VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of the Virginia Peninsulas
458 Harris Road
Wiley Child Development Center
Kilmarnock, VA 22482
(804) 480-0063

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: March 22, 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. 8VAC20-820 THE LICENSING PROCESS.

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 March 22, 2022 and concluded on March 22, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 12 children present, ranging in ages from 2 years to 4 years, with 3 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 2 child records and 2 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-780-40-K
Description:	Based on a review of documents and interview, the center failed to develop written procedures for abusive head trauma. Evidence: There was no documentation of written procedures for abusive head trauma. Administration acknowledged it was not completed.
Plan of Correction:	Abusive head trauma training components will be updated in staff manual.
Standard #:	8VAC20-780-350-F
Description:	Based on a review of records and interview, the center failed to develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: There was no documentation of a written policy and procedure for care by consistent staff. Administration acknowledged it was not complete.
Plan of Correction:	Continuity of care policy will be updated in parent handbook.
Standard #:	8VAC20-780-550-B
Description:	Based on a review of the emergency preparedness plan the center did not ensure the emergency preparedness plan contained all procedural components. Evidence: The emergency preparedness plan did not contain the following components: 1) methods to ensure any health care needs to include medications and care plans; emergency contact information for staff; and supplies are taken to the assembly point or relocation site; 2) includes method of communication with emergency responders; 3) accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation; and 4) procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
Plan of Correction:	Emergency plan updates per new VDOE guidelines will be updated.