VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys & Girls Club of Waynesboro, Staunton & Augusta Co-Staunton
1114 W. Johnson Street
Staunton, VA 24401
(540) 949-4516

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Dec. 16, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on 12/16/2022 and concluded on 12/16/2022. There were 32 children present, ranging in ages from 5 years to 12 years, with 5 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 4 child record, 1 medication authorization and 5 staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-780-240-B
Description:	Based on record review, the center failed to ensure staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of Staff #2 (DOH 08/22/2022) showed orientation documentation that was completed on 10/12/2022. 2. The record of Staff #3 (DOH 08/29/2022) showed orientation documentation that was completed on 10/12/2022. 3. Staff #1 confirmed that their orientation was not completed until 10/12/2022.
Plan of Correction:	All new staff will receive orientation within seven days of hire or before they are alone with the children.
Standard #:	8VAC20-780-240-E
Description:	Based on a review of staff records and interview, the center failed to obtain within 30 days of employment staff orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care. Evidence: 1. The records of Staff #5 date of hire was 10/26/2022 did not contain documentation of first aid and CPR orientation training. 2. Administration confirmed the training was not completed.
Plan of Correction:	If the new staff cannot get in to be CPR/FA certified within 30 days of hire, then they will be trained before the 30 days is expired.
Standard #:	8VAC20-780-510-E
Description:	Based on review of the centers procedures, the center failed to include policies on administering medications, methods to prevent use of outdated medications, general restrictions of medication use of the center, use of nonprescription and prescription medications. Evidence: 1. The licensing inspector asked to review the center's policies and procedures for medication administration and prevention of use of outdated medication in the staff and parent handbooks. 2. There were no medication policies in the staff or parent handbooks.
Plan of Correction:	The administration will add the appropriate medication policies and procedures to the staff and parent handbooks.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of records, the center failed to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of Fire drills being practiced in October and November of 2022. 2. Staff #1 verified that fire drills were not completed during the those two months.
Plan of Correction:	The director will be sure to complete monthly fire drills and document them after they are completed.