VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care at Western Branch Primary School
4122 Terry Drive
Chesapeake, VA 23321
(757) 408-6057

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Feb. 16, 2023

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:

And then announced renewal inspection was completed on site on February 16th 2020, 23. There were 32 children in care ages 4 years through. 8 years old. Children and staff records were reviewed. Staff records are located at a central location. Children were observed in teacher and self-directed activities, including tabletop activities, homework, outside play, transitions, hand washing and restroom routines. Violations regarding children's records staff records, administration, supervision, medication and background checks were found and discussed during the exit interview with staff present at the facility.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review the center failed to ensure that out-of-state background checks are obtained as required for employees. Evidence: 1 - The record for Staff #2 contains information that the staff has lived in the state of Georgia within the past five years. However, there is not any documentation that an out-of-state central registry finding was requested from the state of Georgia. a. The documented date of hire for Staff #2 is September 30, 2022. b. The sworn disclosure of affirmation for Staff #2 is dated September 9, 2022 and indicates that the staff resided in Georgia within the past five years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review the center failed to follow background check regulations regarding follow-up to request. Evidence: 1 - The record for Staff #3 contains documentation that a central registry finding was requested on September 28, 2022. However, the background check was not ever received in the allotted 30 days and there is not documentation that any attempt to locate or resubmit the request was sought after. 2 - The record for Staff #4 contains documentation that a central registry finding was requested on March 31, 2022. However, the background check was not ever received in the allotted 30 days and there is not documentation that any attempt to locate or resubmit the request was sought after.
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 ensure that all required children's record information is obtained. Evidence: 1 - The record for Child #1 does not contain documentation of pages 1 - 3 of the agencies enrollment application. As a result information regarding age, parent's names, parent place employment and contact phone numbers and emergency contact information was not available for review. 2 - Staff #3 and #4 who where present at the site confirmed that the information was not present in the record of Child #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review the center failed to ensure that each staff record contains all required information. Evidence: The record for Staff #4 did not contain documentation of that the staff possesses the education and training required for the position of Program Leader
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 each staff completes the required Virginia Department of Education - sponsored orientation course within 90 calendar days of employment. Evidence: 1 - The record for Staff #4 contains a documented date of hire as March 25, 2022. However, there is not any documentation that the required orientation course has been completed in the staff record. 2 - The record for Staff #2 contains a documented date of hire as September 30, 2022. However, there is not any documentation that the required orientation course has been completed in the staff record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-F
Description:	Based on observation and interview the center failed to ensure that there was a working non pay telephone. Evidence: 1 - During the inspection the center cell phone was not operational. a. Two phone calls were placed to the telephone number provided as the number to reach the center. However, the phone never rang or gave in indication that a call had been received at the number. 2 - Staff #3 and 4 stated that the cell phone service was not relievable.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-B
Description:	Based on observation and interview the center failed to ensure that during the center's hours of operation, one adult on the premises is in charge of the administration of the center. This person will be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: 1 - When asked who was in charge of the center Staff #3 and Staff #4 stated that Staff #1 was in charge of the center. a. When asked how often is Staff #1 present at the center. Staff #3 and #4 stated that she is not there except every once and a while. 2 - When asked has anyone present been told that they are in charge when Staff #1 is not present. Staff #3 stated no she had not.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation the center failed to ensure that children under 10 years of ages will always be within sight and sound supervision of staff. Evidence: 1 - During the inspection two children came into the building at two different times alone, without a staff member. Child #2 was one of the two children that entered the building attended by staff. a. The children were observed moving around the child care room and leaving the room again without staff being present in the room during these transitions. b. Child #2 spoke with an adult present in the room and stated that she was seven years old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	Based on observation an d interview the center failed to ensure that all requirements for medication are implemented. Evidence: 1 - Child #2 stated that medication being reviewed belonged to her. The child offered this information without being asked. 2 - There is not a parent signature on the medication authorization. Nor is there written parent authorization anywhere in the record of Child #2. 3 - The doctor's authorization had expired as it was dated September 12, 2022 through June 30, 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.