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McIntosh School Age Program
185 Richneck Road
Newport news, VA 23606
(757) 926-1400

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Aug. 1, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Comments:
An unannounced inspection was started in the center on August 1, 2017 and completed on September 20, 2017 regarding a self reported incident related to Staffing and Supervision and Special Care Provisions and Emergencies. Center documentation was reviewed and staff and collateral interviews were conducted. The areas of noncompliance are noted on the violation notice. The results of the inspection were reviewed and verified with the Supervisor- Youth Programs during the exit interview on September 20, 2017. Please complete the columns for ?description of action to be taken? and ?date to be corrected? for each violation cited on the violation notice, and then return it to the licensing office within 5 days of receipt. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-340-A
Description: Based on a review of center documentation and interviews, the licensee did not ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1) On July 28, 2017, at approximately 12:13 p.m., Staff #1 administered a prescription medication to Child #1, six years old. 2) Staff #1 reported he gave child #1 medicine from the medicine box and then walked him over to the water fountain, gave him a cup and administered the medication. 3) Child #1 reported to parent that staff #1 gave me mint medicine today. 4) The family member who picked up Child #1 from the center at 5:12 p.m. on July 28, 2017 described the child as "acting real hyper, jittery and nervous", and observed the child's eyes were dilated, his face and ears were red and he had red splotches on his face. 5) The parent of Child #1described the child as acting really sleepy and wild later that same evening.

Plan of Correction: At the time of the report report incident , on July 29, Staff #1 was removed from working at sites. Staff #1 is not longer employed with Newport News Parks, Recreation & Tourism. MAT certified Site Supervisors will continue to follow the training protocols of checking the "5 rights" before, during and after administering medication. The YP leadership team will continue to review polices regarding the administration of medication and implement new procedures to ensure all medications are administered as indicated.

Standard #: 22VAC40-185-510-A
Description: Based on staff interviews, the licensee did not ensure the center staff administers prescription and nonprescription medication only with written authorization from the parent. Evidence: Staff reported, there was not an authorization for administering the medication nor a medication log for child #1. The medication was administered without parental permission.

Plan of Correction: Site Supervisors will continue to ensure written parental authorization is included in the medication log and verify this authorization along with the "5 rights" when administering medication.

Standard #: 22VAC40-185-510-L
Description: Based on a review of center documentation and interviews, the licensee did not ensure the center staff administers drugs only to the child identified on the prescription label in accordance with the prescriber?s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1) Staff #1 reported, that he must have given the wrong child the medicine. 2) Child #1 confirmed to staff and parent that staff #1 gave him medication out of the identified black box of medicine. 3) Staff #1 reported administering the medication to child #1 and did not document the type of medication, the amount of medication, the time and date of administering the medication.

Plan of Correction: The YP leadership team will continue to review policies regarding administration of medication and implement new procedures to ensure medications are administered as indicated in Medication Administration Training. New polices will indicate during summer and consolidation programs , specific MAT certified staff members will be appointed as primary and secondary medication administrators.

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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