VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Altavista Area YMCA - Brookneal
204 Lynchburg Avenue
Brookneal, VA 24528
(434) 369-9622 (20)

Current Inspector: Tara K Martin (804) 588-2371

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. 8VAC20-770 Background Checks 22.1 Early Childhood Care and Education

Comments:

An unannounced renewal inspection was conducted onsite on 02/16/2023 and concluded with an electronic record review on 02/17/2023. There were 13 children, ages 2 years -5 years, 2 staff members providing direct supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies and special services. The children were observed during self-directed activities, mealtime, teacher- directed activities and outdoor time. The inspector discussed the following with the provider: children?s records. A total of 5 children?s records, 3 staff records and 6 officer/agent records were reviewed. The inspector arrived for the inspection at 8:45 am and departed at 10:30 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and interview with staff, the center failed to ensure all employees shall undergo all background checks in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: The most recent eligibility letter in the record for Staff 3 was dated 02/8/2018. There was not a 2023 repeat eligibility letter available for review during the inspection.
Plan of Correction:	Staff will request information as soon as possible.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 4 indicated the first date of attendance as 12/20/2022. The immunization record was obtained 1/5/2023.
Plan of Correction:	Staff will obtain information before children attend.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interviews with staff, the center failed to ensure 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: The record for Child 4 indicated the first date of attendance as 12/20/2022. The physical was not available.
Plan of Correction:	Staff will request information as soon as possible.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: The record for Child 4 did not contain the following information: documentation of viewing proof of child?s identity and age.
Plan of Correction:	Staff will request information as soon as possible.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipe before and after eating meals and snack. Evidence: Children were observed using hand sanitizer before am snack.
Plan of Correction:	Staff will ensure children wash hands or use a wipe before each meal.
Standard #:	8VAC20-780-550-D
Description:	Based on record review and interview with staff, the center failed to implement a monthly practice evacuation drill. Evidence: Based on record review, documentation of an evacuation drill for December 2022 or January 2023 was not available. Staff 3 confirmed those drills were not available for review.
Plan of Correction:	Staff will conducted evacuation drills each month.