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Boys & Girls Clubs of Harrisonburg & Rockingham Co.-Spotswood
400 Mountain View Drive
Harrisonburg, VA 22801
(540) 434-6060

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Dec. 2, 2016

Complaint Related: No

Areas Reviewed:
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for emergency drills, posted emergency procedures/maps, immunization records, physical examination records, and staff records. The risk assessments for violations were provided. Also, we talked about emergency contact information requirements for children's records. The requirements for staff coverage by someone trained in daily health observation were discussed.

Thank you for your assistance during today's unannounced monitoring inspection conducted from 3:10 PM to 6:20 PM. Today, there were fifty children (Kindergarten through grade four) receiving supervision after school by five to six staff. I viewed program activities, staffing, supervision, interactions with children, equipment, daily routines, snack, posted information, emergency supplies and drill records, four records for children, two staff records, staff training, indoor and outdoor areas. The children enjoyed active play outside, choices for indoor activities. Hand washing routines were adhered to around the snack time. Staff were observed providing parent communication as needed during pick-up times. Let me know if you need any assistance. 540/430-9259

Standard #: 22VAC40-185-140-A
Description: Based on a review of four records for children, and an interview with administrative staff, there were not any physical examination records obtained for the files. Evidence: There were only copies of school computer records listing immunization dates. The administrative staff at the unit indicated that the reports were not requested.

Plan of Correction: The administrative staff will obtain the physical examination reports provided by health care providers for each child's file. Arrangements will be made to obtain the reports from parents or school personnel. The administrative staff will review the requirements for children's records and make sure that the unit staff understand which medical information is required for children's records within the first month of attendance.

Standard #: 22VAC40-185-150-B
Description: Based on a review of four records for children, and an interview with administrative staff, the immunization records in the files did not include signatures by a physician or designee. Evidence: There were only copies of the the school's computer record of individual immunization dates in the four records viewed. The records did not include signatures by the health care providers and dates for the reports. The administrative staff indicated that these were the records obtained for every enrolled child.

Plan of Correction: The unit director will request and obtain the signed immunization reports provided by the health care providers for every child's record. The reports will be obtained from either the school office personnel or the parents and placed in the files. Administrative staff will review the licensing standards regarding children's record requirements and make sure unit staff for the after school program understand the information needed to complete children's records.

Standard #: 22VAC40-185-160-A
Description: Based on a review of two staff records, and an interview with administrative staff, there was not a TB screening and statement obtained for staff member 1. Evidence: After a TB statement was not found in the file, the staff member indicated that a PPD skin test was obtained on November 30, 2016 and the results will be determined by a health care provider on December 3, 2016.

Plan of Correction: The TB statement will be obtained for the record and provided for the file. In the future, the administrative staff will require TB screening statements that are no older than twelve months old and not obtained any later than twenty-one days of beginning work with children.

Standard #: 22VAC40-185-550-C
Description: Based on a review of the posted information, including the posted emergency procedures/maps, the procedures for all emergency evacuation routes and shelter-in-place routes were not posted in view to staff and children on each floor of the building. Evidence: The only posted emergency procedure/maps were seen in the computer lab and homework room and showed the primary evacuation routes from those activity rooms. There were no secondary routes for evacuation or procedures for shelter-in-place. There were not any posted procedures for the cafeteria area and the lower floor gym.

Plan of Correction: The administrative staff will make sure the emergency procedures/maps for the primary and secondary evacuation routes and tornado warning shelter-in-place locations are posted in conspicuous locations for the staff and children to view on each floor of the building. The information will be applicable to the areas used during after school hours.

Standard #: 22VAC40-185-550-D
Description: Based on a review of the emergency procedures drill record, and an interview with staff, there was not a monthly evacuation drill conducted in November 2016. Evidence: The most recent fire drill was recorded for October 31, 2016. The only emergency drill conducted in November was for shelter-in-place on November 1, 2016.

Plan of Correction: The unit director will conduct monthly evacuation practice drills with the children and staff each calendar month of operation. The monthly evacuation drills will resume in December.

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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