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Northern Neck Family YMCA Wiley Child Development Center
458 Harris Road
Kilmarnock, VA 22482
(804) 435-7977

Current Inspector: Ivey Newman (804) 662-9762

Inspection Date: Sept. 23, 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)

Comments:
An unannounced monitoring inspection was conducted today, September 23, 2015 to determine the center's compliance with licensing standards. Some but not all standards were reviewed. The inspector arrived at 10:00 am and concluded the inspection at 12:45 pm. Staff records were reviewed at the YMCA administrative office. Upon the inspectors arrival children the toddlers and two year old children were taking a walk in the strollers around the facilities grounds. The preschool three year old classroom was observed finishing snack and conducting hand washing before gathering for circle time. Children sang songs, reviewed the calendar, counting and colors. Children walked around the room and identified colors the staff requested. The preschool four year old class reviewed the concept of the right hand/ left hand. Children also had made a tornado tube and were eager to tell the inspector about the swirling water. Later the preschool classrooms had time on the playground. Children played on the climbing equipment and on small trikes. The classrooms have a variety of learning centers that consisted of science, books, housekeeping, manipulative, puzzles, art and blocks. Lunch time was also observed. Children provide their own meals. All rooms of the facility were inspected to include the front entrance climbing equipment (see violation notice, children will not be permitted on the equipment until repairs have been completed), the gym, bathrooms and four classrooms. Classrooms had age and stage appropriate materials and were decorated with children's art work and seasonal decorations. Staff interactions were positive and encouraged team work. The playground's were inspected. The center's first aide kit and emergency supplies were inspected (see violation notice). The License, daily schedule, emergency evacuation maps, emergency numbers and various parent information were posted. The inspector interacted with staff and children during the inspection. Four staff and five children's records were reviewed. Medication is being administered, three staff have current MAT certification. Multiple staff have current CPR and first aid training along with daily health observations. The last evacuation drill was conducted on 09/10/2015, A shelter-in-place drill for the current year was documented on 03/25/2015. The facility will need to conduct the second shelter-in-place drills by the end of the calendar year. Fire Inspection: 08/07/2015 Health Inspection: 06/16/2015 Today's ratio's observed : Toddler/ two's: 7 children with 2 staff. Three year olds: 9 children with 2 staff. Four year olds: 6 children with 1 staff. The violations from the previous inspection on May 20, 2015 were checked for corrections. There was one repeat violations found during today's inspection. If you have any questions regarding this inspection, please contact the licensing inspector at (804)662-9758.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of staff records, the facility did not obtain documentation of a negative tuberculosis screening for each staff within 21 days after employment or volunteering. Evidence: Staff #2, with a hire date of 08/31/2015, did not have documentation of a negative tuberculosis screening on file, exceeding the 21 day allowance. Staff #3, with a hire date of 08/20/2015, did not have documentation of a negative tuberculosis screening on file, exceeding the 21 day allowance.

Plan of Correction: See Intensive Plan of Correction.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff records, the facility did not obtain all required information for each staffs record.

Evidence:

1. The record of staff #2 with a hire date of 08/31/2015, did not have documentation of two references on file.
2. The record of staff #2 did not have listed the name, address and phone number of a person to be notified in an emergency that was kept at the center. The emergency information was noted at the administrative office down the street but not on site.
3. The record of staff #2 did not have written documentation to demonstrate the staff had the education required by the job position.
4. The record of staff #3, with a hire date of 08/20/2015, did not have written documentation to demonstrate the staff had the education required by the job position.
5. The record of staff #3 did not have listed the name, address and phone number of a person to be notified in an emergency that was kept at the center. The emergency information was noted at the administrative office down the street but not on site.
6. The facility did not have documentation that the volunteer driver possesses a CDL license as required by the job position.

Plan of Correction: See Intensive Plan of Correction.

Standard #: 22VAC40-185-240-A
Description: Based on review of staff records, the facility did not ensure staff received the required training by the end of their first day of assuming job responsibilities. Evidence: Staff #3, with a hire date of 08/20/2015 did not have documentation of orientation on record.

Plan of Correction: See Intensive Plan of Correction.

