VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care - Deep Creek Central
2448 Shipyard Road
Chesapeake, VA 23323
(757) 366-9622

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Dec. 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

The following were discussed with center staff and administration during the inspection: children's records, staff records, medication.

Comments:

An unannounced monitoring inspection was conducted on 12/1/22 from 2:35pm until 4:00pm. At the time of entrance, there were 54 children in care with 4 staff present. Children were observed eating snack, playing table top games and doing homework. Restroom and handwashing procedures and parent pick-up procedures were also observed. A sample of 5 children's records were reviewed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, children's injury reports, medication and required center postings were also reviewed. A sample of 5 staff records were reviewed at the Greenbrier North YMCA on 12/1/22 from 11:15am until 12:30pm. Information gathered during the inspection determined non-compliances with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with center administration at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and interview, the center did not ensure that all employees hired prior to January 22, 2018 have a completed fingerprint based national criminal history record check by September 30, 2018. Evidence: 1. The record for staff 1 (date of hire: 9/22/14) does not contain documentation of a completed fingerprint based national criminal history record check. There was a completed Virginia criminal record check dated 9/22/16. a. Staff 1 stated that she completed the fingerprint based national criminal history record check in 2018 but that the results of the search were missing from her staff record. 2. The most recent documented central registry search result for staff 1 is dated 8/21/15. Staff 1 was due for an updated central registry search in August 2020. 3. Center administration confirmed that the record for staff 1 is lacking the results of a fingerprint based national criminal history record check and an updated central registry search.
Plan of Correction:	The center responded with the following: Staff 1 had her fingerprints completed on 12/3/22 and the central registry search had been submitted. The results will be placed in staff 1's record once received and will be forwarded to the licensing inspector.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children and shall have been completed within the last 30 calendar days of employment. Evidence: 1. The record for staff 3 (date of employment: 9/28/22) does not contain documentation of a negative tuberculosis screening. Staff 3 was working with children on the date of the inspection. 2. Center administration confirmed that staff 3 was working without documentation of a negative tuberculosis screening.
Plan of Correction:	The center responded with the following: Staff 3 will obtain a tuberculosis screening as soon as possible and the results will be placed in her record.
Standard #:	8VAC20-780-160-C
Description:	Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent documented tuberculosis test or screening for staff 2 (date of hire: 10/23/19) is dated 6/13/20. Staff 2 was due for an updated tuberculosis screening in June 2022. 2. Center administration confirmed that the tuberculosis screening for staff 2 is expired.
Plan of Correction:	The center responded with the following: Staff 2 will obtain an updated tuberculosis screening as soon as possible and the results will be placed in her record.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 9/6/22) does not contain the name, home address and home phone number of each parent who has custody; the work phone number and place of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency when a parent cannot be reached; and, previous child day care and schools attended by the child. 2. Staff 4 confirmed that the record for child 1 is lacking the above information.
Plan of Correction:	The center responded with the following: The missing information for child 1 record will be obtained from the parents and placed in the child's record.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. Staff 2 (date of hire: 10/23/19) has a documented position title of program director. The record for staff 2 does not contain the documentation to demonstrate that she possesses the education required by the job position. 2. Staff 3 (date of hire: 9/28/22) has a documented position title of program leader. The record for staff 2 does not contain the documentation to demonstrate that she possesses the experience required by the job position. 2. Center administration confirmed that the record for staff 2 is lacking documentation that she possesses the education required for the job position of program director and that the record for staff 3 is lacking documentation that she possessed the experience required for the job position of program leader.
Plan of Correction:	The center responded with the following: Staff 2's transcripts will be obtained and placed in her record and staff 3's previous experience will be confirmed by management and documentation will be placed in her record.