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Middlesex Family YMCA Operated by Peninsula Metropolitan YMCA
11487 General Puller Highway
Hartfield, VA 23071
(804) 316-9191

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 28, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced Monitoring Inspection was conducted on November 28, 2017 from approximately 3:45 p.m. until 6:05 p.m. There were 14 children and 1 staff and 2 volunteers present with children . The record review sample consisted of 5 children's records and 2 staff records. Children were observed eating snack, working on homework and playing games. Areas of noncompliance are noted on the violation notice Please contact the licensing inspector, Christine Mahan with any questions at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contains all the required information. Evidence: During the inspection on November 28, 2017, 2 out of 5 records reviewed were determined to be incomplete. 1) The record for child #1 did not contain the addresses for both emergency contacts listed 2) The record for child #2 did not include an address for the second emergency contact listed.

Plan of Correction: 2nd parent info completed by parents.

Standard #: 22VAC40-185-280-B
Description: Based on a record review and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection on November 28, 2017, in the office on a desk were 2 spray bottles of disinfectant, an air fresher and a container of "Goof off". All items were labeled "keep out of reach of children" and at least one of the other statements "warning", "hazardous" and "flammable".

Plan of Correction: Office doors will be closed and locked.

Standard #: 22VAC40-185-550-D
Description: Based on documentation review and staff interviews, the licensee did not ensure the center implemented a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: During the inspection on November 28,2017, there was not documentation for monthly evacuation drills for June, 2017, July 2017and September 2017.

Plan of Correction: Risk management team will add program center to calendar for monthly practice drills.

Standard #: 22VAC40-191-60-C-1
Description: Based on a record review and staff interviews, the licensee did not ensure all employees had an original criminal history record report (CRC) within 30 days of employment or volunteer service; or employment shall be denied. Evidence: During the inspection on November 28, 2017, staff #2 did not have a CRC. Staff #2's date of hire was 8-9-2017 and was confirmed by their supervisor. Staff #2 was observed working in the center during the inspection.

Plan of Correction: Staff #2 and 3 other staff members have filed for proper CRC. Applications mailed 11/29/2017.

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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