VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care at Western Branch Primary School
4122 Terry Drive
Chesapeake, VA 23321
(757) 408-6057

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Oct. 14, 2019 and Oct. 16, 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 Child Abuse & Neglect 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-(2)-60-A (Children's records); 22VAC40-185-(2)-70-A (Staff records);-185-(3)-190 (Program Director qualifications); 22VAC40-185-(7)-510 (Medication)

Comments:

During the inspection there were 59 school age children in care with four staff. Children were observed participating in various activities, eating snack, and doing homework. Records were reviewed for six children while at the facility. The records for four staff were reviewed at the central office on 10/16/19. 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 #6, present during the inspection, did not contain documentation of an immunization record. 2. Staff #4 (Program Director) reviewed the record for child #6, and confirmed there was no immunization record available for viewing during the inspection.
Plan of Correction:	The facility responded: We will check the master record kept at the central office to see if a current immunization record is there. If the enrollment agreement is not in the master record at the central office, we will have the parents of child #6 obtain a current immunization record.
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 #6 did not contain a physical examination. 2. Staff #4 (Program Director) confirmed that the record for child #6 did not contain a physical examination, and had been enrolled for more than 30 days.
Plan of Correction:	The facility responded: We will check the master record kept at the central office to see if a current physical examination is there. If the enrollment agreement is not in the master record at the central office, we will have the parents of child #6 obtain a current physical examination.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of our 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 9/3/17. 2. Staff #4 reviewed confirmed that she had not completed an updated TB screening had not been received.
Plan of Correction:	The facility responded: Staff #4 will complete an updated TB screening. All current staff will complete an updated TB screening prior to two years of the current TB screening.
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 #6 only contained the written agreements between the parents and the center.The enrollment agreement that facility uses was missing. 2. Staff #4 (Program Director) confirmed that the records for child 6 did not contain all of the required information.
Plan of Correction:	The facility responded: We will check the master record kept at the central office to see if an enrollment agreement is there. If the enrollment agreement is not in the master record at the central office, we will have the parents of child #6 complete a new enrollment agreement.