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Boys & Girls Clubs of Harrisonburg/Rockingham County-Simms Unit
801 Parkwood Drive
Harrisonburg, VA 22802
(540) 434-6060

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: March 30, 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.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for medication, program leader qualifications, TB statements and first aid supplies. The risk assessments for violations was provided. We talked about the need for an evacuation drill for March. Also, substitutions for menu items need to be written as soon as possible when the changes are made.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 8:40 AM to 12:32 PM and from 3:15 to 4:05 PM. Today, there were thirty-eight school age children supervised by four to six staff. I viewed program activities, staffing, supervision, interactions with children, equipment, lunch/snack, menu, posted information, asbestos management, agency inspections, emergency supplies and drill records, injury records, five records for children, five staff records, staff qualifications, indoor and outdoor areas. The children were present during the day this week while on spring break from school. They were provided opportunities for computer time, crafts, games, and active play in the gym. During the afternoon, a field trip was taken to a community park. Staff were observed playing with the children, providing frequent interactions and individual guidance. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on a review of five records for staff, and interviews with staff, there was not an updated TB screening and statement obtained by two years from the date of the statement in the file of staff member 4. Evidence: The statement in the file was from August 30, 2013. Staff indicated that another TB screening was not obtained in 2015.

Plan of Correction: The director will obtain an updated TB screening statement for the record of staff member 4. The director will use a system, such as a chart with dates, to track the need for updating information in staff records. Staff will be told to obtain updated TB screenings and statements in advance of the due dates so that records are maintained as required.

Standard #: 22VAC40-185-70-A
Description: Based on a review of five records for staff, and an interview with administrative staff, the effective dates for positions held by staff member 3 were not documented for the staff record. Evidence: There was a confirmation letter in the file stating that staff member 3 was hired as a Y.D.P.L./program leader on September 9, 2016. However, administrative staff indicated that staff member 3 was an assistant leader until achieving the required experience and training. The promotion date and change of position titles were not documented for the record.

Plan of Correction: The director will make sure the correct position titles and effective dates are documented for the file of staff member 3. In the future, this information will be maintained for all staff records.

Standard #: 22VAC40-185-210-A
Description: Based on a review of five staff records, and an interview with administrative staff, staff members 2 and 5 completed less than the minimum twenty-four hours of training needed within the first month of hire for meeting the qualification requirements as a program leader. (Repeat violation.) Evidence: Staff member 2 started on December 16, 2015 and staff member 5 started on September 2, 2015 as Y.D.P.L.'s. Although all required topics were covered, there were only nine documented hours of training for staff member 2 and sixteen hours of training for staff member 5.

Plan of Correction: The director will arrange for staff members 2 and 5 to complete additional hours of training in child related topics. In the future, the director will make sure the staff who need a minimum of twenty-four hours of training complete the requirements within the first month of hire or promotion.

Standard #: 22VAC40-185-510-G
Description: Based on a review of medication for child 1M, and interviews with staff, there was written information not available for a prescription medication administered this date. Evidence: The prescription label, and child's name, was not on the container of the medication which a staff member was observed administering to child 1M before lunch. Also, there was not a written parent authorization for the administration of the medication this week.

Plan of Correction: The staff person who is M.A.T. certified will talk to the parents and obtain a written authorization form. Also, the prescription label will be requested and obtained from the parent. In the future, the M.A.T. certified staff person will follow the requirements for accepting a written parent's authorization for short term use during a school break. The additional physician's signature will be obtained for long term use. Also, the M.A.T. certified staff person who accepts medication for use during program hours will check for the prescription label and make sure all information has been matched with the authorization instructions.

Standard #: 22VAC40-185-540-A
Description: Based on a review of the first aid supplies, and interviews with five staff, a first aid kit was not available on each floor of the building that was used by children. Evidence: Five staff were unaware of the storage location and could not locate a first aid kit in either the closets of the education room or in the game room on the top floor.

Plan of Correction: The director will obtain a new first aid kit if the kit is not located on the top floor used for children's activities. The director will schedule regular checks of the first aid supplies in all kits. The staff will be told the location of the first aid kit on the top floor. The location of all emergency supplies will be taught during new staff orientation training.

Standard #: 22VAC40-185-540-D
Description: Based on a review of the first aid kit at the entrance foyer, and an interview with staff, there was a need for additional supplies. Evidence: There was only one triangular bandage in the first aid box. No additional triangular bandages were located by staff.

Plan of Correction: The director will add a second triangular bandage to the first aid box. The director and assigned staff will continue to refer to the list of required supplies kept in the box to make sure all supplies are included and available.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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