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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: Feb. 16, 2016

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:
Consultation was given regarding the use of volunteers in the program.

Comments:
An unannounced monitoring inspection was conducted on February 16, 2016 from approximately 3:45 pm to 6:00 pm. Upon arrival there were 2 staff with 23 children. Children were observed preparing for snack, working on homework and art projects. Two staff records and three children's records were reviewed on this date. One medication was reviewed. The playground was not inspected due to inclement weather. Areas of non-compliance are identified on the violation notice. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a record review, the licensee did not ensure each staff member submitted documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: During the inspection on February 16, 2016 the record for staff #1 (date of hire 10-26-15) did not include documentation of a TB screening.

Plan of Correction: The program leader will make sure to review it with the director.

Standard #: 22VAC40-185-70-A
Description: Based on a record review, the licensee did not ensure all the records for all staff contained all required information. Evidence: During the inspection on February 16, 2016 the following information was not available for review during the inspection as it relates to staff records; 1) The record for staff #1 did not include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. There was documentation that only one reference had been conducted for staff #1. 2) The record for staff #2 did not contain the written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position. Staff #2 was designated as the lead counselor (program leader) during the inspection.

Plan of Correction: The program leader will make sure to review it with the director. Staff #2 will submit transcripts.

Standard #: 22VAC40-185-240-A
Description: Based on a record review and staff interviews, the licensee did not ensure all staff had received training by the end of the first day of assuming job responsibilities Evidence: During the inspection on February 16, 2016 there was not documentation in the record for staff #1 indicating they had received the required training related to the following; 1) job responsibilities 2) procedures for playground and outdoor play 3) procedures for identifying where children area at all time 4) recognizing child abuse as it relates to the code of Virginia 5) confidential treatment of information 6) the Virginia Child Day Standards that relates to the person's job

Plan of Correction: The program leader will make sure to review it with the director.

Standard #: 22VAC40-185-240-B
Description: Based on a record review and staff interviews, the licensee did not ensure all staff had received by the end of the first day of supervising children, in writing all the required information. Evidence: During the inspection on February 16, 2016 there was not documentation in the record for staff #1 indicating they had received in writing information related to the following; 1) procedures for supervising children 2) procedures to confirming children's absences 3) procedures for identifying where children area at all time 4) policy for administration of medication 5) procedures for responses to natural disasters

Plan of Correction: The program leader will make sure to review it with the director.

Standard #: 22VAC40-185-500-A
Description: Based on observation and staff interviews, the licensee did not ensure children's hands were washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: During the inspection on February 16, 2016, approximately 23 children were observed during their snack time and they did not wash their hands after they were finished eating.

Plan of Correction: The program leader will make sure children was their hands before and after eating.

Standard #: 22VAC40-185-530-A
Description: Based on a record review and staff interview, the licensee did not ensure there was at least one staff member trained in first aid, cardiopulmonary resuscitation (CPR), and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: During the inspection on February 16, 2016 there was not a staff member who had obtained an updated CPR or first aid certification. Staff #2's certification expired on 11-27-15 and staff #3's certification expired on 12-16-15.

Plan of Correction: The program leader will bring in the updated copy of the CPR and first aid card.

Standard #: 22VAC40-185-560-N
Description: Based on a record review, the licensee did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: During the inspection on February16, 2016 two children, child #4 and child #5 were observed walking and running around while eating lollipops.

Plan of Correction: The program leader will reinforce the rules about sitting down and eating.

Standard #: 22VAC40-191-60-C-2
Description: Based on a record review, the licensee did not ensure a central registry (CPS) finding was obtained within 30 days of employment or employment was to be denied. Evidence: During the inspection on February 16, 2016 the record for staff #1 (date of hire 10-26-15) did not include a CPS check and staff #1 was observed working during the inspection.

Plan of Correction: The program leader will share this with the director

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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