VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Great Bridge/Hickory Family YMCA
633 South Battlefield Boulevard
Chesapeake, VA 23322
(757) 546-9622

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

Inspection Date: Aug. 27, 2021 and Aug. 31, 2021

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

Technical Assistance:

+Emergency contacts are required to be individuals different from the child's parent.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on 08/27/2021 and concluded on 08/31/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 78 school age children present with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 children's records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-130-C
Description:	Based on record review, the center failed to obtain documentation of additional immunizations once between each child's fourth and sixth birthdays. Evidence: 1. The immunization record on file for child 2 lacks documentation of all required immunizations required to be administered once between the age of four and six years.
Plan of Correction:	Immunization records will be reviewed, at enrollment, to ensure each child is current with all required immunizations.
Standard #:	22VAC40-185-140-A
Description:	Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance before the child's attendance; or within one month after attendance. Evidence: 1. Child 1, enrollment date 06/21/2021, lacks documentation of a physical exam.
Plan of Correction:	Administrative staff will ensure all children have a current physical exam on file before attendance or within 30 days of attendance.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Two emergency contacts will be obtained for child 1.
Standard #:	22VAC40-185-90--A
Description:	Based on record review, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. There was no written parent agreement on file for child 3.
Plan of Correction:	Going forward, all children's records will include a signed parent agreement.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. 1. A four-shelf storage unit, in the multipurpose classroom, was not secured to the wall. Multiple items were stored on all four shelves. a. Unsecured storage units are a toppling hazard.
Plan of Correction:	This storage unit will be secured to the wall.
Standard #:	22VAC40-185-290-2
Description:	Based on observation, the center failed to ensure that fans, when used, shall be out of reach of children. Evidence: A stand up fan was observed in the multi-purpose classroom. The fan was accessible to children as the fan was placed on the floor in an open area of the room.
Plan of Correction:	The fan will be removed.
Standard #:	22VAC40-185-480-B
Description:	Based on record review, the center failed to maintain (i) written permission from the parent of each child who participates in swimming or wading and (ii) a statement from the parent advising of a child's swimming skills before the child is allowed in water above the child's shoulder height. Evidence: 1. The enrollment record for child 1 lacks a written statement from the parent advising of child 1's swimming skills. 2. The enrollment record for child 2 lacks written permission from the parent for swimming and wading.
Plan of Correction:	Administrative staff will review enrollment records to ensure all swimming authorizations are signed and completed before the child begins care.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. The sworn statement or affirmation for staff 2 was completed on 07/08/2021 which is after her hire date of 06/28/2021.
Plan of Correction:	All staff will complete a sworn statement or affirmation prior to employment going forward.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the center failed to ensure that all staff have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 2, hire date 06/28/2021, lacks the results of a central registry check.
Plan of Correction:	A central registry check was requested on 06/22/2021. Administrative staff will follow-up to ascertain the status of this check. A new check will be requested if the results can not be located.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, the center failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: 1. The fingerprint background check for staff 1 was obtained on 06/20/2021 which is after the hire date of 06/09/2021.
Plan of Correction:	The results of the fingerprint background check will be obtained prior to employment for all staff going forward.