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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: March 22, 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)

Comments:
An unannounced renewal inspection was conducted today, March 22, 2016 to determine the center's compliance with licensing standards. The inspector arrived at 11:00 am and concluded the inspection at 2:30 pm. Upon the inspectors arrival children were observed in a variety of activities. The toddlers and two year olds were combined and playing on the indoor climbing equipment. Children also played a group game with staff where they hopped like a rabbit, mooed like a cow etc. The three year old classroom had been discussing rabbits and their habitats. Later they watched a children's video before heading outside to play on the playground. The four year old classroom worked on their "Bright Star" lesson, practicing their writing skills with the letter "K". Children talked about kangaroos and then drew pictures. Hand washing and lunch time were observed and later nap time. All rooms of the facility including the indoor play equipment, outdoor playgrounds and facility bus were inspected. The classrooms have a variety of learning centers that consisted of science, books, housekeeping, manipulative, puzzles, art and blocks. Children provide their own meals. 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 center's first aide kit and emergency supplies were inspected. 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. Seven staff records and five children's records were reviewed. Medication is being administered and was reviewed. 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 03/15/2016. The two required shelter-in-place drills for 2015 were documented on 03/25/2015 and 12/10/2015. A shelter-in-place drill for the current year was documented on 02/10/2016. Fire Inspection: 08/07/2015 Health Inspection: 06/16/2015 Today's ratio's observed : Toddler: 3 children with 1 staff. Two's: 11 children with 2 staff. Three year olds: 17 children with 2 staff. Four year olds: 10 children with 1 staff. The violations from the previous inspection on November 30, 2015 were checked for corrections. There were no repeat violations found during today's inspection. A complete renewal application has been received by the Department. 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 #7, with a hire date of 12/02/2013, did not have documentation of a tuberculosis screening on record.

Plan of Correction: Per the Director; I will have the administration try to locate the staff's tuberculosis screening documentation. If it can not be located, we will have the staff obtain a new one.

Standard #: 22VAC40-185-210-A-4
Description: Based on review of staff qualifications, the facility did not ensure that staff received 24 hours of training, related to the care of children, within six months before being promoted or beginning work or one month after being promoted or beginning work. Evidence: 1. Staff #1, hired 08/26/2015, was identified as a lead teacher however did not meet the qualifications of program leader. Staff #1 had 10.5 hours of training related to the care of children when 24 hours was required between the period of 08/26/2015 and 09/25/2015. 2. Staff #5 hired 08/26/2015, was identified as a lead teacher however did not meet the qualifications of program leader. Staff #5 had 11 hours of training related to the care of children when 24 hours was required between the period of 08/26/2015 and 09/25/2015.

Plan of Correction: Per the Director; I will ensure that both staff complete 24 hours of training related to the care of children within 30 days to met the requirement.

Standard #: 22VAC40-185-330-B
Description: Based on observations and measurements, the facility did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: On the toddler playground, multiple areas had exposed weed block cloth where the resilient surface material had been shifted away. Three measurements were taken around the plastic climber with a results of one inch, two inches and one inch of resilient surfacing when a depth of six inches is required.

Plan of Correction: Per the Director; The installation of additional resilient surfacing is on the maintenance schedule. I will check with grounds to see that it is installed in a timely manner. Children will not climb on the equipment until it have been installed.

Standard #: 22VAC40-185-510-N
Description: Based on review of medications and medication authorizations, the facility did not ensure parents were notified that medications needed to be picked up within 14 days of the medication authorization expiration or the authorization must be renewed. Evidence: The medication authorization for child #6 expired on 11/19/2015. The medication was on site, exceeding the 14 day period.

Plan of Correction: Per the Director: I will address this with the parent tonight and have them renew the medication authorization or take the medication home with them.

Standard #: 22VAC40-185-560-G
Description: Based on observations, the facility did not ensure all food brought from home was sealed and clearly dated and labeled in a way that identifies the owner. Evidence: The lunch boxes in the four year old classroom were labeled with the names of the children however they were not dated.

Plan of Correction: Per the Director: I will have staff date each lunch bag with labeled masking tape each morning as the children arrive.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review of staff records, the facility did not obtain a sworn statement for each employee before three years since the dates of the last sworn statement. Evidence: The most current sworn statement for staff #6 was dated 04/10/2012, exceeding the three year allowance.

Plan of Correction: The Director had the sworn statement updated while the inspector was on site. The Director is reorganizing all staff records and putting the information in notebooks to ensure all required information is obtained and maintained.

Standard #: 22VAC40-191-60-C-1
Description: Based on review of staff records, the facility did not obtain an original criminal history record report within 30 days of employment and permitted continuous employment without the criminal history report on file. Evidence: Staff #7, hired 12/02/2013, did not have an original criminal history report completed within 30 days of employment and had continued to work on 03/17/2016 and 03/18/2016.

Plan of Correction: Per the Director; We have documentation where a third party vender was used to complete a background check at the time of hire but we can't find documentation where the required criminal history through the state police department was conducted. If the required documentation can not be located, we will request a new criminal history record. The staff is a substitute and we will obtain the missing information before she is scheduled to work again.

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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