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YMCA After School - Axton Elementary
1500 Axton School Road
Axton, VA 24054
(276) 650-1411

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Nov. 29, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced Renewal inspection was conducted in the Center on November 29, 2018. As reported, 31 children are currently enrolled in the program. Upon arrival, the Licensing Inspector observed 15 children and 3 staff present in the school cafeteria. The children's ages ranged from 5 to 10 years old. Based on staff interview, a total of 20 children had attended the program on this date. A sample of 6 children's records and 3 staff records were reviewed. Documentation of the annual fire and health inspections was current. A prescribed medication was observed in the center. The children were observed during free play. Findings were reviewed with the Program Director at the exit. If you have any questions, please call 540-309-2310. The inspection was conducted from 4:10PM to 6:00PM. Thank you.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a sample review of 6 children's records, the Center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before attending the center. Evidence: Immunization records were not available for review in two of six records, children 1 and 3.

Plan of Correction: Staff will contact parents to ensure immunization records are obtained. Documentation will be filed in the records.

Standard #: 22VAC40-185-140-A
Description: Based on a sample review of 6 children's records, the Center failed to obtain documentation of a physical examination by or under the direction of a physician for each child. Evidence: Documentation of physical examinations was not available for review in the records of children 1 and 3. The children have been enrolled over 30 days.

Plan of Correction: Staff will notify the parents and will request a copy of a current physical examination for record retention.

Standard #: 22VAC40-185-60-A
Description: Based on a sample review of 6 children's records, the Center failed to ensure information as required by the Standards was complete in each child's record. Evidence: The first date of attendance was not indicated in the records of children 3, 4, and 5. The Mother's work phone number was not listed in the record for child 3. The agreement between the center and parent was not signed by the parent of child #2.

Plan of Correction: Staff will review the record with the child's parent to ensure information is complete and current.

Standard #: 22VAC40-185-510-G
Description: Based on a review of medication, the Center failed to obtain written parental authorization to administer a prescribed medication. Evidence: Written authorization for medication administration was not available for review for child a.

Plan of Correction: Staff will notify the parent and will request a signed authorization from the parent.

Standard #: 22VAC40-185-550-C
Description: Based on direct observations, the Center failed to ensure emergency evacuation procedures were posted.

Plan of Correction: Staff will post emergency procedures with the map.

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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