VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care - Great Bridge Primary
408 Cedar Road
Chesapeake, VA 23322
(757) 366-9622

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Oct. 27, 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.

Technical Assistance:

The Acknowledgment of Inspection form is only to be posted until receipt of the complete inspection documentation.

Comments:

An unannounced monitoring inspection was conducted on 10/27/2022 from 3:38 pm - 5:10 pm. At the time of entrance there were 43 school age children in care with 5 staff. Children were observed during outdoor play, playing games in the cafeteria and doing homework. Records were reviewed for four children. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, 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 or within 30 days after the first day of attendance. Evidence: 1. Child 3, enrollment date 09/06/2022, lacks a documented physical exam. 2. Administrative staff confirmed that a physical was not on file for child 3.
Plan of Correction:	The program director stated that a written physical exam would be obtained.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview the center failed to ensure that children's records contain all of the required elements. Evidence: 1. Child 2 lacked a written care plan for a diagnosed food allergy. a. The enrollment form for child 2 indicated a diagnosed food allergy for two different foods. 2. Administrative staff confirmed that a written care plan was not available for child 2.
Plan of Correction:	The program director stated that the allergy care plan had been requested for child 2 however, it had not been provided by the parent. An additional request will be made.
Standard #:	8VAC20-780-80-B-2
Description:	Based on record review the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The facility was notified on 09/21/2022 that child 1 had required outside medical attention for an injury that occurred while the child was in care on 09/19/2022. However, the department's representative was not notified of this injury until 09/26/2022.
Plan of Correction:	The program director stated injuries that require outside medical care will be reported to the licensing inspector within 2 business days going forward.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A spray bottle of disinfectant liquid was observed on the seat attached to the table used for staff supplies in the cafeteria.
Plan of Correction:	The disinfectant was locked up during the inspection. The program director stated all cleaning agents would remain locked up in the future.
Standard #:	8VAC20-780-340-A
Description:	Based on record review and interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Written documentation was not maintained of glucose checks for a child in care with a diagnosed medical condition. a. Child 4 was in care during the inspection however, his medication log indicates no check of his glucose for this day. b. The written care plan for child 4 states glucose checks should be conducted before eating and before physical activity however, the medication log for this purpose lacks any entry after 10/12/2022. c. The MAT trained staff confirmed that entries had not been made for these checks since 10/12/2022. 2. The lack of written documentation of glucose checks places child 4 at risk should a medical emergency or question arise.
Plan of Correction:	The MAT trained staff stated that glucose checks had been conducted daily however, these checks had not been noted in the medication log for child 4. The MAT trained staff stated these checks would be noted each day going forward.