VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Family YMCA, Inc. Axton
1500 Axton School Road
Axton, VA 24054
(276) 650-1411

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: May 21, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety inspection was conducted on May 21, 2019 to review supplemental health and safety requirements. Upon arrival at 3:10 PM there were a total of twenty-three (23) school age children present under the direct care & supervision of three caregivers. Adult to child ratios were in-compliance upon arrival & throughout the inspection. LI Anderson observed children during arrival/departure procedures, bathroom/hand washing procedures, snack/meal served, group activities, self-initiated activities and homework/quiet time. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations found during the supplemental subsidy health and safety inspection were reviewed with the Center Director. Inspection concluded at 5:45 PM. The Licensing Inspector for YMCA Afterschool Program (Axton Elementary) can be reached directly at (540) 309-2310 should you have any questions or concerns.

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on record review, the Vendor failed to ensure each staff member submit documentation of a tuberculosis skin test/screening completed within the last 30 calendar days of the staff member's hire date. EVIDENCE: Licensing Inspector reviewed 3 staff records. TB test/screening for Staff #1 and Staff #2 was not completed within the 30 days prior to the date of employment. Staff #1 date of employment is 3/26/2018; TB test/screening for Staff #1 was completed on 4/10/2017. Staff #2 date of employment is 2/27/2018; TB test/screening for Staff #2 was completed on 8/10/2017.
Plan of Correction:	Staff will update TB test.
Standard #:	22VAC40-665-560-A
Description:	Based on record review, the Vendor failed to obtain immunization documentation for each child. EVIDENCE; Licensing Inspector reviewed 5 children records. Record for #2 did not include documentation of the child's most recent immunizations.
Plan of Correction:	Will obtain documents from the parents.
Standard #:	22VAC40-665-580-H
Description:	Based on record review, the Vendor failed to ensure each staff who work directly with children complete at least 16 hours of annal training and staff development related to child safety, child development and the function of the center. EVIDENCE: Licensing Inspector reviewed 3 staff records. 16 hours of annual training was not completed by Staff #1 and Staff #2. Training documentation reviewed in the staff record for Staff #1 confirms 10 hours of annual training. Training documentation reviewed in the staff record for Staff #2 confirms 14 hours of annual training.
Plan of Correction:	Staff will update training record with additional completed trainings.
Standard #:	22VAC40-665-750-A-2
Description:	Based on inspection of medication, the Vendor failed to ensure drugs that were dispensed from a pharmacy is maintained in the original, labeled container with the child's name. EVIDENCE: Licensing Inspector reviewed prescription medication for Child #1. Emergency medication was dispensed from a pharmacy and did not contain the prescription label with the child's name.
Plan of Correction:	Director will request copy of prescription label.