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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: Feb. 16, 2018

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 February 16, 2018. Upon arrival to the facility, there were 12 children in care with two staff members. Additional staff were on site for administrative and support purposes. The children were observed coloring and talking freely amongst themselves. The licensing inspector reviewed emergency evacuation and procedures, rest room and furnishings, administration, emergency supplies, the physical plant, equipment, and indoor areas. The outside area was not inspected due to inclement weather. Five staff records and five children's records were reviewed. One medication was reviewed.

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on record review, in one of five children's records reviewed, the licensee did not ensure that each child's medical report 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 February 16, 2018, the record for Child #2 had not been signed by a physician, his designee, or an official of a local health department.

Plan of Correction: We will have the parent/guardian to get a signed copy.

Standard #: 22VAC40-185-160-A
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: During the inspection conducted on February 16, 2018, there was no documentation a TB screening in the record for Staff #2 (start date 10/17/17).

Plan of Correction: Staff member will obtain a TB screening.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in one of five children's records reviewed, the licensee did not ensure that each child's record was documented with all required information. Evidence: During the inspection conducted on February 16, 2018, the record for Child #5 did not the name, address, phone number, place of employment and work phone number for one parent and the names of any previous child day care and schools attended by the child.

Plan of Correction: Director will contact the parent and have the file updated today.

Standard #: 22VAC40-185-240-C
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that program directors and staff who work directly with children shall annually attend 16 hours of staff development activities that shall be related to child safety and development and the function of the center. Evidence: During the inspection conducted on February 16, 2018, Staff #1 completed 11 out of 16 hours of annual training between June 4, 2016-June 4, 2017.

Plan of Correction: Moving forward we will make sure the staff person receives the appropriate amount of hours and will be addressed this Spring.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection conducted on February 16, 2018, in the main childcare room, the licensing inspector observed disinfecting wipes and peroxide cleaner in a white cabinet that was unlocked. Both items were labeled caution and keep out of reach of children.

Plan of Correction: The items will be removed today.

Standard #: 22VAC40-185-510-C
Description: Based on review, the licensee did not ensure that the center's procedures for administering medication shall include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: During the inspection conducted on February 16, 2018, one medication reviewed had a parent's authorization for 12/12/17 through 12/05/18 which is longer than 10 work days. The authorization form had not been renewed by the parent nor was there written authorization from the child's physician. The staff member's administered the medication beyond the authorization effective end date.

Plan of Correction: Parent will fill a new authorization form today and will get the physician's written authorization to be submitted within a week.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that the center implemented 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 February 16, 2018, there was no documentation of the following practice drills: 1. No evacuation drills practiced in August, September, October, November, December 2017 and January 2018 2. No shelter-in-place drills practiced in 2017

Plan of Correction: We will have practice evacuation and shelter in place drills and get a schedule of future drills going forward.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, in one of five staff records reviewed, the licensee did not deny continued employment to a staff member when the center did not have a central registry finding within 30 days of employment or volunteer service. Evidence: During the inspection conducted on February 16, 2018, there were no results of a central registry finding in the record for Staff #2 (start date 10/17/17).

Plan of Correction: The staff member will not work until the results have been returned.

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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