Standard #: 22VAC40-185-270-A
Description: Based on observations, the facility did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. A window in the toddler room and one window in the two year old classroom had the mini blinds pulled up in such a manner that the mini blind cord hung down to the floor within reach of children in care and posing a strangulation hazard. 2. The window in the two year old classroom was opened however their was no screen in the window to protect a child from climbing/ falling out of the window. At the time of the observation, both the toddlers and two year olds were in the classroom. 3. The indoor climbing equipment in the main hall has three areas where the netting has detached or torn away from the frame. One areas where the netting is detached creates a hole approximately a foot and a half long by a foot wide. The hole is at the very top of the equipment at the point where the tunnel meets the cube bubble area. The hole posing a risk for a child climbing through and falling to the slab floor below approximately 25 feet. The second area is located above the green mat covered walkway. The netting in this area sags down into the crawl space and has multiple torn strings that create a hole that a child could become entangled in. The third area is at the base of the yellow tube, the netting has separated from the tube creating a hole that a child could become entangled in.

Plan of Correction: See Intensive Plan of Correction.

Standard #: 22VAC40-185-280-B
Description: Based on observations, the facility did not ensure hazardous substances such as cleaning materials were kept in locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of liquid starch was observed on top of a six foot cabinet in the school age classroom unlocked. 2. In the toddler room above the sink, spray disinfectants, odor spray eliminators and surface cleaners were observed in the unlocked cabinet. A container of disinfectant was observed sitting on the diaper changing table. Children were not in the room at the time of the observation. 3. In the two year old classroom, a bottle of floor cleaner, spray disinfectants and glass cleaner were observed in the unlocked cabinet over the sink. A child protective lock was attached to the cabinet door handle but was not latched.

Plan of Correction: Per the Director; 1. I will remove the liquid starch and place it in the locked kitchen area. I will also remind staff that chemicals need to be returned to the locked cabinet after use. 2. Staff locked the cabinet while the inspector was on site. 3. Staff locked the cabinet while the inspector was on site.

Standard #: 22VAC40-185-280-G
Description: Based on observations, the facility did not ensure hazardous substances that were not kept in the original containers were labeled in the substitute container with the name of the contents. Evidence: A spray bottle with blue liquid was observed in a unlocked cabinet in the two year old classroom. The bottle was not labeled with the name of the contents. Staff stated it was glass cleaner.

Plan of Correction: Staff labeled masking tape with the name of the cleaning product and adhired the label to the spray bottle.

Standard #: 22VAC40-185-510-J
Description: Based on observations, the facility did not ensure medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the unlocked cabinet above the sink in the two year old classroom, a prescription cream, and over the counter children's pain reliever were observed unlocked. The cabinet had a child safety lock hanging from one of the cabinet handles however the lock was not latched.

Plan of Correction: Staff removed the medications and they were given to the director to be disposed of as the child who the medications begonged to was no longer enrolled. The cabinet was then locked.

Standard #: 22VAC40-185-510-N
Description: Based on review of medication authorizations, the facility did not return or dispose of medication that had an expired authorization after 14 days. Evidence: Two medications had expired authorizations as they were left from the summer camp program. The medications were not returned to the parents within 14 days of expiration nor were they disposed of.

Plan of Correction: Per the director, the owner of the two medications is no longer enrolled. Per the director, I will dispose of the two medications and have staff check for out dated medications on a regular basis.

Standard #: 22VAC40-185-540-C
Description: Based on observations, the facility did not ensure that all required supplies were obtained for the first aid kits. Evidence: The first aid kit for the bus did not have the required adhesive tape and tweezers.

Plan of Correction: Per the Director: I will request that the administrative office purchase additiona adhesive tape and tweezers to ensure all first aid kits have all the required materials.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review of staff records, the facility did not obtain a sworn statement before three years since the dates of the last sworn statement. Evidence: The most recent sworn statement for staff #1 was dated 04/16/2012, exceeding the three year allowance period for renewal.

Plan of Correction: See Intensive Plan of Correction.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of staff records, the facility did not obtain documentation of a central registry finding within 30 days of employment. Evidence: Staff #3 with a hire date of 08/20/2015, did not have documentation of a completed central registry check on record, exceeding the 30 day allowance.

Plan of Correction: See Intensive Plan of Correction.

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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