3 will be obtained and placed in the staff's record within 10 days. Staff will be required to submit documentation of a negative Tuberculosis screening at the time of hire and before coming into contact with children.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of records and documentation provided to the inspector, the licensee was unable to demonstrate that all staff submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening. Evidence: 1. Five staff Records were reviewed. 2. The record for staff #2 (hired 11/2019) and who was working with children during the inspection on 6/22/2022 did not contain documentation of a negative tuberculosis screening within 2 years of the previous tuberculosis screening which was dated 6/21/2020.
Plan of Correction:	Staff #2 will have a Tuberculosis screening completed and read / documented in her staff record within 10 days. Future Tuberculosis screenings will be conducted before 2 years from the last Tuberculosis screening results documented in the staff records for all staff.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records, the licensee was unable to demonstrate that separate record for each child enrolled which contained all of the required information was maintained and kept at the center. Evidence: 1. Five children's records were reviewed. 2. There was no record or documentation available to review for child #2 who was in attendance in the program. 3. None of the five records reviewed contained documentation of the child's first date of attendance or the child's nickname or whether a nickname was applicable to the child. 4. The record for child #5 who was in attendance in the program did not contain documentation of viewing proof of child #5's identity and age.
Plan of Correction:	The record for child #2 will be located or recreated within 5 days and emergency information for child #2 will be obtained immediately. Each of the five records will note the child's first date of attendance and the child's nickname or whether a nickname was applicable to the child within 5 days The licensee will obtain documentation of child #5's identity and age within 5 days and place documentation of having viewed it in child #5's record and law enforcement will be advised if this documentation is not made immediately available.
Standard #:	8VAC20-780-70
Description:	Based on a review of records, the licensee was unable to demonstrate that a complete record was maintained for each staff. Evidence: 1. Electronic request for 5 staff records / documentation was emailed to staff #2 on June 23, 2022. 2. On June 30, 2022 the inspector arrived at the program to review the requested records which had not yet been received. Additional documentation was received electronically that evening. 3. The records for staff #1 (hired 6/25/2021), staff #3 (hired 6/10/2022) and staff #4 (hired 6/9/2022) did not contain: documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 4. The records for staff #1 (hired 6/25/2021), staff #2 (hired 11/2019) staff #3 (hired 6/10/2022) and staff #4 (hired 6/9/2022) did not contain documentation of a facility specific orientation which is required no later than 7 days after assuming job responsibilities.
Plan of Correction:	Documentation demonstrating that the individual possesses the education, certification, and experience required by the job position will be obtained and placed in the records for staff #1, #3 and #4 within 10 days. Documentation of a facility specific orientation which is required no later than 7 days after assuming job responsibilities will be obtained and placed in the records for staff #1, #2, #3 and #4 within 10 days.
Standard #:	8VAC20-780-240-B
Description:	Based on a review of records and documentation provided to the inspector, the licensee was unable to demonstrate that each staff completes orientation training appropriate to the age of the children in care and including all of the required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Five staff Records were reviewed. 2. The records for staff #1 (hired 6/25/2021), Staff #2 (hired 11/2019) staff #3 (hired 6/10/2022) and staff #4 (hired 6/9/2022) did not contain documentation of completion of orientation training appropriate to the age of the children in care and including all of the required facility specific topics.
Plan of Correction:	Documentation of staff orientation training will be located or recreated and placed in the records for staff #1, staff #2, staff #3 and staff #4 within 10 days.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of records and documentation provided to the inspector, the licensee was unable to demonstrate that each staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Five staff Records were reviewed. 2. The record for staff #1 and staff #2 did not contain documentation of 16 hours of annual training completed in the last 12 month period.
Plan of Correction:	A minimum of 16 hours of annual training will be completed and documented for all staff and placed in the records. Any annual training taken in the last 12 month period for staff #1 and staff #2 will be documented and placed in their record within 10 days.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the licensee has not assured that the areas and equipment of the center, inside and out, shall be maintained in a clean, safe and operable condition. Evidence: The licensing inspector observed that one of the white painted benches along the walkway to the Atrium had a hole and splintered, rotting wood, approximately 4 inches in diameter, in the horizontal portion of the seat where children would sit. Staff #1 acknowledged observing the damaged seat when it was pointed out by the inspector.
Plan of Correction:	Staff #1 stated that he has already made contact with the property maintenance regarding other items and will also request, today, that the bench be repaired. Until it is repaired, staff will not allow children to sit on or touch this bench.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, the licensee did not ensure that Hazardous substances such as cleaning materials, insecticides, and pesticides are stored in a locked place using a safe locking method that prevents access by children. Evidence: The inspector observed 5 spray bottles of insect repellant, 3 spray bottles of sunscreen, a spray bottle of sanitizing solution and a pump bottle of hand sanitizer on the surface of the counter at the entryway to the main building where children are cared for indoors. These items were out in the open at a height of about 4 feet where children could access them. Staff #1 acknowledged that these items were accessible and removed them from the area.
Plan of Correction:	Staff #1 removed these items during the inspection and placed them in a locked storage area. Staff #1 will remind all staff that hazardous substances such as cleaning materials, insecticides, and pesticides as well as any items labeled "keep out of reach of children" or labeled with any additional warnings, must be stored in a locked place using a safe locking method that prevents access by children.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and interview, the licensee did not ensure that when children bring food from home, it is contained in a sealed container that is clearly dated and labeled in a way that identifies the owner. Evidence: The inspector observed 9 lunch boxes sitting on picnic tables in the pavilion located by the pool. None of the 9 lunchboxes inspected were dated. Staff #1 acknowledged that that the lunchboxes were not labeled with the date.
Plan of Correction:	Staff #1 will discuss this with staff and remind families that food containers and lunch boxes brought from home must be labeled with the child's name and the date they were brought in to the program. Tape or stickers will be provided to staff so that lunchboxes may be labeled upon arrival if the lunchbox is not already dated.