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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: Aug. 20, 2015

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)

Technical Assistance:
Technical assistance was given to staff #5 regarding injury reports related to standard 22VAC40-185-(7)-550-L.

Comments:
An unannounced monitoring inspection was conducted on August 20, 2015 from approximately 9:30 A.M. to 1:05 P.M.. Upon arrival there were 3 staff with 25 children. Children were observed playing relay games, eating snack and playing outside. Three staff records and three children's records were reviewed on this date. Three medications were reviewed. The playground is being used as a part of the program. Areas of non-compliance are identified on the violation notice. Please complete the columns for ?description of action to be taken? and ?date to be corrected? for each violation cited on the violation notice, and submit to the licensing office within 10 calendar days of receipt. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a record review, the licensee did not ensure that all enrolled children had documentation that they had received immunizations required by the State Board of Health before each child attended the center. Evidence: During the inspection on August 20, 2015, the record for child #2 did not include an immunization record and child #2 was in attendance during the inspection.

Plan of Correction: A shot record will be obtained by staff #5 from parent/Dr. office

Standard #: 22VAC40-185-60-A
Description: Based on a record review, the licensee did not ensure that there was a separate record for each child enrolled containing all the required information. Evidence: During the inspection on August 20, 2015 the following records were determined to be incomplete. 1) The record for child #1 did not include the home or employment information for one parent listed. 2) The record for child #2 did not include the complete address for one emergency contact listed. 3) The record for child #3 did not include the complete address for one emergency contact listed and the home phone number for parent listed.

Plan of Correction: Information will be collected by staff #5 from parent.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the licensee did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection on August 20, 2015, the following hazardous chemcials were observed: 1) A container of antiseptic solution was sitting on a shelf accessible to children in building #1 and labeled "keep out of reach of children" and "warning". 2) A container of anti-ich spray solution was sitting on a shelf accessible to children in building #2 and labeled "keep out of reach of children" and "warning".

Plan of Correction: Bottles have been removed from the summer camp room and placed in locked closet.

Standard #: 22VAC40-185-340-B
Description: Based on observation and staff interview, the licensee did not ensure that during the center's hours of operation, one adult on the premises was in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: During the inspection on August 20, 2015, the licensing inspector arrived at the center at approximately 9:30 A.M. and observed 3 staff members playing relay games with 25 children. The inspector requested to speak to the staff member who was in charge or the program director and the three staff indicted the person in charge was gone on a field trip. At appropriately 10:30 A.M. staff #4 arrived and was the designated person in charge.

Plan of Correction: Staff have been informed of "ranks" and understand who is in charge, regrdless of who is working or on premises.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the licensee did not ensure all medication was labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: During the inspection on August 20, 2015, a rust colored pill was observed in clear plastic bag with a child's first name on it and there was no other information on the clear bag. This was confirmed by staff #1.

Plan of Correction: The pill has been returned to the parent with instruction on how to bring in meds for distribution to child.

Standard #: 22VAC40-185-510-F
Description: Based on observation, the licensee did not ensure all nonprescription medication was in the original container with the direction label attached. During the inspection on August 20, 2015, a rust colored pill was observed in clear plastic bag and staff #1 said it was ibuprofen for child #5.

Plan of Correction: The pill has been returned to the parent with instruction on how to bring in meds for distribution to child.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the licensee did not ensure all medication was kept in a locked place using a safe locking method that prevents access by children. During the inspection on August 20, 2015, three medications. children ibuprofen for child #4, ibuprofen for child #5 and Ventolin for child #6 were observed in an unlocked cabinet. This was confirmed by staff #1

Plan of Correction: The cabinet is normally locked and has been ever since the inspection.

Standard #: 22VAC40-185-540-B
Description: Based on observation, the licensee did not ensure each first aid kit was easily accessible to staff but not to children. Evidence: During the inspection on August 20, 2015, the first aid kits in building #1 and building #2 were sitting on shelves and were accessible to children.

Plan of Correction: First aid kits have been relocated to new heights.

Standard #: 22VAC40-185-540-C
Description: Based on observation and staff interviews, the licensee did not ensure the first aid kits contained all required items. Evidence: During the inspection on August 20, 2015, the first aid kit in building #1 did not include a first aid manual, triangular bandage,scissors, and an ice pack.

Plan of Correction: Items have been refilled.

Standard #: 22VAC40-185-540-E
Description: Based on observation, the licensee did not there was at least one working, battery-operated flashlight and radio on each floor of each building that is used by children. Evidence: During the inspection on August 20, 2015, there was not a battery operated radio or flashlight available in either building #1 or building #2. This was confirmed by staff #1 and staff #4

Plan of Correction: Flashlights are in first aid kit. Radios will be purchased A.S.A.P.

Standard #: 22VAC40-185-560-G
Description: Based on observation, the licensee did not ensure that when food is brought from home, the food container was sealed, clearly dated and labeled in a way that identifies the owner. Evidence: During the inspection on August 20, 2015, children ages 7 to 12 were observed eating snack and out of 12 lunch boxes 9 were not labeled in a way that identifies the owner or 12 were not dated. This was confirmed by staff #1.

Plan of Correction: Staff have been made aware this needs to happen every single day no matter where lunch is being eaten. If food is brought from home, it has to be labeled.

Standard #: 22VAC40-185-560-K
Description: Based on observation and staff interviews, the licensee did not ensure tables were sanitized before and after eating. Evidence: During the inspection on April 20, 2015, the Licensing Inspector observed staff #2 spaying the table with a bleach and water solution and then immediately wiping down the table before snack. The table was not sanitized as "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution. The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution.

Plan of Correction: Staff have been instructed to leave bleach on the table for two minutes before you wipe tables down.

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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