VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Southside VA Family YMCA
580 Commerce Road
Farmville, VA 23901
(434) 392-3456

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: June 14, 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)

Comments:

An unannounced monitoring inspection was completed 6/14/2019. There were 31 children in care with five staff and the director present. The inspector arrived at 7:30 A.M. and departed the program at 12 PM. The inspector reviewed seven children's records and seven staff's records. Observed the children during : arrival, outside play, free play, morning snack, group activity time, and departure for field trip. Discussion with director about: program leader qualifications, hand washing after snack, staff records, children records, using the model form for children's records, using disinfectant wipes, documenting fire drills each month that care occurs at this location and outside time.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of seven children's records, the center failed to ensure that all records had immunizations Evidence: 1. Child # 4 started on 6/3/2019 and on the day of the inspection did not have immunization record.
Plan of Correction:	The director will obtain the immunization ASAP.
Standard #:	22VAC40-185-140-A
Description:	Based on review of seven children's record, the center failed to ensure that all records had a physical within the 30 days of enrollment. Evidence: 1. Child # 1 started the program on 4/9/2019 and on the day of the inspection did not have a physical exam.
Plan of Correction:	The director will obtain the physical.
Standard #:	22VAC40-185-150-B
Description:	Based on review of seven children's records, the center failed to ensure that all immunization records had a physician's signature. Evidence. 1. Children # 1 and 5 did not have a signature by the physician on their immunization record.
Plan of Correction:	The director will ensure that all parents are obtain signatures.
Standard #:	22VAC40-185-160-A
Description:	Based on review of seven staff's records, the center failed to ensure that all staff had a TB screening/test within 21 days of hire. Evidence: 1. Staff # 6 was hired on 5/2/2019 and on the day of the inspection did not have a TB screening or test.
Plan of Correction:	The staff person will obtain a TB test ASAP.
Standard #:	22VAC40-185-60-A
Description:	Based on review of five children's records, the center failed to ensure that all records were complete. Evidence: 1. Child # 1 did not have parent's work phone numbers, persons not authorized to pick up child and a phone number for one of the two required emergency contacts. 2. Children # 2, 3 and 6 persons not authorized to pick up child, and address for emergency contacts. 3. Child # 4 was missing one of the two required emergency contacts, physician's number and persons not authorized to pick up the child. 4. Child # 7 was missing person's not authorized to pick up the child.
Plan of Correction:	The director will obtain the missing information. In the future the model form will be used.
Standard #:	22VAC40-185-70-A
Description:	Based on review of seven staff's records, the center failed to ensure that all records were complete. Evidence: 1. Staff # 1-7 did not have address for their emergency contacts.
Plan of Correction:	The director will update all forms to include the address. All staff will update.
Standard #:	22VAC40-185-340-D
Description:	Based on record review and observation, the center failed to ensure that all grouping of children had a qualified program leader. Evidence: 1. The larger grouping of children that was supervised by staff # 2 and 5 did not meet the program leader qualifications.
Plan of Correction:	The director promote a staff person to program leader and will train.
Standard #:	22VAC40-185-510-G
Description:	Based on review of one medication, the center failed to ensure that all prescription medications meet all standards. Evidence: 1. Based on review of medication for child # 1 the medication did not have the prescription label from the pharmacy.
Plan of Correction:	The director will have the parent to obtain a new medication with correct label.
Standard #:	22VAC40-191-40-C-1-B
Description:	Based on review of seven staff's records, the center to ensure that all staff had a sworn statement prior to starting employment. Evidence: 1. Staff # 3 and 4 did not have a signed sworn statement. Staff # 3 start date was 5/15/2019 and staff # 4 start date was 6/3/2019.
Plan of Correction:	The director will have staff to complete the form ASAP.