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Patrick Henry Elementary Boys & Girls Clubs Afterschool Program
146 East Main Street
Martinsville, VA 24112
(276) 656-1171

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Nov. 1, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 11/01/2018 and an announced staff record review inspection was completed on 11/02/2018. Present during the inspection were 46 children, ages 5 years-12 years, and 6 staff. The inspector reviewed 5 children's records and one medication during the on-site inspection and 6 staff records during the record review inspection. The children were observed in the following activities: during afternoon snack, during homework time, participating in free choice activities and in large motor play in the gym. The inspector reviewed the emergency procedures and emergency supplies during the on-site inspection. The inspector discussed the following with the site staff: attendance requirements, children's allergies, children's records, medication, and daily activities. The inspector arrived for the on-site monitoring inspection on 11/01/2018 at 3:00 p.m. and departed at 5:30 p.m. The inspector arrived for the record review inspection on 11/02/2018 at 9:15 a.m. and departed at 12:00 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on observations, record review and discussion with staff, the facility failed to ensure that the separate record for each child enrolled contained all elements required by the standards. Evidence: 1. The record for Child #1 did not contain the following information: names of persons authorized to pick up the child. 2. The record for Child #2 did not contain the following information: names of persons authorized to pick up the child. 3. The record for Child #3 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; there was not an address listed for either contact provided, names of persons authorized to pick up the child, written agreements between the parent and the center as required by 22VAC40-185-90 and documentation of viewing proof of the child's identity and age. 4. The record for Child #4 did not contain the following information: names of persons authorized to pick up the child. 5. Staff #1 confirmed that there was not a record available to review for Child #5 on 11/01/2018; Child #5 was observed in care on 11/01/2018.

Plan of Correction: The site staff will get the missing information.

Standard #: 22VAC40-185-510-G
Description: Based on observations, medication review and discussion with the staff, the facility failed to ensure that prescription medications are maintained in the original, labeled container as required by the standards. Evidence: Medication A, a prescribed emergency medication, did not have a prescription label; Medication A was not in the box from the pharmacy and no longer had the prescription label available.

Plan of Correction: We will notify the parent and get the label from the parent.

Standard #: 22VAC40-185-510-N
Description: Based on observations, medication review and discussion with the staff, the facility failed to ensure that when authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: The authorization form for Medication A was authorized for the "2017-2018 school year"; the 2017-2018 school year ended in this locality on 05/24/2018.

Plan of Correction: We will get an updated medication authorization form from the doctor.

Standard #: 22VAC40-191-60-C-2
Description: Based on observations, record review and discussion with the staff, the facility failed to obtain the finding from a central registry search within 30 days of employment. Evidence: The personnel record for Staff #3 has a documented hire date of 05/30/2018; the search of the central registry is dated 07/29/2018.

Plan of Correction: I will complete the CPS within 30 days of hire.

Standard #: 22VAC40-80-120-E-2
Description: Based on observations, document review and discussion with the staff, the facility failed to post the findings of the most recent inspection of the facility. Evidence: The most recent inspection of the facility was conducted on 05/14/2018. There were no findings from that inspection posted at the facility. There was an Acknowledgement of Inspection form posted that was dated 10/24/2017.

Plan of Correction: We will make sure that the newest inspection forms are posted.

Standard #: 63.2-1720.1-B-2
Description: Based on observations, record review and discussion with the staff, the facility failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. The personnel record for Staff #3 has a documented hire date of 05/30/2018; the fingerprint eligibility letter was dated 06/06/2018. 2. The personnel record for Staff #6 has a documented hire date of 09/19/2018; the fingerprint eligibility letter was dated 09/26/2018.

Plan of Correction: I will update the hiring procedures to ensure that the background check is completed before hiring.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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