VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alleghany Highlands Young Men's Christian Association - Central
105 Central Circle
Low moor, VA 24457
(540) 862-0488

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: June 3, 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

Comments:

An unannounced monitoring inspection was completed on 6/3/19. There were 53 children present in five groups. Five children's records and five staff records were reviewed. Five medications for four children in care were reviewed. The inspector arrived at the center at 11:15 am and departed at 3:30 pm. The school-age children were observed during a craft activity, during lunch, and during outside time. The preschool children were observed during nap. Transportation was reviewed for compliance. There was discussion with the site director about the following: adding children to attendance as they arrive at various times throughout the summer time from various school activities, supervision of school-age children during lunch preparation.

Violations:

Standard #:	22VAC40-185-240-C
Description:	Based on record review, the center failed to ensure that all staff completed 16 hours of staff development training each year. Evidence: 1. Staff #3 did not complete 16 hours of training for the 2017-2018 program year. There was documentation that staff #3 had nine hours of training completed.
Plan of Correction:	The licensing and compliance monitor will make sure all staff have at least 16 hours of training for this program year.
Standard #:	22VAC40-185-340-F
Description:	Based on observation, the center failed to ensure that children under 10 years of age were within actual sight and sound supervision. Evidence: 1. There were three children in the Early Head Start classroom who were observed out of sight supervision. One child, three months old, was observed in a crib waking up while the inspector was in the room. Two children, ages 20 months and 19 months, were observed asleep on a cot. The staff person in the room was sitting on the floor in a separate enclosed area interacting with three awake infants with two rows of cribs to her back. The child in the crib was in the second row of cribs farthest away from the staff person. The two children on the cots were in a separate part of the room approximately 25 feet from the staff person and there was furniture in between the staff person and the children which would prevent sight supervision.
Plan of Correction:	This was corrected while the inspector was in the classroom when the second staff person returned to the classroom. The licensing and compliance monitor will address proper sight and sound supervision with staff.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center failed to ensure that hand washing was practiced by staff as required. Evidence: 1. Two staff were observed preparing the lunches for the school-age children and helping them with getting their food for lunch. The staff were observed doing various craft and cleaning activities and then went directly to preparing/serving/assisting children with food for lunch. The staff did put on food service gloves prior to handling the foods.
Plan of Correction:	The school-age director will ensure hand washing is practiced as required.
Standard #:	22VAC40-185-510-N
Description:	Based on observation and record review, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. There was an emergency medication for a child in care that the authorization was effective through April 2019 as indicated by the parent and physician. The medication was still at the center and there was no updated authorization for the medication.
Plan of Correction:	The school-age director stated that she has requested the parent and physician complete another authorization for the medication.
Standard #:	22VAC40-185-560-G
Description:	Based on observation, the center failed to ensure that food that was brought from home was dated. Evidence: 1. A school-age child was observed to have a packed lunch from home in a bag. The bag was not dated.
Plan of Correction:	The school-age director will make sure the lunch is dated daily.