VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys & Girls Clubs of the Blue Ridge- Albert Harris
710 Smith Rd.
Martinsville, VA 24112
(276) 806-8264

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: May 8, 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 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced on-site renewal inspection was conducted on 05/08/2023; a staff record and policy/procedures review will be conducted on a later date. There were 44 children, ages 5 years-11 years, and a total of 4 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, programs, emergencies and nutrition. The children were observed during afternoon snack, in large motor play both inside and outside and doing an art project. A total of 5 children?s records were reviewed. The inspector arrived to the center at 3:20 pm and departed at 5:20 pm. 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 #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person provided); and documentation of child updates and confirmation of up-to-date information in the child?s record (the most recent review was on 04/21/2022). 2. The record for Child 3 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person provided); and documentation of child updates and confirmation of up-to-date information in the child?s record (the most recent review was on 04/21/2022).
Plan of Correction:	The staff got the applications updated.
Standard #:	8VAC20-780-280-E
Description:	Based on observation, the center failed to ensure that cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other. Evidence: There were 2 bottles of Raid insect spray stored on the bottom shelf of the metal storage cabinet with the cleaning materials.
Plan of Correction:	The items were removed.
Standard #:	8VAC20-780-280-G
Description:	Based on observation, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: There were 2 clear plastic spray bottles, containing a liquid solution, that were not labeled to clearly indicate their contents.
Plan of Correction:	The bottles were labeled.
Standard #:	8VAC20-780-340-F
Description:	Based on observation and staff interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Staff were observed using a walkie-talkie to radio for children to be sent down from the gym located on the 2nd floor to the cafeteria for pick-up. Multiple children were observed walking into the cafeteria alone from the back stairwell after leaving the gym. The children were not within actual sight and sound supervision of staff as they walked down the stairwell from the gym to the cafeteria. 2. Child 6 was observed walking through the front door of the cafeteria and entering the cafeteria alone. Child 6 had walked from the gym located on the 2nd floor, down the front hallway to a set of stairs, down the stairs and then down another hallway and into the cafeteria. Child 6 was not within actual sight and sound supervision of staff from the time they left the gym until they entered the cafeteria.
Plan of Correction:	Reeducate the children to use the back stairs only and to ensure that when staff are notified that a child is leaving, the staff meet the other staff with the child.
Standard #:	8VAC20-780-350-B-5
Description:	Based on observation, record review and staff interviews, the center failed to maintain the required staff to children ratio for children that are school-age eligible up to 9 years, 1 staff for every 18 children, whenever children are in care. Evidence: 1. At approximately 3:20 pm, Staff 3 was observed arriving to the program. Prior to their arrival there were 2 staff members and 44 children in care. The youngest child in the group was determined to be 5 years old. 2. Staff 1 stated that children arrive to the program at 2:40 pm; the ratio for school-age eligible up to 9 years (1:18) was not met until Staff 3 arrived at 3:20 pm.
Plan of Correction:	Ensure that the staff follow the call-out policy to ensure that there is enough staff to meet ratios.
Standard #:	8VAC20-780-500-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. Evidence: The children were observed returning to normal activities and going to play in the gym immediately following the afternoon snack. The children did not wash their hands after eating snack.
Plan of Correction:	Will implement handwashing with soap and water when wipes are not available.
Standard #:	8VAC20-780-550-D
Description:	Based on document review, the center failed to implement a monthly practice evacuation drill. Evidence: There was not a monthly practice evacuation implement in April 2023.
Plan of Correction:	Ensure drills are done each month as outlined in the staff meetings.
Standard #:	8VAC20-780-560-J
Description:	REPEAT VIOLATION Based on observation and discussion with staff, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The tables used for snack were not sanitized after the afternoon snack. Children were observed immediately resuming activities at the tables upon completing their snacks.
Plan of Correction:	Ensure the tables are sanitized after snack.