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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: May 6, 2019 and May 7, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced on-site renewal inspection was conducted on 05/06/2019 and a staff record inspection was conducted on 05/07/2019. There were 53 children, ages 5 years-11 years, and 6 staff members present during the inspection. The inspector reviewed 5 children's records and 1 medication during the on-site inspection and 5 staff records during the record review inspection at the corporate office. The children were observed in the following activities: during afternoon snack, participating in large motor play in the gym and during homework time. The inspector reviewed the emergency preparedness plans and the emergency supplies during the inspection. The inspector discussed the license renewal process and subsidy requirements with the staff. The inspector arrived for the 05/06/2019 on-site inspection at 2:45 p.m. and departed at 4:50 p.m. and arrived for the 05/07/2019 record review inspection at 1:30 p.m. and departed at 3:00 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and discussion with the staff, the facility failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards. Evidence: 1. The record for Child #2 did not contain the following information: a work phone number for each parent (a place of employment was listed but the record did not include the work phone number), the name and phone number of the child's physician, the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both contacts provided were incomplete), health information as required by 22VAC40-185-140 and 22VAC40-185-150, and the written agreements between the parent and the center as required by 22VAC40-185-90. 2. The record for Child #3 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both contacts provided were incomplete). 3. The record for Child #4 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both contacts provided were incomplete).

Plan of Correction: The information will be gotten from the parents.

Standard #: 22VAC40-185-260-A
Description: Based on document review and discussion with the staff, the facility failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection conducted was dated 10/18/2017.

Plan of Correction: A request for a fire inspection was been made.

Standard #: 22VAC40-185-260-B
Description: Based on document review and discussion with the staff, the facility failed to obtain an annual approval from the health department to include meeting the requirements for water supply, sewage disposal system and food service if applicable. Evidence: The most recent approval from the health department was dated 12/14/2017.

Plan of Correction: A request for a health inspection has been made.

Standard #: 22VAC40-185-280-D
Description: Based on observations and discussion with the staff, the facility failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There was a plastic spray bottle of Spic-n-Span cleaner on the shelf above plastic spoons, plastic forks, straws, plastic cups, paper plates, bottles of water and small containers of juice.

Plan of Correction: The cleaning supplies will be moved to the bottom shelf of the cabinet.

Standard #: 22VAC40-185-510-N
Description: Based on the review of medication authorization forms and discussion with staff, the facility failed to ensure that when an 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. Evidence: The medication authorization form for Medication A was authorized for the 2017-2018 school year. The 2017-2018 school year ended on 05/24/2018. Medication A was on-site during the 05/06/2019 inspection. A phone call was made to the parent during the inspection to verify that an updated form had been requested; the parent stated that she had received the updated form and that it was faxed to the school.

Plan of Correction: The parent had a new form sent to the school, we will get the form from the school.

Standard #: 22VAC40-185-550-F
Description: Based on observations and discussion with the staff, the facility failed to ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Evidence: 911 or a local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted on-site during the 05/06/2019 inspection.

Plan of Correction: They were posted today.

Standard #: 22VAC40-185-560-F
Description: Based on observations and discussion with the staff, the facility failed to ensure that when centers provide meals or snacks that a menu listing foods to be served for meals and snacks during the current one week period shall be posted. Evidence: The posted menu during the 05/06/2019 inspection was dated April 2019; there was not a menu for the current one week period posted.

Plan of Correction: The menu will be posted.

Standard #: 22VAC40-191-60-B
Description: Based on record review and discussion with the staff, the facility failed to ensure that an employee must not be employed until the agency has the person completed sworn statement or affirmation. Evidence: The record for Staff #1 did not contain a completed sworn statement or affirmation. The documented date of hire for Staff #1 was01/14/2019. Staff #1 was observed working on 05/06/2019.

Plan of Correction: Will get one filled out.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and discussion with the staff, the facility failed to obtain the findings from the central registry within 30 days of employment. Evidence: The record for Staff #5 has a documented hire date of 09/19/2018. The search of the central registry for Staff #5 is dated 10/30/2018.

Plan of Correction: The hiring process was changed to make sure this doesn't happen again.

Standard #: 22VAC40-80-120-E-2
Description: Based on observations and discussion with the staff, the facility failed to post the finding of the most recent inspection of the facility. Evidence: There were no findings of the most recent inspection of the facility posted during the 05/06/2019 inspection.

Plan of Correction: We will post the final copy of the inspection.

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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