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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: May 21, 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.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced Monitoring Inspection was conducted on May 21, 2018 from approximately 3:45 pm until 5:55 pm. There were 8 children and 1 staff present with children . The record review sample consisted of 5 children's records and 2 staff records. Children were observed working on homework and playing outside. Areas of noncompliance are noted on the violation notice. Please respond with a plan of correction and date of correction within 5 days for all violations cited. Contact the licensing inspector, Christine Mahan with any questions at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on documentation review and staff interviews, the licensee did not ensure staff had obtained at least every two years from the date of the first initial tuberculosis (TB) screening a follow-up TB screening. Evidence: During the inspection on May 21, 2018, the record for staff #1 did not include a copy of a TB screening. Date of hire was 3-15-17.

Plan of Correction: Staff member will be taken off childcare duties and get rescreened to resume duties.

Standard #: 22VAC40-185-60-A
Description: Based on documentation review and staff interviews, the licensee did not ensure each center maintained and kept at the center a separate record for each child enrolled that contained all required information. Evidence: During the inspection on May 21, 2018, the following records were determined incomplete; 1) The records for child #1, #2 and #4 did not include the home phone numbers for parents listed. 2) 1) The record for child #6 did not contain the home addresses for both emergency contacts listed.

Plan of Correction: Parents to complete missing information.

Standard #: 22VAC40-185-70-A
Description: Based on documentation review and staff interviews, the licensee did not ensure staff records were kept for each staff person with all required information. Evidence: During the inspection on May 21, 2018, the record for staff #3 did not include the name, address, verification of age requirement, job title, date of employment and 2 reference checks that include a signature of person of the conducting the reference checks.

Plan of Correction: Staff member will complete new applications and will complete association checkster process.

Standard #: 22VAC40-185-260-B
Description: Based on documentation review and staff interviews, the licensee did not ensure annual approval from the health department was obtained. Evidence: During the inspection on May 21, 2018, the most recent health inspection available for review was dated 12-1-16.

Plan of Correction: Health inspection was completed and documentation is posted.

Standard #: 22VAC40-185-550-C
Description: Based on documentation review and staff interviews, the licensee did not ensure emergency evacuation and shelter-in-place procedures/maps were posted in a location conspicuous to staff and children on each floor of each building. Evidence: During the inspection on May 21, 2018, there were not emergency evacuation and shelter-in-place procedures posted in a location conspicuous to staff and children in the gym area used by the children in the main YMCA building.

Plan of Correction: Documentation will be created to reflect the new space and be posted in this location.

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 May 21, 2018, there was not documentation for monthly evacuation drills for March 2018 and the two required shelter in place drills for 2017.

Plan of Correction: Proper documentation to reflect the standards will be created to suit needs. Drills will begin after new documentation is complete.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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