VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christan Association of the Virginia Peninsulas at M
11487 General Puller Highway
Hartfield, VA 23071
(804) 316-9191

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: April 22, 2019

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

22VAC40-185-(3)-240-A and 22VAC40-185-(3)-240-B were reviewed with provider related to new staff, returning (rehire) staff and staff returning from a leave of absence.

Comments:

An unannounced Monitoring Inspection was conducted on April 22, 2019, from approximately 10:25 am to 2:15 pm. Upon entrance there were two staff present with eight children. Children were observed playing outside preparing for and eating lunch. The sample size of records reviewed included five children's records and two staff records and a review of a record form the previous inspection. The center is not administering medications. Violations from the previous inspection were reviewed. Areas of non-compliance were noted on the violation notice. The exit interview was conducted with the center owner. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:

Standard #:	22VAC40-185-40-I
Description:	Based on documentation review and staff interviews, the licensee did not ensure the center shall develop written procedures for injury prevention. Evidence: During the inspection on April 22, 2019, center director confirmed there were not written injury prevention procedures available for review.
Plan of Correction:	The center director will write prevention plan and will be updated annually.
Standard #:	22VAC40-185-60-A
Description:	Based on review of 5 children's records and staff interviews, the licensee did not ensure that all enrolled children had complete records. Evidence: During the inspection on April 22, 2019, the following records were determined incomplete; 1) The records for child #1did not include the home phone number for one parent listed, the address for both emergency contacts, and one parents work location. 2) The records for child #3 did not include the home phone number and work phone number for one parent listed, the street name and phone number for one emergency contact listed
Plan of Correction:	The center director will have them corrected.
Standard #:	22VAC40-185-240-A
Description:	Based on review of 3 staff records reviewed and staff interviews, the licensee did not ensure all staff had a documented orientation training completed by the end of their first day of assuming job responsibilities. Evidence: On April 22, 2019, there was not documentation of orientation training completed by the end of the first day of assuming job responsibilities for staff #1, #2 and #3. -The policies and procedures listed in subsection B of this section and 22VAC40-185-420 A that relate to the staff member's responsibilities; -The center's playground safety procedures unless the staff member will have no responsibility for playground activities or equipment; -Confidential treatment of personal information about children in care and their families; and -The standards which relate to the staff member's responsibilities.
Plan of Correction:	The center director will have the training plan updated.
Standard #:	22VAC40-185-240-B
Description:	Based on review of 3 staff records and staff interviews, the licensee did not ensure that by the end of the first day of supervising children, staff was provided in writing with all required information and procedures. Evidence: On April 22, 2019, there was not documentation to show staff #1, #2 and #3 had by the end of the first day of supervising children was provided in writing with the information listed below; -Procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; - Procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; - Procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; - Procedures for action in case of lost or missing children, ill or injured children, medical emergencies and general emergencies; - Policy for any administration of medication; - Procedures for response to natural and man-made disasters.
Plan of Correction:	The center director will have the training plan updated.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and staff interviews, the licensee did not ensure the center's areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the inspection on April 22, 2019, one of two picnic tables were observed one has 6 nails that were protruding from the wooden boards on the picnic table.
Plan of Correction:	The center director repaired during inspection.
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 April 22, 2019, there was not documentation for the two required shelter in place drills conducted annually. There was documentation of only conducted in 2018.
Plan of Correction:	The center director will make sure the second shelter in place drill is conduct in the future.
Standard #:	22VAC40-185-560-K
Description:	Based on observation and staff interviews, licensee did not ensure tables were sanitized before and after each use for feeding. Evidence: During inspection on April 22, 2019, seven children were observed eating lunch at two different tables and both tables were not sanitized before or after the children eat their lunch.
Plan of Correction:	The center director will retrain staff.