Boys & Girls Clubs - Suffolk Unit
2325 E. Washington Street
Suffolk, VA 23434
Current Inspector: Melinda Popkin (757) 802-5281
Inspection Date: March 14, 2016 and March 16, 2016
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)
- Technical Assistance:
Discussed with the Director of Operations the qualifications for a Program Director and a Program Leader.
An unannounced monitoring inspection was conducted on 3/14/16 from 4:00pm - 6:15pm. At the time of entrance there were 30 school age children in care with eight staff. An additional 55 children and two staff arrived during the inspection. Children were observed completing homework, participating in different activities in various classrooms, playing games in the gym and eating dinner in the cafeteria. Records were reviewed for five children while at the facility. The records for six staff were reviewed on 3/16/16 at the central office. There was no medication at the facility. Emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).
Standard #: 22VAC40-185-60-A Description: Based on a review of five children's records, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1, present during the inspection, did not contain the addresses for the two designated people to call in an emergency in a parent can not be reached. 2. The record for child #4, present during the inspection, did not contain the addresses for the two designated people to call in an emergency in a parent can not be reached. Plan of Correction: Training will be held with all Front Desk qualified personnel the procedure for registering new members, including obtaining the proper documentation, acceptable application completion, and the proper place to store records. At the end of each month, Front desk supervisor will walk through to check that all new membership files are intact and signed off after review by Service Director by the 28th of each month. A licensing meeting will be held on April 1st with the Director of Operations to go over all the new licensing standards as well as any licensing updates
Standard #: 22VAC40-185-540-E Description: Based on a review of the facility's emergency supplies, it was determined that the facility did not ensure that all required emergency supplies are kept at the facility. Evidence 1. There was not a working battery-operated radio at the facility during the inspection. 2. Staff #7 (Program Director) stated he was unable to locate the radio during the inspection. Plan of Correction: A new battery-operated radio will be purchased and kept locked in a designated area within the Program Director?s office. A monthly inventory of emergency supplies will be conducted to include radios, flashlights, and first aid kits to ensure that all supplies are accounted for and in proper working condition.
Standard #: 22VAC40-185-550-E Description: Based on a review of the emergency drill log, the facility did not ensure that a record of the shelter-in-place drills were maintained for one year. Evidence: 1. There was no written documentation on the emergency drill log to demonstrate that an emergency practice drill was completed during the month of February 2016. 2. Staff #1 and staff #7 (Program Director) confirmed that an emergency practice drill had been completed during the month of February 2016, but they forgot to record it. Plan of Correction: Date of emergency drill will be recorded in log based on known documented date. Future emergency drill logs will be documented immediately after drill is completed. At the end of each month, Front desk supervisor and Program Director will ensure that emergency drill logs are kept current based on scheduled monthly drill requirements.
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.