VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men?s Christian Association of the Virginia Peninsulas-Mat
498 Church Street
Mathews, VA 23109
(804) 725-1488

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Aug. 17, 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 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

Discussed clear documentation of the menu (when providing food) and the listing of substitute items when necessary.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A monitoring inspection was initiated on August 17, 2022 and concluded on August 17, 2022. There were 13 children present, ranging in ages from 5 to 12, 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 5 child records and 5 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 #:	8VAC20-780-160-A
Description:	Based on review of five staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Two out of five records reviewed did not have documentation of TB screening/ test available for review for the following staff that was conducted in the required timeframe. 1. Staff #2?s TB screening was dated May 23, 2022 and the first date of employment was December 26, 2021. 2. Staff #5`s TB screening was dated March 9, 2022 and the first date of employment was June 6, 2022.
Plan of Correction:	Director will work with HR to ensure proper staff documentation is completed prior to actual date of employment.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five children?s records and staff interviews, the licensee did not ensure that each child shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. Evidence: Two out of five children?s records reviewed did not include compete emergency contact information. 1. Child #2 did not have a second emergency contact listed. 2. Child #3 did not have complete home addresses for both emergency contacts listed.
Plan of Correction:	Director will ensure proper emergency contact documents will be in place before the registrations are accepted to the center.
Standard #:	8VAC20-780-510-B
Description:	Based on medication review, documentation review and staff interviews, the licensee did not ensure that prescription medication shall be given to a child only with written authorization from the parent. Evidence; The medication log for Child #1 was reviewed and medication (methylphenidate) had been administered a total of 28 days between June 14, 2022 and August 16, 2022. The medication authorization for Child #1 was reviewed and the parent had not authorized administration of the medication.
Plan of Correction:	Mat certified staff will ensure authorized administration signatures are secured prior to accepting medications.