VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of the Virginia Peninsulas - Northumberland
6348 Northumberland Highway
Heathsville, VA 22473
(804) 580-8901

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: April 25, 2019

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 monitoring inspection was conducted today, April 25, 2019 to determine the facility's compliance with licensing standards. The inspection was initiated at 3:30 pm and concluded at 5:15 pm. School age children were observed arriving to the program and being checked in on the attendance sheets. There was a total of 25 children being supervised by three staff members. Children gathered in the gym where they participated in relay races and played basketball. Later children returned to the classroom where they worked on homework and played board and card games. Staff interacted with the children in a positive manner. Children had bathroom breaks, washed their hands and had snack. Children provide their own snack. Systems are in place to supervise/account for children in the hall way for use of the bathrooms. All areas used by children were inspected to include the classroom, hallways, bathrooms, family locker room and outdoor area. The facility was equipped with supplies and toys that were available for the children. Required documentation was posted. The first aid kit and non-medical emergency supplies were inspected. The inspector interacted with staff and children in care. Three staff records and five children's records were reviewed. Staff on site have current CPR, First aid and daily health observation training. Per the director, medications are not being administered. The most recent evacuation drill was documented on 03/20/2019. The two shelter in place drills were completed on 04/26/2018 and 12/20/2018. If you have questions regarding this inspection, please contact the Licensing Inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of three staff records, the center did not ensure that one staff record contained documentation of a tuberculosis screening no later than 21 days after employment. Evidence: The record of staff #2, with a hire date of 02/01/2019, did not have documentation of a tuberculosis screening.
Plan of Correction:	Per the director: I will have staff provide another copy of the tuberculosis screening as i can not locate the original.
Standard #:	22VAC40-185-260-A
Description:	Based on interview and documentation review, the facility did not ensure an annual fire inspection was conducted. Evidence: 1. The most recent fire inspection was documented on 02/27/2018, exceeding the annual requirement. 2. The director stated messages had been left with the Fire Marshall's office however they had not return their calls nor conducted a fire inspection.
Plan of Correction:	Per the director: We will contact the Fire Marshall to schedule a fire inspection.
Standard #:	22VAC40-185-260-B
Description:	Based on interview and documentation review, the facility did not ensure an annual health inspection was conducted. Evidence: 1. The most recent health inspection was documented on 01/25/2018., exceeding the annual requirement. 2. The director stated a health inspection had not been conducted.
Plan of Correction:	Per the director: We will contact the local health department to schedule an annual inspection of the facility.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the facility did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: An electrical outlet plate in the multipurpose classroom was broken, exposing the electrical outlet box posing a shock hazard.
Plan of Correction:	Per the director: I will replace the outlet plate cover. Children will not be permitted in the classroom until the plate cover is replaced.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of three staff records, the facility did not obtain a central registry finding for one staff within 30 days of employment or volunteer. Evidence: Staff #3 (hired 05/22/2018) had a central registry finding dated 07/30/2018, exceeding the 30 day allowance from hire to obtain.
Plan of Correction:	Per the director: I will talk with the payroll department to ensure documentation of request dates are noted along with documentation of follow-up if a central registry id not returned within 30 days.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of three staff records, the facility did not obtain satisfactory results of the fingerprint based national criminal background check prior to hire for staff hired after January 22, 2018. Evidence: 1. Staff #3, with a hire date of 05/22/2018, did not have documentation of obtaining the fingerprint based national criminal background check prior to hire. 2. the fingerprint based national criminal background check for staff #3 was dated 05/30/2018.
Plan of Correction:	Per the director: After clarification, I will obtain completed national fingerprint background checks before hire.