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Gloucester Family YMCA
6898 Main Street
Gloucester, VA 23061
(804) 993-4922

Current Inspector: Shelika M Bowman (757) 755-5389

Inspection Date: Nov. 7, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced renewal inspection was conducted on November 7, 2018. There were 12 children in care with two staff members. Additional staff were on site for administrative and support purposes. The children were observed arriving to the program from school, doing homework, coloring, reading books and talking and playing freely amongst themselves and with staff. The licensing inspector reviewed nutrition, emergency evacuation and procedures, rest room and furnishings, administration, emergency supplies, the physical plant, equipment, and indoor and outdoor areas. Five staff records and five children's records were reviewed. There are no medications present or being administered at this time.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, in two of five children's records reviewed, the licensee did not ensure that each child's record was documented with all required information. Evidence: During the inspection conducted on November 7, 2018, there was no documentation of the work phone number of one parent for Child #3 and Child #4.

Plan of Correction: Director will get the information by the end of the week and update the records.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that each staff person's record was documented with all required information. Evidence: During the inspection conducted on November 7, 2018, the job title for Staff #2 was indicated as a Counselor (Program Leader) but there was no written information to demonstrate that the individual possesses the education and certification required by the job position.

Plan of Correction: Director will follow up with the staff person today or the staff person's job title will change.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that the center would implement a monthly practice evacuation drill. Evidence: During the inspection conducted on November 7, 2018, there was no documentation of evacuation drills being practiced in March, April and May of 2018.

Plan of Correction: Going forward there will be documentation of all drills.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, in two of five staff records reviewed, the licensee did not ensure that submit to fingerprinting and receive results prior to employment. Evidence: During the inspection conducted on Nobember 7, 2018, the following staff members were employed prior to having fingerprint results: Staff #1-hire date as verified by the Director 5/29/18 and fingerprint results were dated 6/8/18 Staff #3-hire date as verified by the Director 5/29/18 and fingerprint results were dated 6/26/18

Plan of Correction: Fingerprint results were received after job offer was made, however the employees were deemed eligible . The employees did not began working with children until the results were returned. Director will make sure that they will not make a job offer or begin training until the results of the fingerprints have been returned.

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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