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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: April 12, 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.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for staff and children's records. The risk assessments for violations were provided. We reviewed the requirements for sight and sound supervision of children, especially during transitions in stairwells and hallways and while children finished with the bathroom routine wait in the hall. Volunteers may not supervise children than are not seen by a staff member, such as the hallway off of the main hall at bathrooms used after gym time. If you have any concerns about ensuring sight supervision when a child needs to go the the front entrance area for time away from the group, please contact me about ideas. Also, the gym door at the far end of the gym which leads to a back hall and stairwell should be closed while you start your day in the gym since there are concerns about children who have tried to wander away from the group.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 3:28 PM to 6:10 PM. Today, there were twenty-seven school age children with three to four staff. I viewed program activities, staffing, supervision, interactions with children, posted information, emergency planning, emergency supplies and drill records, agency inspection reports, equipment, daily routines, indoor areas, snack, nutrition, five records for children, four staff records, staff qualifications, and staff training. The children enjoyed active play in the gym and outside. Snack was served outside on this nice weather day. Hand washing routines were appropriate. Most of the program hours were spent outside due to the school's preparations for an evening event. Staff were observed providing needed communication with parents during pick up times. It is recommended that you do regular reviews of your records. Please, use a tracking system for making sure that new children and staff have all required information. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of five records for children, and an interview with administrative staff, the immunization records for child 4 was not obtained before initial attendance. (Repeat violation.) Evidence: Child 4 began attending on October 3, 2017 and there was not an immunization report in the file that was signed by a health care provider.

Plan of Correction: Administrative staff will request the required information from the parent again. As needed, the administrative staff will provide a deadline for the parent to submit the immunization report or the child will be suspended from attending until the report is provided.

Standard #: 22VAC40-185-140-A
Description: Based on a review of five records for children, and an interview with administrative staff, the program failed to obtain a physical examination record for child 4 within one month after initial attendance. (Repeat violation.) Evidence: There was not a physical examination report in the file and the first date of attendance was October 3, 2017.

Plan of Correction: Administrative staff will request the required information from the parent again. As needed, the administrative staff will provide a deadline for the parent to submit the physical examination report or the child will be suspended from attending until the report is provided.

Standard #: 22VAC40-185-60-A
Description: Based on a review of five records for children, and an interview with staff, there were not at least two emergency contacts, other than the parents, obtained for the record of child 3. Evidence: There was only one written emergency contact written in the registration form. Staff indicated they did not have additional emergency contact information in another location for children's information.

Plan of Correction: During today's pick up time, the front desk staff asked the parent to add a second emergency contact. In the future, if a parent does not have another local emergency contact, administrative staff will help the parent with options for a second contact such as an out-of-town relative or a contact person at a parent's workplace.

Standard #: 22VAC40-185-70-A
Description: Based on a review of four records for staff, and an interview with administrative staff, there was initial training information missing from the record of staff member 3. Evidence: Staff member 3 was transferred to a position at this program on January 8, 2018. Administrative staff indicated that they reviewed the orientation information with staff member 3 and did not write down the orientation training provided.

Plan of Correction: Administrative staff will document the training provided in January and use the orientation checklist form. Administrative staff who conduct orientation training in the required topics specific to the school site will always make sure the documentation is completed and placed in the staff record.

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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