VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care at Southeastern Elementary
1853 South Battlefield Blvd.
Suite A
Chesapeake, VA 23322
(757) 366-9622

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: May 23, 2019 and May 24, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-185-(3)-190 (Program Leader qualifications); 22VAC40-185-(7)-510 (Medication)

Comments:

An unannounced monitoring inspection was conducted on 5/23/19 from 2:15pm - 4:00pm. At the time of entrance there were 55 school age children in care with four staff. Children were observed participating in various activities in the cafeteria, playing outside, doing homework, and eating snack. Records were reviewed for six children while at the facility. The records for four staff were reviewed on 5/24/19 at the central office. Medication, emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of six children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #4, present during the inspection, did not contain documentation of an immunization record. 2. Staff #1 reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.
Plan of Correction:	The facility responded: The parents of child #4 will be asked to provide an immunization record. All new children will have their record reviewed prior to enrollment.
Standard #:	22VAC40-185-140-A
Description:	Based on a review of six children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child #4 did not contain a physical examination. 2. Staff #1 confirmed that the record for child #4 did not contain a physical examination, and had been enrolled for more than 30 days.
Plan of Correction:	The facility responded: The parents of child #4 will be asked to provide a physical examination. All new children will have their record reviewed prior to enrollment.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of four staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #4, contained documentation of TB screening that was dated 2/1/17. 2. Staff #5 reviewed the record for staff #4 and confirmed that an updated TB screening had not been received.
Plan of Correction:	The facility responded: Staff #4 complete an updated TB screening for another job, but we have not received any documentation for it. Staff #4 will be sent to complete a TB screening. All current staff will complete an updated TB screening every two years.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of six children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #5 did not contain documentation to indicate whether or not the child had previously attended child care, and did not include the written agreements between the center and the parent. 2. Staff #1 reviewed the record for child #5, and confirmed that the record for child #5 did not contain all of the required information.
Plan of Correction:	The facility responded: The parents of child #5 will be asked to provide a second emergency contact. All new children will have their record reviewed prior to enrollment.
Standard #:	22VAC40-185-510-G
Description:	Based on a review of the medication being stored at the facility, it was determined that the licensee did not ensure that in order to administer prescription medication the center must obtain written authorization from a parent or guardian. Evidence: 1. There was medication (Epi-Pen and Benadryl) labeled with child #7's name in the medication box. However, there was not a current written authorization for the medication. 2. There was medication (Auvi-Q) labeled with child #8's name in the medication box. However, there was not a current written authorization for the medication. 3. Staff #1 (Site Director) reviewed the medication and the records for child #7 and child #8, and confirmed the written medication authorization was not signed by the parent.
Plan of Correction:	The facility responded: The parents of child #7 and child #8 will be asked to sign a new written medication authorization. Going forward, no medication will be accepted without a medication authorization that is signed by the parent.