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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 19, 2017

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.

Technical Assistance:
Substitute containers should be clearly labeled to indicate their contents. Cosmetics, medications or other harmful items should not be stored in purses that are accessible to children.

Comments:
An unannounced monitoring inspection was conducted on July 19, 2017. Upon arrival to the facility, there were 12 children in care with two staff members. Throughout the course of the inspection there were a total of 18 children present. Additional staff were on site for administrative and support purposes. The children were observed during their opening ceremony, and playing freely and doing multiple floor activities to include board games, manipulatives and other small toys. The licensing inspector reviewed nutrition, emergency evacuation and procedures, rest room and furnishings, administration, emergency supplies, the physical plant, equipment, and indoor and outdoor areas. Five staff records and five children's records were reviewed. Two medications were reviewed.

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on record review, in two of five children's records reviewed, the licensee did not ensure that health reports for enrolled children shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: During the inspection conducted on July 19, 2017, the immunization reports for Child #2 and Child #3 were not signed by a physician, his designee, or an official of a local health department.

Plan of Correction: Program Director will contact the parents and have them provide documentation of the signature on their immunization records.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: During the inspection conducted on July 19, 2017, there was no documentation of a negative TB screening in the record for Staff #3 (start date as indicated in the record 6/19/17).

Plan of Correction: Staff is scheduled to have a TB screening.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in two of five children's records reviewed, the licensee did not ensure that a separate record for each child was maintained with all required information. Evidence: 1. During the inspection conducted on July 19, 2017, the record for Child #3 did not include documentation of employment information for one parent. 2. The record for Child #5 did not include the address, phone number and employment information for one parent.

Plan of Correction: 1. The Program Director corrected the record during the inspection. 2. The Program Director will contact the parent and will update the record today.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in four out of five staff records reviewed, the licensee did not ensure that each staff record was maintained with all required information. Evidence: 1. During the inspection conducted on July 19, 2017, the records for Staff #1 and Staff #3 only had documentation of one of two reference checks completed before employment and incomplete orientation training. 2. Staff #2 had incomplete orientation training. 3. Staff #4 did not have documentation of a name, address, and telephone number of a person to contact in the event of an emergency.

Plan of Correction: The reference checks will be completed today. All staff will be required to complete orientation training today. The emergency contact information will be completed today.

Standard #: 22VAC40-185-260-B
Description: Based on review, the licensee did not provide annual approval from the health department for meeting requirements for water supply, sewage disposal system and food service, if applicable. Evidence: During the inspection conducted on July 19, 2017, the health inspection for the facility expired and was dated 6/16/16.

Plan of Correction: The health department has been contacted and an inspection will be scheduled.

Standard #: 22VAC40-185-330-F
Description: Based on observation and inspection of the facility, the licensee did not ensure that a shady area shall be provided on outdoor play areas during the months of June, July, and August. Evidence: During the inspection conducted on July 19, 2017, there was not a shady area on the outdoor area to be used by the children in care.

Plan of Correction: If we go outside we will bring the tent out and if staff let's the Program Director know prior then the tent will be set up and taken down daily.

Standard #: 22VAC40-185-510-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that prescription medication shall be given to a child only with parental authorization. Evidence: During the inspection conducted on July 19, 2017, a prescription medication was administered to a child on the following dates in 2017: July 10, July 12, July 13, July 17, and July 18. There was not an authorization form signed by the parent or the child's physician which was verified by the Program Director.

Plan of Correction: The authorization form was mistakenly taken by the parent and we will obtain a copy of it today.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that a monthly practice evacuation drill and a a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: During the inspection conducted on July 19, 2017, there was no documentation of evacuation drills practiced from January through June 2017 and no shelter in place drills were conducted in 2016.

Plan of Correction: A shelter in place drill will be completed twice a year and a fire drill will be practiced every month.

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 July 19, 2017, five lunch containers were randomly selected. All five of the lunch containers were not dated and one lunch container was also not labeled in a way that identified the owner.

Plan of Correction: The food containers will be appropriately labeled and dated.

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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