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Gloucester Family YMCA
6898 Main Street
Gloucester, VA 23061
(804) 993-4922

Current Inspector: Shelika M Bowman (757) 755-5389

Inspection Date: July 8, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.

Comments:
An announced initial inspection was conducted on July 8, 2016. The center will use four rooms, a male locker room, a female locker room, a family locker room, rest room and outdoor area for the children in care. The licensing inspector reviewed emergency evacuation and procedures, rest room and furnishings, administration, emergency supplies, the physical plant, equipment, and indoor and outdoor areas. Measurements were taken of the designated program space along with observations of the physical plant and the facility. The center will be offering transportation for field trip purposes. The center will not be offering medication at this time. The licensing inspector will review this inspection with the licensing administrator to determine the issuance of a conditional license.

Violations:
Standard #: 22VAC40-185-40-I
Description: Based on inspection, the center did not develop written procedures for injury prevention. Evidence: During the inspection conducted on July 8, 2016, there was no documentation of written procedures for injury prevention.

Plan of Correction: The director will develop the injury prevention plan.

Standard #: 22VAC40-185-40-K
Description: Based on inspection, the center did not develop written playground safety procedures. Evidence: During the inspection conducted on July 8, 2016, the center did not have documentation of playground safety procedures that addressed provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children; and method of maintaining resilient surface.

Plan of Correction: The director will develop playground safety procedures.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the applicant did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to the children. Evidence: 1. During the inspection conducted on July 8, 2016, the following hazardous substances were observed in an unlocked cabinet in the Group Exercising room: two containers of disinfectant, two containers of peroxide cleaner, three containers of surface cleaner and two containers of floor cleaner. 2. All of these items were labeled keep out of reach of children and caution or danger.

Plan of Correction: The director will have locks installed on those cabinets.

Standard #: 22VAC40-185-540-C
Description: Based on observation and inspection of the facility, the applicant did not have all required items in the first aid kit. Evidence: During the inspection conducted on July 8, 2016, the following items were not in the first aid kit: thermometer and first aid manual.

Plan of Correction: These items were corrected during the inspection.

Standard #: 22VAC40-185-540-D
Description: Based on observation and inspection of the facility, the applicant did not ensure that all required emergency supplies were at the center. Evidence: During the inspection conducted on July 8, 2016, there was not activated charcoal preparation (to be used only on the direction of a physician or the center's local poison control center) at the center.

Plan of Correction: The director will purchase the activated charcoal preparation.

Standard #: 22VAC40-185-540-E
Description: Based on observation and inspection of the facility, the applicant did not have all required non medical emergency supplies in the facility. Evidence: During the inspection conducted on July 8, 2016, there was not a working, battery-operated radio in each building used by children.

Plan of Correction: This item was corrected during the inspection.

Standard #: 22VAC40-185-550-B
Description: Based on a review of documentation, the center's emergency preparedness plan did not have all required procedural components. Evidence: 1. During the inspection conducted on July 8, 2016, the following required procedural components were not included in the center's emergency preparedness plan: emergency communication did not include the sounding of alarms and the availability and primary use of communication tools. 2. Evacuation plan did not include assembly points, head counts, securing of essential documents, and method of communication after the evacuation. 3. Shelter in place did not include inside assembly points, head counts, primary and secondary means of access and egress, securing of essential documents, and method of communication after the shelter in place. 4. Staff training requirements and plan review and update were not included.

Plan of Correction: The director will update the emergency preparedness plan to include the required items.

Standard #: 22VAC40-185-550-C
Description: Based on observation and inspectioin of the facility, the applicant did not ensure that emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: During the inspection conducted on July 8, 2016, the facility did not have evacuation and shelter in place procedures posted and there was not a shelter in place map posted.

Plan of Correction: The director will update the evacuation map to include shelter in place procedures and locations and evacuation procedures.

Standard #: 22VAC40-185-550-F
Description: Based on observation and inspection of the facility, the applicant did not ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Evidence: During the inspection conducted on July 8, 2016, the center did not have a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center posted in a visible place at each telephone.

Plan of Correction: The director will post emergency numbers at all phones.

Standard #: 22VAC40-185-560-F
Description: Based on observation and review of documentation, the applicant did not ensure that when centers choose to provide meals or snacks, all requirements are followed. Evidence: 1. During the inspection conducted on July 8, 2016, today's morning snack on the menu was mini muffins and water and the evening snack was yogurt and water. The snacks did not consist of two of four required components from the four food groups. Centers shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). 2. There was not a menu posted for the current one week period.

Plan of Correction: The director will revise the snack menu to reflect two food groups from the USDA requirements and post the menu weekly.

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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