VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of the Virginia Peninsulas - Northumberland
6348 Northumberland Highway
Heathsville, VA 22473
(804) 580-8901

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: May 4, 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. 8VAC20-770 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 May 4, 2023, at approximately 3:05 PM to 4:35 PM, and concluded on May 8, 2023. There were 12 children present, ranging in age from five years to 12 years, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care, and emergencies and nutrition. Staff #2 reported that there were no medications on site and transportation is not provided. A total of five child records and two staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Heather Dapper Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone # (804) 625-2304 heather.dapper@doe.virginia.gov **The violation notice was amended on July 5, 2023

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center did not ensure staff obtained a fingerprint-based criminal history record information check prior to employment. Evidence: 1. The record for staff #1 (employed: 06/08/22) did not have documentation of a fingerprint-based criminal history record information check. prior to employment. Fingerprint-based criminal history record information check was received on October 26, 2022. 2. A member of management stated that staff #1 was hired on 09/01/17 and terminated in August 2018. On 06/08/22, staff #1 was rehired at the center.
Plan of Correction:	All staff files will be monitored monthly to ensure up-to-date information wis available for onsite inspections.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center did not ensure documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #1 (hire date: 06/08/2022) ,had documentation of a completed sworn statement or affirmation dated 06/16/2022.
Plan of Correction:	All staff files will be monitored monthly to ensure up-to-date information is available for on site inspections.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #3 (enrolled 9/22) did not have documentation of immunizations.
Plan of Correction:	Document requested by director from parent by 5/12/2023.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #3 (enrolled 9/22) did not documentation of a physical examination.
Plan of Correction:	Document requested by director from parent by 5/12/2023.
Standard #:	8VAC20-780-160-A
Description:	Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #1 (start date: employed: 06/08/22) did not have documentation of the TB screening or test. 2. A member of management stated that the updated record for staff #1 was not at the center.
Plan of Correction:	All staff files will be monitored monthly to ensure up-to-date information is available for on site inspections.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: 1. The records for child #1, child #2, child #3, child #4, and child #5 did not have documentation of the first day of attendance. 2. Child #5 did not have a record on file at the center.
Plan of Correction:	Director will update files to reflect first day of attendance.
Standard #:	8VAC20-780-240-A
Description:	Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The records for staff #1 (employed: 09/11/17) and staff #2 (employed: 07/01/22) did not contain documentation of the completed the Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment.
Plan of Correction:	VDOE training will be complated by staff by 5/20/2023.
Standard #:	8VAC20-780-260-A
Description:	Based on review of documentation and interview, the center did not obtain an annual fire inspection report. Evidence: The most recent fire inspection report was dated 02/17/22, exceeding the annual requirement. The director stated that she did not have a copy of a current fire inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-C
Description:	Based on a review of documentation and interviews, the center did not ensure that during the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. The school bus began dropping off children at approximately 3:16 PM, and staff #2 was the only staff member present. Staff #2 did not meet the requirements of a program leader or program director. 2. Staff #1 arrived at the center at approximately 3:20 PM. Staff #1 did not meet the requirements of a program leader or program director.
Plan of Correction:	In the future, the director will ensure that a lead or director will be on site at all times.
Standard #:	8VAC20-780-560-M
Description:	Based on observation the licensee did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: In room#1, children were asked to get their snack and line up. During this transition, child #2 was eating his snack while walking around talking with peers.
Plan of Correction:	Not available online. Contact Inspector for more information.