VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA Child Care at Portsmouth YMCA
4900 High Street West
Portsmouth, VA 23703
(757) 483-9622

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: Nov. 19, 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 (Children's records); 22VAC40-185-(2)-70 (Staff records);22VAC40-185-(4)-260 (Fire Inspection); 22VAC40-185-(7)-510 (Medication); 22VAC40-185-(7)-550-D (Emergency drills); 22VAC40-185-(7)-550-M (Injury reports);

Comments:

An unannounced monitoring inspection was conducted n 11/19/19 from 10:10am - 11:40am. During the inspection there were 23 children ages three years old through five years old in care with five staff. Children were observed participating in various activities in the classrooms. Records were reviewed for five children and five staff during the inspection. 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 #:	22VAC40-185-140-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, present during the inspection, did not contain a physical examination. 2. The record for child #5, present during the inspection, did not contain a physical examination. 3. Staff #2 (Program Director) confirmed that a physical examination for child #4 and child #5 were not available for viewing during the inspection, and that both children had been enrolled for more than 30 days.
Plan of Correction:	The facility responded: We will have the parents of child #6 obtain a current physical examination. All newly enrolled children will have their records reviewed prior to starting care.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of five 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 #2, contained documentation of TB screening that was completed more than two years ago. 2. Staff #2 (Program Director), reviewed the record for staff #2 and confirmed that an updated TB screening had not been received.
Plan of Correction:	The facility responded: Staff #2 has completed a TB screening, but will be sent to complete an updated TB screening if it can't be found. All current staff will complete an updated TB prior to two years from the most recent 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 #1 did not include the written agreements between the center and the parent. 2. The record for child #2 did not include the written agreements between the center and the parent. 3. The record for child #5 did not include the written agreements between the center and the parent. 4. The record for child #5 did not include the written agreements between the center and the parent, and did not indicate whether or not the child had previously attended daycare. 5. Staff #2 (Program Director) confirmed that there was no record for child 6 available for viewing during the inspection.
Plan of Correction:	The facility responded: The parents of each child will be contacted to complete the missing information. All newly enrolled children will have their records reviewed prior to starting to ensure they are complete.
Standard #:	22VAC40-185-260-A
Description:	Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 6/1/18. 2. Staff #2 (Program Director) confirmed that the annual fire inspection report had not been completed.
Plan of Correction:	The facility responded: The Fire Marshal has been contacted, and we will notify Licensing when the fire inspection has been completed.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a monthly practice evacuation drill is completed. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that an emergency evacuation drill was completed during the month of March 2018. The last entry for a completed emergency evacuation drill was 2/20/18. 2. Staff #2 (Program Director) confirmed that there was no emergency evacuation drill completed during the month of March 2018.
Plan of Correction:	The facility responded: Going forward we will ensure a practice emergency evacuation drill is completed each month.
Standard #:	22VAC40-185-550-H
Description:	Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. There was not a document that contained local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business on any of the buses inspected. 2. Staff #2 (Program Director) confirmed that there was not a document that contained local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business available for
Plan of Correction:	The facility responded: We will create an emergency document for each bus to includes all routes taken by the bus.