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Middlesex Family YMCA Operated by Peninsula Metropolitan YMCA
11487 General Puller Highway
Hartfield, VA 23071
(804) 316-9191

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 19, 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.
63.2(17) License & Registration Procedures
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES

Comments:
An unannounced Monitoring Inspection was conducted on November 19, 2018 from approximately 3:30 pm until 6:35 pm. There were 9 children and 2 staff present with children. The record review sample consisted of 5 children's records and 3 staff records. Children were observed eating snack, working on homework and playing board games. There are no medications on site at this time. Transportation was reviewed. Areas of noncompliance are noted on the violation notice. Contact the licensing inspector, Christine Mahan with any questions at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-240-A
Description: Based on review 2 out of 3 staff records reviewed and staff interviews, the licensee did not ensure all staff had a documented orientation training completed by the end of their first day of assuming job responsibilities. Evidence: On November 19, 2018, there was not documentation of orientation training completed by the end of the first day of assuming job responsibilities for staff #2 and #3. -Job responsibilities and to whom they report; -The policies and procedures listed in subsection B of this section and 22VAC40-185-420 A that relate to the staff member's responsibilities; -The center's playground safety procedures unless the staff member will have no responsibility for playground activities or equipment; -Recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by ???? 63.2-1509 of the Code of Virginia; -Confidential treatment of personal information about children in care and their families; and -The standards which relate to the staff member's responsibilities.

Plan of Correction: The center director will ensure the Middlesex YMCA policy regarding when orientation occurs and documentation of orientation.

Standard #: 22VAC40-185-240-B
Description: Based on review 2 out of 3 staff records reviewed and staff interviews, the licensee did not ensure that by the end of the first day of supervising children, staff was provided in writing with all required information and procedures. Evidence: On November 19, 2018, there was not documentation to show staff #2 and #3 had by the end of the first day of supervising children was provided in writing with the information listed below; -Procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; - Procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; - Procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; - Procedures for action in case of lost or missing children, ill or injured children, medical emergencies and general emergencies; - Policy for any administration of medication; - Procedures for response to natural and man-made disasters.

Plan of Correction: The center director will ensure the Middlesex YMCA policy regarding when orientation occurs and documentation of orientation.

Standard #: 22VAC40-185-500-A
Description: Based on observation and staff interviews, licensee did not ensure children's hands were washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: During inspection on November 19, 2018, four children were observed eating snack and noe of the chdilren washed their hands after eating.

Plan of Correction: The center director will retrain staff.

Standard #: 22VAC40-185-550-D
Description: Based on documentation review and staff interviews, the licensee did not ensure the center implemented a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: During the inspection on November 19, 2018, there was not documentation for monthly evacuation drills for May 2018 and October 2018.

Plan of Correction: The center director will ensure to conduct drills.

Standard #: 22VAC40-185-560-K
Description: Based on observation and staff interviews, licensee did not ensure tables were sanitized before and after each use for feeding. Evidence: During inspection on November 19, 2018, four children were observed eating snack at two different tables and both tables were not sanitized after the children were finished eating.

Plan of Correction: The center director will retrain staff.

Standard #: 22VAC40-185-580-C
Description: Based on documentation review and staff interviews, the licensee did not ensure that during transportation of children the center had prepared a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: During the inspection on November 19, 2018, the bus driven for the afterschool program did not have a document containing potential shelters and evacuation routes, that pertain to each site frequently visited for the schools. This document must be kept in vehicles that centers use to transport children to and from the center.

Plan of Correction: The center director will create document.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review, licensee did not ensure 2 of 3 staff records has a Office of Background Investigations (OBI) letter stating eligibility for hire in response to the national fingerprint check prior to beginning employment. Evidence: During inspection on November 19, 2018, the following was found during record review: 1. The record for staff #2 (start date May 31, 2018) has a OBI letter of eligibility for hire dated July 10, 2018. 2. The record for staff #3 (start date August 31, 2018) has a OBI letter of eligibility for hire dated September 12, 2018.

Plan of Correction: The center director will change our policy for start dates.

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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