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: Aug. 15, 2022

Complaint Related: No

Technical Assistance:

The licensee must send documentation to the licensing inspector that the background checks have been requested no later than 10 days following this notification dated 8/17/2022.

Comments:

A renewal inspection was initiated on 8/9/2022 and concluded on 8/12/2022. At the time of arrival on 8/9/2022 the licensing inspector observed 164 children present, ranging in ages from 5 years to 12 years old, with 13 staff supervising. On 8/12/2022 the inspector returned to review children's records not reviewed on 8/9/2022. A total of 5 child records and 8 staff records were reviewed (including several requested documents from 3 staff records that were previously reviewed at a separate inspection on 6/22/2022). The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of records, the licensee was not able to demonstrate that they are in receipt of a central registry finding for each staff within 30 days of their employment or service. Evidence: Eight staff records were reviewed, to include 3 staff records previously viewed at the last inspection on 6/30/2022. The records for staff #6, who began employment 6/9/2022, did not contain the results of a search of the central registry. This was reported to the program director on 6/30/2022 and cited on the violation notice for that inspection. The staff person in charge on 8/12/2022 confirmed that this documentation was not available.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of children's electronic records and interview, the licensee was not able to demonstrate that the program obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Five children's records were reviewed on 8/12/2022. The record for child #2 did not contain any documentation of immunizations received. The record for child #3 contained a print out of immunizations received but was not signed or stamped by the physician or physician' assistant as required by the standards. The staff member in charge on 8/12/2022 confirmed that the document present in the digital record was not signed (or stamped) by a physician.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of records and interview, the licensee was not able to demonstrate that each child shall have a physical examination by or under the direction of a physician. Evidence: Five children's records were reviewed on 8/12/2022. The record for child #2 did not contain the results of a physical examination. The record for child #3 contained a print out of a physical examination but it was not signed or stamped by the physician or physician' assistant as required by the standards. The staff person in charge on 8/12/2022 confirmed that the document present in the digital record was not signed (or stamped) by a physician.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of records and interview, the licensee was not able to demonstrate that each staff person submits documentation of a negative tuberculosis screening prior to coming into contact with children in care. Evidence: Eight staff records were reviewed including corrections to violations reviewed for three staff records which were reviewed on 6/30/2022. On 8/12/2022 the record for staff #7, who began employment on 6/10/2022, did not contain results of a Tuberculosis screening. Staff #7's record was previously reviewed on 6/30/2022 when he was working in ratio with the children and a violation was cited for not having a TB screening at that time. The staff member in charge on 8/12/2022 confirmed that this documentation was not available.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that a separate record for each child enrolled which contains the required information is maintained and kept at the center. Evidence: Five children's records were reviewed on 8/12/2022. The following required information was not present in the digital records for the children: The records for child #2, #3, #4 and #5 did not contain the child's nick name (or indication of not applicable) gender, or first date of attendance. The records for child #2, #3 and #5 did not contain the address and phone number for either parent who has custody. The records for child #2, #3 and #5 did not contain the phone number and place of employment for either parent who has custody. The records for child #2, and #3 did not contain the name and phone number of the child's physician. The records for child #3, and #5 did not contain the name, address and phone number of two designated people to call in an emergency if the parent cannot be reached. The record for child # 2 did not contain an address for the two listed emergency contacts. The records for child #2, #3, and #5 did not contain documentation of allergies and intolerance to medication or any other substance and actions to take in an emergency situation - or an indication of not applicable. The records for child #2 and #3 did not contain documentation of chronic physical problems and pertinent developmental information and any special accommodations needed - or an indication of not applicable. The records for child #2, #3, and #5 did not contain the names of previous child day care and schools attended by that child or the manes of any concurrent programs or schools that the child attends - or an indication of not applicable. None of the five records contained documentation of the first date of attendance in the program. The staff in charge on 8/12/2022 confirmed that the documents containing the required information was not in the children's digital records and was not submitted to the program as part of the required documentation when parents enroll their children via the program's digital enrollment process.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the licensee has not ensured that the areas and equipment of the center, inside and out, are maintained in a clean, safe and operable condition. Evidence: The licensing inspector observed that two of the white painted benches along the walkway to the Atrium had areas of splintered, rotting wood, approximately 4 inches to 6 inches in length by approximately 2 inches wide, on the horizontal portion of the seat where children would sit. One of the areas of rotted wood exposed two long screws with pointed ends located just below the surface of the bench seat. One of the two benches was observed and pointed out to the program director (PD) at the previous inspection on 6/22/2022. The PD acknowledged that the benches were in disrepair. The increased deterioration of the benches was brought to the staff in charge's attention again on 8/12/2022.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, the licensee did not always ensure that 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: On 8/9/2022 the licensing inspector observed a bottle of hand sanitizer on a table surface at the entry to the dining area located in the middle section of the main building. Children were seated in the area eating lunch at the time. When it was brought to staff's attention, staff stated that the hand sanitizer had been recently used and not placed back where it is normally stored in a locked cabinet.
Plan of Correction:	Staff removed the hand sanitizer from the table and locked it in a cabinet during the inspection on 8/9/2022. Staff will ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides are always kept in a locked place using a safe locking method that prevents access by children when they are not in use.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the licensee did not ensure that when food is brought from home, the container is sealed, dated, and labeled in a way that identifies the owner. Evidence: On 8/9/2022, the inspector viwed 8 lunch boxes that children were eating from on tables in the main building?s center area. None of the 8 lunchboxes inspected were dated. Four of the 8 lunchboxes were not labeled with the child?s name.
Plan of Correction:	The program will submit their plan of correction within 5 days.
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation and interview, the most recently issued license is not always posted in a prominent place during hours of operation. Evidence: The inspector was unable to locate the posted license during the inspection on 8/9/2022. When staff was asked where it was posted, the staff person in charge stated that it is posted on the parent information board which had been taken down the previous Friday (8/5/2022) since the space is used for other activities on weekends. On 8/12/2022, the board was up and the license was posted visibly.
Plan of Correction:	The license was posted on the displayed parent board when the inspector returned on 8/12/2022.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the most recent inspection findings for the facility is not always posted in a prominent place during hours of operation. Evidence: The inspector was unable to locate the most recent inspection findings for the facility on 8/9/2022. When staff was asked where it was posted, the staff person in charge stated that it is posted on the parent information board which had been taken down the previous Friday (8/5/2022) since the space is used for other activities on weekends. On 8/12/2022, the board was up and the most recent inspection findings for the facility were posted visibly.
Plan of Correction:	On 8/12/2022, the board was hanging up and the most recent inspection findings for the facility were posted visibly on the board.