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YMCA School Age Child Care-Cedar Road Elementary
1605 Cedar Road
Chesapeake, VA 23322
(757) 312-0366

Current Inspector: Rene Old (757) 404-1784

Inspection Date: March 1, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 Physical plant.
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 Special care provisions and emergencies.
8VAC20-780 SPECIAL SERVICES.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (22VAC40-191)

Technical Assistance:
Reviewed requirements for subsidy training for staff and documentation of children's injuries.

Comments:
An unannounced monitoring inspection was conducted on 03/01/2022 from 4:15 pm - 6:05 pm. At the time of entrance there were 19 school age children in care with 3 staff.
Children were observed engaged in various games in the cafeteria. A large motor game was observed in the gym. Records were reviewed for four children. A serious injury that occurred on 12/06/2021 was reviewed.
Four staff records were reviewed earlier at the Greenbrier North YMCA School Based Child Care office.
Violations were found in the areas of children and staff records, TB screening for staff, care and protection of children and injury documentation.
These violations are listed on the violation notice and were discussed with the program director at the exit interview.

Violations:
Standard #: 8VAC20-780-160-C
Description: Based on record review, the center failed to 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 most recent TB screening on file for staff 1 was conducted on 10/24/2019.

Plan of Correction: Staff 1 will obtain an updated TB screening.

Standard #: 8VAC20-780-60-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 2 lacked a work phone number for one parent.
2. The enrollment record for child 3 lacked a place of employment and work phone number for both parent's.
3. The enrollment record for child 4 lacked a work phone number for both parent's.
4. There was not enrollment record available for child 5.

Plan of Correction: Each parent has been asked to provide all missing information.

Standard #: 8VAC20-780-70
Description: Based on record review and interview, the center failed to maintain the name address and phone number for a designated emergency contact which shall be kept at the site.

Evidence:
1. Staff 2 and staff 3, present during the inspection, lacked documentation of an emergency contact on site at the after school program.
a. The program director confirmed that staff 2 and staff 3 had not completed an emergency contact sheet for the program.

Plan of Correction: Both staff will complete an emergency contact sheet which shall be maintained on site.

Standard #: 8VAC20-780-340-A
Description: Based on observation and interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Evidence:
The center failed to ensure the care and protection of children based on the following incident:
1. The medication log for child 1 indicated a check of Child 1's glucose was not conducted prior to snack on 03/01/2022.
a. Written information from the physical of child 1 indicates that glucose should be checked prior to meals and snacks.
b. Center staff confirmed they failed to check child 1's glucose level prior to serving snack.

Plan of Correction: This lapse was discussed with the site director and stronger procedures are being put in place to ensure that child 1's glucose is checked before eating.

Standard #: 8VAC20-780-550-P
Description: Based on record review and interview, the center failed to ensure that a written record of a child's serious injury was documented on the day of occurrence.

Evidence:
1. Child 5 sustained a serious injury to the arm on 12/06/2021. This injury required medical attention and a written injury report was not written until 12/07/2021.
a. Administrative staff confirmed that the written injury report was not made on the day of occurrence.

Plan of Correction: Going forward, all injuries will be documented on the date of occurrence.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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