VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care at Princess Anne Family YMCA
2121 Landstown Road
Virginia beach, VA 23456
(757) 410-9557

Current Inspector: Emily Walsh (757) 404-2575

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. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Comments:

A (monitoring/renewal/complaint) inspection was conducted on 3/22/22. There were 44 school aged children present at the start of the inspection with 7 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 5 child records and 6 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 #:	22.1-289.035-B-4
Description:	Based upon review of staff records, the facility has not ensured that they have obtained a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which an applicant/employee has resided in the preceding five years. Evidence: 1. According to the record provided, staff 2 lived in North Carolina within five years prior to employ. Results of a sex offender registry have not been obtained. Results of a child protective services central registry search were not requested. 2. Staff 1 verified that results of a sex offender registry search and child protective services central registry search have not been obtained from North Carolina for staff 2. 3. According to the record provided, staff 3 lived in Maryland within five years prior to employ. Results of a sex offender registry have not been obtained. Results of a child protective services central registry search have not been requested. 4. Staff 1 verified that results of a sex offender registry search and child protective services central registry search have not been obtained from Maryland for staff 2.
Plan of Correction:	The facility responded with the following: Forms have been filled out and will be mailed.
Standard #:	8VAC20-770-60-B
Description:	Based upon review of staff records and staff interview, the facility has not ensured that an employee is not employed without having completed a sworn disclosure or affirmation statement. Evidence: 1. The record provided for staff 7, who staff 1 stated was employed since January 2022, and who drove the bus load of children during the inspection, did not include a completed and signed sworn disclosure statement. 2. Staff 1 verified that the record did not contain a completed sworn disclsure statement for staff 7.
Plan of Correction:	The facility responded with the following: Staff 7 has signed sworn disclosure.
Standard #:	8VAC20-770-60-C-2
Description:	Based upon review of staff records and staff interview, the facility has not ensured that the results of a child protective services search are obtained for staff within 30 days of employment. Evidence: 1. The record provided for staff 4 indicated a hire date of 11/26/2021. The record did not include the results of a child protective services central registry search. 2. Staff 1 verified that results of a central registry search were not in the record for staff 4.
Plan of Correction:	The facility responded with the following: Child protective services search for staff will be sent off Monday April 4 2022.
Standard #:	8VAC20-780-160-A
Description:	Based upon review of staff records and staff interview, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record provided for staff 5, who staff 1 indicated was employed on 8/16/21, and who was on duty with the children during the inspection, did not include documentation of a negative tuberculosis screening. 2. The record provided for staff 7, who staff 1 indicated was hired in January 2022, and who drove the bus full of children during the inspection, did not include documentation of a negative tuberculosis screening. 3. Staff 1 verified that the records for staff 5 and staff 7 did not include tuberculosis screenings.
Plan of Correction:	The facility responded with the following: Staff will obtain TB test on 4/6/22.
Standard #:	8VAC20-780-40-M
Description:	Based upon review of records and staff interview, the facility has not ensured that a current list of all children's allergies, sensitivities and dietary restrictions is maintained, dated and kept confidential in each room or area where children are present. Evidence: Staff 1 stated that there were currently no children with allergies, food sensitivity or dietary restrictions. Review of children's records revealed that the parent of child 3 indicated an allergy to shellfish. Staff 1 stated that the parent said that the child had a reaction to shellfish after the child's physical examination and that it was not diagnosed. The facility did not have a written list to include this child with a food sensitivity.
Plan of Correction:	The facility responded with the following: Allergies list will be posted on licensing board.
Standard #:	8VAC20-780-70
Description:	Based upon review of staff records and staff interview, the facility has not ensured that staff records include all required documentation. Evidence: 1. The records provided for staff 5 and staff 7 did not include the hire dates. 2. Staff 1 verified that the hire dates were not written in the records of staff 5 and staff 7.
Plan of Correction:	The facility responded with the following: Staff 5 and staff 7 hire dates were located and updated.
Standard #:	8VAC20-780-240-B
Description:	Based upon review of staff records and staff interview, the facility has not ensured that staff complete orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record provided for staff 4 indicated a hire date of 11/26/2021. The record did not include any documentation to indicate that staff 4 had received the required orientation training. 2. The record provided for staff 7 who staff 1 said was employed in January 2022, did not include any documentation to indicate that staff 7 had received the required orientation training. 3. Staff 1 verified that there was no record of orientation training for staff 4 and staff 7.
Plan of Correction:	The facility responded with the following: Updated orientation training has been read and signed by staff.
Standard #:	8VAC20-780-240-C
Description:	Based upon review of staff records, the facility has not ensured that the orientation training of new staff includes all of the facility specific topics. Evidence: The documented orientation training in the records of staff 2, hired 3/7/22 and staff 3, hired 1/3/22, did not include prevention of sudden infant death syndrome and use of safe sleep practices; prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children and prevention of and response to emergencies due to food and other allergic reactions including: recognizing the symptoms of an allergic reaction; responding to allergic reactions; preventing exposure to the specific food and other substances to which the child is allergic; and preventing cross contamination.
Plan of Correction:	The facility responded with the following: Updated orientation training to include missing information and staff read and sign.
Standard #:	8VAC20-780-480-B
Description:	Based upon review of children's records, the facility has not ensured that that they maintain written permission from the parent of any child who participates in swimming that includes a statement from the parent advising of the child's swimming skills. Evidence: The record provided for child 4 included written parental permission for child 4 to participate in swimming, however the parent did not complete the child's swimming ability on the form.
Plan of Correction:	The facility responded with the following: Update information to parent to sign and date for swimming abilities.
Standard #:	8VAC20-780-500-A
Description:	Based upon observation, the facility has not ensured that children's hands are washed with soap and water or disposable wipes after eating. Evidence: The first shift of children arriving from the bus after school were served snack at long tables. Upon finishing snack the children got up and disposed of their paper towels and any leftover snack. Some children were observed going to get a disposable wipe from staff but other children were observed going straight to playing without cleaning their hands. A procedure to ensure that that all children's hands were cleaned after snack did not appear to be in place.
Plan of Correction:	The facility responded with the following: Staff wll ensure all staff have completed and thrown all trash away then receive a baby wipe before playing.
Standard #:	8VAC20-780-560-G
Description:	Based upon observation, the facility has not ensured that when food is brought from home the food container is labeled in such a way to identify the owner and dated. Evidence: Children were observed bringing their lunch boxes from their book bags they had taken to elementary school to the snack tables and eating whatever food was in the lunch boxes. There was no mechanism in place to ensure that the lunch boxes were labeled with the children's names and the date.
Plan of Correction:	The facility responded with the following: Staff will sign and date lunch tags of childrens lunch boxes before entering program.
Standard #:	8VAC20-780-560-M
Description:	Based upon observation, the facility has not ensured that children are not allowed to drink or eat while walking around. Evidence: 1. Child 6 was observed wrapping her snack in the paper towel provided and walk to the carpeted area while eating vegetable straws from the towel. She then sat down on the carpet and began playing with toys while eating. 2. Two female children were observed walking around with lollipops in their mouths.
Plan of Correction:	The facility responded with the following: Staff will ensure each child is at a table and if they are to get up they are finished eating.