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Dudley Elementary YMCA Before & After School Program
7250 Brooks Mill Road
Wirtz, VA 24184
(540) 493-3400

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: Aug. 15, 2018

Complaint Related: No

Areas Reviewed:
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

An unannounced monitoring inspection was completed on 8/15/18. There were 19 children present from four years of age through 12 years with two staff supervising. Five children's records and two staff records were reviewed. Three medications were observed for one child in care. The inspector arrived at the school at 2:45 pm and departed at 6:00 pm. The children were observed at arrivals, during free table toy time, during snack, and during departures. There was discussion with the site director about the following: the snack menu for one day this week which included two fruits (USDA requires two separate components), documentation of administering medications, gross motor time available to the children daily (not observed during the inspection), children opening the door for parents who they may not know and staff not aware of this happening.

Standard #: 22VAC40-185-160-C
Description: Based on record review, the center failed to ensure that staff had an updated tuberculosis (TB) test or screening within two years from the date of the last screening or test. Evidence: 1. Staff #1 last TB test was completed 8/9/16. The staff person did not have an updated TB test or screening since 8/9/16.

Plan of Correction: The staff person has an appointment on 8/28/18 to have a TB test or screening completed.

Standard #: 22VAC40-185-50-A
Description: Based on observation, the center failed to ensure that staff and children's records were treated confidentially. Evidence: 1. The "Supplemental Information" form as a part of the inspection which documents confidential information was posted at the facility from the 2/20/18 inspection. Confidential information was documented on this form for that inspection. This form has a typed statement at the top "DO NOT POST OR NOT FOR RELEASE" and a statement printed on the bottom "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility."

Plan of Correction: The site director will remove the form and ensure that it is not posted for this inspection.

Standard #: 22VAC40-185-190-A
Description: Based on record review and interview, the center failed to ensure that there was a qualified program director at the site. Evidence: 1. Staff #1 who was identified as the program director did not have the documentation required for the job position. 2. According to the child care coordinator, the staff person had attended the complete YMCA-USA School Age Director training and certification. The certificate was not available as it had not been obtained from the trainer.

Plan of Correction: The child care coordinator will obtain the Y-USA School Age Director training certificate and apply for an allowable variance for this staff person to be qualified as program director.

Standard #: 22VAC40-185-550-C
Description: Based on observation and interview, the center failed to ensure that the shelter-in-place location was on the posted emergency map. Evidence: 1. There was no shelter-in-place location observed on the posted emergency evacuation map. 2. The site director stated that the school had posted a new floor plan map and it had not been added to the new map.

Plan of Correction: The site director will add this to the map.

Standard #: 22VAC40-185-550-D
Description: Based on observation of posted documentation of emergency drills, the center failed to ensure that a monthly evacuation (fire)drill was practiced and documented. Evidence: 1. There was no documentation of a fire drill for May 2018.

Plan of Correction: The site director will ensure that a drill is practiced and documented monthly.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the center failed to ensure that each staff person had a completed DSS search of the central registry within 30 days of employment. Evidence: 1. Staff #2 who was hired 11/28/17 did not have a completed DSS search of the central registry completed.

Plan of Correction: The child care coordinator will re-mail the search; it was returned to the YMCA for documentation of incomplete information but was not sent back to the central registry. The child care coordinator will also follow up with the central registry on Monday, 8/20, to ensure that the search can be processed as is.


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. To find programs participating in Virginia Quality, click here.

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