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Great Bridge/Hickory Family YMCA
633 South Battlefield Boulevard
Chesapeake, VA 23322
(757) 546-9622

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: Dec. 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22 Checks Code, Carbon Monoxide

Technical Assistance:
Discussed:
Two shelter-in-place practice drills required annually.
Documentation of all required training in staff records.
Follow-up for staff background checks.

Comments:
An unannounced renewal inspection was conducted on 12/27/2022 from 10:50 am - 12:40 pm. At the time of entrance there were 21 school age children in care with 6 staff. Children were observed dancing, eating lunch and playing table games.
Records reviewed for four children and eight staff.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and interview, the center failed to obtain the results of a fingerprint background check for staff prior to employment.

Evidence:
1. A fingerprint background check was not available for staff 6.
a. Staff 6 has been employed for several years according to administrative staff.
2. Administrative staff stated that the results of the fingerprint background check could not be located for staff 6.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-B
Description: Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the center has the person's completed sworn statement or affirmation.

Evidence:
1. A completed sworn statement or affirmation could not be located for staff 6.
a. Staff 6 was working in the licensed program during the inspection.
2. Administrative staff stated that staff 6 had been working in the licensed program for several years and confirmed that the sworn statement for staff 6 was missing.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff.

Evidence:
1. Staff 1, hire date 06/20/2022, lacks the findings of a central registry check.
2. Staff 2, employed from 06/20/2022 - 09/06/2022, lacks the findings of a central registry check.
3. Staff 3, employed from 07/12/2022 - 09/06/2022, lacks the findings of a central registry check.
4. Administrative staff verified that the results of a central registry check were not on file for these staff.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence:
1. Staff 4, hire date 06/18/2022, lacked written documentation of a TB screening.
2. Staff 6 lacked documentation of a current TB screening. Staff 6 has been employed for several years according to administrative staff.
3. Administrative staff confirmed that a TB screening was not on file for staff 4 or staff 6.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-C
Description: Based on record review and interview, the center failed to ensure that staff 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 TB screening on file for staff 4 was conducted on 06/01/2020.
2, Administrative staff confirmed that staff 4 had not obtained an updated TB screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-40-M
Description: Based on record review, the center failed to ensure that the current allergy list shall be dated.

Evidence:
The children's allergy list maintained by classroom staff was not dated.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

Evidence:
1. Child 1, enrollment date 12/26/2022, lacks an enrollment record containing the following information:
a. Home address and home phone number of each parent;
b. Work phone number and place of employment of each parent;
c. Name and phone number of child's physician;
d. Name, address and phone number of two designated people to call in an emergency;
e. Names of persons authorized to pick up the child;
f. Allergies and intolerance to medication or any other substances;
g. Chronic physical problems and pertinent development information;
h. Previous child day care and schools attended.
2. Administrative staff confirmed this information was not on file for child 1.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on record review and interview, the center failed to maintain staff records containing all required elements.

Evidence:
1. The employment record for staff 6 was empty and lacked any information.
a. Administrative staff confirmed that all required information for staff 6 was missing and could not be located during the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-A
Description: Based on record review, the center failed to ensure that The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment for all staff.

Evidence:
1. Staff 4, hire date 06/18/2022, lacks documentation of Virginia Preservice training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-245-A
Description: Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence:
1. Staff 5, hire date 06/15/2020, lacks documentation of any annual training for 2021 and 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-340-D
Description: Based on observation, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides.

Evidence:
1. The five staff observed caring for children during the inspection lacked documentation to demonstrate they possess the education, certification and experience required to meet program leader qualifications.
2. Administrative staff confirmed that none of the five staff, caring for children, met program leader qualifications.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-430-K
Description: Based on observation, the center failed to ensure that provision shall be made for an individual place for each child's personal belongings.

Evidence:
Approximately 15 coats, backpacks and lunch containers were observed stored on a table in the multi purpose room. These items were all piled on the table in such a way that all of the items were touching and in some cases completely covering up items underneath..

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-D
Description: Based on record review and interview, the center failed to implement a monthly practice evacuation drill.

Evidence:
1. The emergency fire drill practice log did not indicate if a fire drill was conducted in August of 2022.
2. Administrative staff stated she was not sure if a fire drill was done in August of 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-560-G
Description: Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner.

Evidence:
1. Five of five lunch containers reviewed were not dated.
2. Two of five lunch containers reviewed lacked a name label.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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