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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: Nov. 7, 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 on November 7, 2016. Upon arrival to the facility, There were four children in care with two staff members. Throughout the course of the inspection there were a total of six children present. Additional staff were on site for administrative and support purposes. The children were observed during their opening ceremony, reading, playing board games, and doing arts and crafts. The licensing inspector reviewed nutrition, emergency evacuation and procedures, rest room and furnishings, administration, emergency supplies, the physical plant, equipment, and indoor areas. Two staff records and three children's records were reviewed. There are no medications present or being administered at this time.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, in two of three children's records reviewed, the center did not maintain a record for each child enrolled documented with all required information. Evidence: 1. During the inspection conducted on November 7, 2016, the record for Child #1 did not include the home phone number for one parent and the name, address, phone number and employment information for the other parent. 2. The record for Child #2 did not include a complete address for one person to contact in the event of an emergency.

Plan of Correction: The Program Director will go through all of the files to verify any missing information.

Standard #: 22VAC40-185-70-A
Description: based on record review, in two of two staff records reviewed, the licensee did not ensure that each staff person's record was documented with all required information. Evidence: 1. During the inspection conducted on November 7, 2016, in the record for Staff #1, there was not a date of contact for one reference check taken over the phone and no documentation of orientation training. 2. In the record for Staff #2, there was no documentation of written information to demonstrate that the individual possesses the education to be a program leader and no documentation of orientation training,

Plan of Correction: 1. Program Director will verify missing information an update the record. 2. Program Director will verify qualifications for Program Leader and provide written documentation. Moving forward orientation dates will be documented in all staff files.

Standard #: 22VAC40-185-340-D
Description: Based on observation and inspection of the facility, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be present. Evidence: During the inspection conducted on November 7, 2016, Staff #1 and Staff #2 were observed working with the group of children present. Staff #2 was identified as the program leader but neither staff member's record was documented with program leader or program director qualifications.

Plan of Correction: All staff files will be marked with identification of qualification status and written documentation of those qualifications attached.

Standard #: 22VAC40-185-540-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that each first aid kit shall be easily accessible to staff but not to children. Evidence: During the inspection conducted on November 7, 2016, the first aid kit was placed on the lower shelf of the desk in the main childcare room approximately 12" from the floor which was easily accessible to the children in care.

Plan of Correction: Staff will relocate first aid kit out of reach of children.

Standard #: 22VAC40-185-560-G
Description: Based on observation and inspection of the facility, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: During the inspection conducted on November 7, 2016, the licensing inspector observed three food containers that were not labeled with the date.

Plan of Correction: Staff will label lunches when children are checked in with name and dates.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on record review, the licensee did not ensure that any employee of a licensed, registered, and approved facility who is involved in the day-to-day operations or who is alone with, in control of, or supervising one or more children have a criminal history record check before 30 days of employment at the facility ends. Evidence: During the inspection conducted on November 7, 2016, there was no documentation of a criminal record check in the record for Staff #2 (start date 7/18/16).

Plan of Correction: Branch Director will verify whether a criminal record check has been completed and if not one will be completed today.

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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