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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: May 15, 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

Technical Assistance:
Staff training hours clearly documented

Comments:
An unannounced monitoring inspection was conducted on May 15, 2019. There were 14 children in care with two staff members. The center has a total enrollment of 15 children at this time. The children were observed arriving to the program from school, doing homework, coloring, reading books, playing with balls 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 #: 22VAC40-185-160-A
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis (TB) screening. Evidence: There was no documentation available to review TB screening results for Staff #4 as confirmed by Staff #2.

Plan of Correction: Staff member had a completed TB screening and we will make sure that is available at the center.

Standard #: 22VAC40-185-160-C
Description: Based on record review, in two of five staff records reviewed, the licensee did not ensure that staff resubmit tuberculosis screening (TB) test results every two years. Evidence: The following staff members TB test results were more than two years old as confirmed by Staff #2: Staff #2-TB results dated 3/20/17 Staff #5-TB results dated 6/20/16

Plan of Correction: Staff #2 and #5 will receive the screening as soon as possible.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in four of five children's records reviewed, the licensee did not ensure that each child's record contained all required information. Evidence: The following information had not been documented in each child's record as confirmed by Staff #2: Child #1-two emergency contact addresses Child #2 and Child #3-work phone number for one parent Child #5-one emergency contact address and the name, address and phone number for the second emergency contact

Plan of Correction: We will contact the parents to complete all of the needed information.

Standard #: 22VAC40-185-240-C
Description: Based on record review, in two of five staff records reviewed, the licensee did not ensure that program directors and staff who work directly with children shall annually attend 16 hours of staff development activities that shall be related to child safety and development and the function of the center. Evidence: The following staff training hours had been documented for each staff person as confirmed by Staff #2: Staff #2-no documentation of training hours completed between 2/12/18-2/12/19 Staff #4-no documentation of training hours available to review

Plan of Correction: We will make sure that training is completed annually.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The following unlocked substances labeled keep out of reach of children and warning, caution, flammable and/or danger were observed in the main childcare room and confirmed by Staff #2: 1. A bottle of hand sanitizer on the black table. 2. Two cans of metallic spray paint and six canisters of shave foam inside of a white cabinet. 3. One bottle of suprox cleaner on top of a white cabinet.

Plan of Correction: We will purchase a lock box to put the hazardous substances in. The items will be removed until the lock box is purchased.

Standard #: 22VAC40-185-500-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that children's hands shall be washed before eating snacks or meals. Evidence: Child #3 was observed getting a snack from a lunch container and eating the snack at the table sitting with Staff #1. The staff member did not have the child to wash their hands before eating the snack. Staff #2 verified that the child did not wash hands before eating snack.

Plan of Correction: We will be better observant before food is eaten to make sure hands are washed.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that there was a monthly practice evacuation drill. Evidence: There was no documentation of evacuation drills practiced in November and December of 2018 and January, February, March and April of 2019. Staff #2 confirmed that the documentation was not available.

Plan of Correction: Going forward we will be doing the monthly evacuation drills.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that staff submit to fingerprinting and obtain results. Evidence: There was no documentation of fingerprinting results for Staff #2 as confirmed by Staff #2.

Plan of Correction: Staff #2 will speak with the Extension Director to obtain the fingerprint.

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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