VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of the Virginia Peninsulas
458 Harris Road
Wiley Child Development Center
Kilmarnock, VA 22482
(804) 480-0063

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 12, 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)

Comments:

An unannounced monitoring inspection was completed on April 12, 2019 from approximately 1:30p.m. to 4:15p.m. Fifty-five children were in care initially and then twenty-nine school age children arrived at the end of the inspection. Staff and children, ages sixteen months to school age, were observed in five classrooms with adequate staff ratios. Children and staff were observed engaging in activities to include nap time, eating snack, diapering, arrival to the center and completing homework. Children?s equipment, learning materials, outdoor and classroom space, rest rooms and the first aid and emergency supplies were inspected. Six children?s records, five staff records, annual fire and health inspections, fire drill and shelter in place drill logs, daily health observation and medication administration certifications, injury reports, daily attendance, the emergency preparedness plan, medication authorizations and logs and required postings were reviewed. A Program Lead was available for interview and the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. There were eight citations for violations of the Standards. See the violation notice on the Department?s public web site for violations of the Standards. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it within five business days of receipt. Specify how the deficient practice will be or has been corrected. The plan of correction should contain: 1) step(s) to correct the noncompliance with the standard(s), 2) measure(s) to prevent the noncompliance from occurring again and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-185-140-B
Description:	Based on a review of children's records, the licensee failed to obtain a physical examination prior to attendance within the time period required by the child's age for one of six children. Evidence: 1. Child #1's record, three years old and enrolled at the center on March 16, 2019, contained a physical dated January 19, 2018, and therefore not within the required 12 months prior to attendance.
Plan of Correction:	The Director has requested an updated physical.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of staff records, the licensee failed to ensure that a staff submit documentation of a negative tuberculosis screening no later than 21 days after employment or completed within 12 months prior to employment for two of five staff. Evidence: 1. Staff #2, hired February 11, 2019 and Staff # 5's records, hired March 4, 2019, lacked documentation of a tuberculosis test/screening.
Plan of Correction:	The staff have completed the TB tests.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of children?s records, the licensee failed to maintain all the elements of a child?s record for three of six children. Evidence: 1. Child #2, Child #4 and Child #6's records lacked a date of enrollment. 2. Child #6's record, school age, also lacked the current school attending, documentation of viewing child's identity and age and complete addresses for persons to contacted in an emergency.
Plan of Correction:	The Director will ensure that all enrollment dares are written on the registration form.
Standard #:	22VAC40-185-90--A
Description:	Based on a review of children's records, the licensee failed to maintain a written agreement between the parent and the center by the first day of the child's attendance for one of six children. Evidence: 1. Child #6's record lacked a written agreement between the parent and the child day center.
Plan of Correction:	The Director will remove the child's file as child is not enrolled.
Standard #:	22VAC40-185-240-A
Description:	Based on a review of staff records, the licensee failed to ensure staff received required training by the end of their first day assuming job responsibilities for one of five staff. Evidence: 1. Staff #2 was hired on February 11, 2019. Staff #2's record contained documentation of training required by the end of their first day of assuming job responsibilities dated April 10, 2019 and therefore not within the required time frame.
Plan of Correction:	The Director has changed the date to 2/10/19 which it what it should have been.
Standard #:	22VAC40-185-550-E
Description:	Based on a review of records and interview, the licensee failed to maintain a record of the dates of the practice drills. Evidence: 1. There was no record of the practice drills completed for 2019 available for review. 2. In an interview, Administrator #2 advised that the drills have been completed monthly for this year.
Plan of Correction:	The Director will scan a copy of the completed fire drill log to licensing.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of records, the licensee failed to maintain all required elements of a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. Sixteen injury reports were reviewed and five were not signed by two individuals as required.
Plan of Correction:	The Director will review injury reports and proper elements, making sure the reports are signed by two individuals.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of staff records, the licensee failed to obtain a central registry finding within 30 days of employment for one of six staff and employment was not discontinued. Evidence: 1. Staff #5's record, hired on March 4, 2019, lacked a central registry finding and there was no documentation of follow up on the results.
Plan of Correction:	The Director will submit to licensing the results of the central registry findings that were completed within 30 days.