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Alleghany Highlands YMCA West Early Learning Center
515 E. Pine Street
Covington, VA 24426
(540) 965-9622

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: Nov. 19, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was completed 11/19/18. There were 47 children present in six classes. Five children's records were reviewed at the center. Five staff records were reviewed at the central staff record location and the inspection was completed there. Two medications were observed for one child in care. In addition to the monitoring inspection, a self-reported incident was investigated. The incident involving a forbidden action occurred on 7/30/18 and was reported to the Licensing Inspector on 7/31/18 with a plan of correction on that date. The inspector arrived at the center at 9:30 am and departed at 11:40 am. The staff record review began at the central location at 12:00 noon and concluded with the exit of the inspection at 4:15 pm. The children were observed during free time in the classrooms and during outside time. There was discussion with the central site coordinator and the center site coordinator about the following: ensuring when staff are reassigned to classes to cover absences that there is a program leader regularly present in each grouping of children, since the transfer of staff records to central location - having staff emergency/health information at the site with the staff, arrivals and departures as they occur for subsidy requirements, ensuring checks of the first aid kits include all items for each floor, updating cot lists as children change classes/new children are enrolled.

Violations:
Standard #: 22VAC40-185-80-A
Description: Based on observation, record review, and interview, the center failed to ensure that there was an accurate written record of attendance for the date of the inspection. Evidence: 1. The attendance for the toddler class showed nine children present. The inspector observed eight children present. The teacher was asked how many children were present for the class and the teacher responded that there were eight children. The sign in sheet for the class was observed and there were seven children marked present. The written record of attendance did not accurately reflect the number of children present.

Plan of Correction: This was corrected during the inspection. The teacher corrected the attendance as one child had been marked present who was not actually present.

Standard #: 22VAC40-185-210-A-4
Description: Based on record review and interviews, the center failed to ensure that each program leader had the required training for the job position. Evidence: 1. Staff #3 and staff #4 who were both listed as program leaders and working in that capacity on the date of the inspection did not have documentation of the 24 hours of training within 30 days of hire that is required by the job position. Staff #3 was hired 9/6/18 and staff #4 was hired 8/22/18. One staff had 10 hours of training documented and another had 11 hours of training documented towards the 24 hours of required training.

Plan of Correction: The co-administrator will have the staff completed the 24 hours of training in the required areas which will be documented.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that all equipment of the center were maintained in a safe and operable condition. Evidence: 1. There was a metal barrier attached to the floor in the toddler classroom used to keep children from accessing the heater in the classroom that was in disrepair. The barrier was approximately three feet high and was a fence-like fixture with spindles. There were several spindles missing and the fence was wobbly to the touch and unstable. The fence was easily pushed by children which would create a hazard.

Plan of Correction: This will be reported to the maintenance person who will either repair or replace the barrier so it is stable.

Standard #: 22VAC40-185-410-1
Description: Based on observation of a video, the center failed to ensure that physical punishment by striking a child was not used. Evidence: 1. A video was observed of the playground the morning of July 30, 2018. A staff person was observed to spank a 19 month old child on the buttocks (with clothes and diaper) with her hand with one strike. The child was crawling on a wall approximately two feet tall around the playground and the staff person moved the child off the wall after the spank. The child did not have a reaction and went on to play after this incident.

Plan of Correction: This has been corrected through personnel action taken towards the staff resulting in staff termination.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview, the center failed to ensure that staff had a DSS search of the central registry check that was completed within 30 days of employment. Evidence: 1. There was no documentation of a completed DSS search of the central registry for staff #2 who had a hire date of 10/4/18. The DSS search was notarized on 9/25/18 but there was no documentation on the date that the search was sent or any follow-up to the central registry to check the status of the search.

Plan of Correction: The HR administrative staff will check on the status of the search of the central registry. If the search can not be located, the HR staff will send another search request for this staff person.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review and interview, the center failed to ensure that staff authorized the child day center obtained a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against the staff. Evidence: 1. Staff #2 with a documented hire date of 10/4/18 and a start date of 10/15/18 had indicated on the Sworn Statement signed 10/15/18 that she had lived in another state within the last five years. 2. According to the HR administrative staff person at the main office, the out of state central registry check had not been sent as of the date of the inspection.

Plan of Correction: The HR administrative staff stated that the central registry for the state in which the staff person lived will be signed by the staff person to be sent tomorrow.

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

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