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Boys & Girls Club of the Mountain Empire -Virginia Unit
334 Rebecca Street
Bristol, VA 24201
(276) 669-8921

Current Inspector: Sara Hutton-Tallman (276) 608-3749

Inspection Date: March 24, 2016 and March 28, 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Phase II training will be provided on April 5, 2016 at the Abingdon office.

Comments:
An unannounced monitoring inspection was conducted today, 3/24/16. Upon arrival to the center a review of staff records was conducted at the main office. Following the review of records a walk over to the center to review children's records, observe children in care and conduct a walk through of the center. A review of previously cited violations was conducted. Upon arrival to the center the children played with the table games, went to the gym for large motor skills, had snack and then divided into age groups for an Easter egg hunt. Children and staff records were reviewed for compliance. There are 61 children in care with seven staff available. Should you have any questions please do not hesitate to call. A return inspection was conducted on 3/28/16 to discuss violations and to review more areas of the standards. Inspection began: 2:15 pm ended 4:20 pm. 3/28/16 began: 11:20 am ended approximately 12:45 pm.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on review of staff records the center failed to obtain TB/PPD tests on staff. Evidence: 1. Staff # 2 has a hire date of 9/14/15 and there are no TB/PPD results on file. 2. Staff # 2 does not have reference checks on file.

Plan of Correction: The center is in the process of scheduling TB/PPD tests/screens for staff. Reference checks will be completed and placed in the file.

Standard #: 22VAC40-185-190-A-2
Description: Based on review of staff records the center failed to hire staff that have programmatic experience. Evidence: 1. Staff #2 was hired 9/14/15 and there is no documentation stating that he has one year of programmatic experience.

Plan of Correction: The center will obtain a transcripts and will document the programmatic experience of this staff.

Standard #: 22VAC40-185-240-D-5
Description: Based on review of staff records the center failed to have staff trained in daily health observation. Evidence: 1. Of the five staff at the center no one has daily health observation training.

Plan of Correction: The center is scheduling this training for the staff.

Standard #: 22VAC40-185-270-A
Description: Based on observation of the building and grounds the center failed to maintain the areas in a safe condition. Evidence: 1. The art room's back door has a glass window that is broken. The glass shattered and what is remaining in the door could be knocked out. This area is accessible to the children. 2. The ground covering on the playground under the slide is exposed and could cause a tripping hazard.

Plan of Correction: Cardboard has been placed on the window to prevent more breakage. This will be on the door until the window is replaced. Will have the maintenance man to rake the mulch and cover the ground covering. These areas will be monitored to ensure compliance. The center is in the process of purchasing additional mulch.

Standard #: 22VAC40-185-330-B
Description: Based on observation of the playground the center failed to have adequate resilient surfacing under the climbing equipment. Evidence: 1. The blue and red climber has areas under the slides and ladders with no resilient surfacing.

Plan of Correction: Maintenance will rake the surfacing under the equipment so that it meets the required depth. These areas will be monitored to ensure compliance. The center is in the process of purchasing additional mulch.

Standard #: 22VAC40-185-530-A
Description: Based on review of staff records the center failed to have staff present with first aid and CPR certification. Evidence: 1. During the inspection on 3/28/16 the four staff present did not have first aid and CPR certification.

Plan of Correction: The center is in the process of scheduling first aid and CPR training. Staff #5 will be available to the center until the remaining staff are trained.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review of staff records the facility failed to complete repeat background checks on staff. Evidence: 1. Staff # 1 has a criminal history check dated 8/23/12 and a central registry check dated 9/10/12. 2. Both of these record checks are to be up dated every three years.

Plan of Correction: The background checks will be sent off and staff records will be reviewed to ensure that repeat background checks are completed within three years.

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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