VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys & Girls Clubs of Southeast Virginia- Rosemont Unit
1505 Competitor Court
Va beach, VA 23456
(757) 368-4445

Current Inspector: Christopher Robinson (757) 404-2322

Inspection Date: July 24, 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. 63.2 Facilities and Programs.. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-185-(4)-270 (Building maintenance); 22VAC40-185-(2)-60- A (Children's records); 22VAC40-185-(2)-160 (TB screening); 22VAC40-185-(7)-580 (Field trip); 22VAC40-185-(7)-510 (Medication); 22VAC40-185-(7)-550-D (Emergency drills)

Comments:

An unannounced monitoring inspection was conducted on 7/24/18 from 10:00am - 12:45pm. At the time of entrance there were 116 school age children in care with 11 staff. Children were observed participating in various activities in the gym and classrooms, and eating lunch. Records were reviewed for ten children while at the facility. The records for ten staff were reviewed at the central office on 7/24/18. Medication, emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on a review of ten staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. There was not documentation at the facility for the name, address, and phone number for a person to contact in an emergency for staff #9. 2. Staff #10 (Program Director) could not provide documentation during the inspection for the emergency contact for staff #9.
Plan of Correction:	The facility responded: The emergency contact information staff #9 was completed. All new staff will have their emergency contact information at the facility prior to employment.
Standard #:	22VAC40-185-350-E-6
Description:	Based on on observation and interviews, it was determined that the facility did not ensure that for children, from nine years of age through twelve years, one staff member for every 20 children is maintained at all times children are in care. Evidence: 1. During the inspection the Licensing Inspector observed staff #3 working alone in the computer room with 24 children. The children present were ages nine to ten years old. 2. Staff #10 (Program director) confirmed that the facility did not maintain the required staff-to-child ratio for this grouping of children.
Plan of Correction:	The facility responded: Corrected during the inspection as there were extra staff present. We will ensure there are extra staff present at the facility to ensure the required staff-to child ratios are maintained at all times children are present.
Standard #:	22VAC40-185-510-G
Description:	Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The medication (Ventolin inhaler) for child #11 was not in the original, labeled container. The box in which the medication normally comes was not at the facility. 2. The medication (Ventolin inhaler) for child #12 was not in the original, labeled container, and there was no written parent authorization. The box in which the medication normally comes was not at the facility. 3. The medication (Ventolin inhaler) for child #13 was not in the original, labeled container, and there was no written parent authorization. The box in which the medication normally comes was not at the facility. 4. The written authorization for the medication (Ventolin inhaler) for child #14 was not signed by the parent. 5. The written authorization for the medication (Pro-Air inhaler and Epi-pen for child #15 was not signed by the parent. 6. The written authorizations for the medications (Ventolin inhaler, Epi-pen and Benadryl) for child #16 were not signed by the parent. 7. There was no written authorization for the medication (Pro-air inhaler) for child #17. 8. There was no written authorization for the medication (Pro-air inhaler and Epi-pen) for child #18. 9. There was no written authorization for the medication (Pro-air inhaler and Epi-pen) for child #19. 10. There was no written authorization for the medication (Epi-pen) for child #20. 11. Staff #10 (Program Director) confirmed that there was medication at the facility that was not in the original, labeled container, and there was medication that did not have written authorization from the parent to be given.
Plan of Correction:	The facility responded: The parents of any child with medication at the facility will be asked to bring in the box for the medication if it is missing and written authorization to administer medication will be completed by each parents. All new medication will not be accepted if it is not in the original, labeled container and there is written authorization from the parent or guardian.