VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys&Girls Club of Harrisonburg and Rockingham County-SouthRiver
2101 Elm Avenue
Grottoes, VA 24441
(540) 249-0111

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: May 11, 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:

A monitoring inspection was initiated on 05/11/2023 and concluded on 05/12/2023. There were 32 children present, ranging in ages from 5 years to 11 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 3 staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on a review of staff records. the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of Staff 1 without documentation of a date of hire, did not contain documentation of a tuberculosis screening. 2. Staff 1 was working with the children the date the licensing inspector was onsite to conduct inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of Child 5, enrolled on 08/15/2022, did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction:	The new program director will be sure to gather all information for the children's records.
Standard #:	8VAC20-780-70
Description:	Based on record review, the center failed to ensure that each staff record contains all required requirements Evidence: 1. There was no evidence of documentation of date of hire and two references for Staff 1. 2. There was no evidence of documentation of orientation for Staff 1 and Staff 2.
Plan of Correction:	The Program Operator stated that there is a new person in charge of the staff files.
Standard #:	8VAC20-780-240-A
Description:	Based on staff record review, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation within 90 calendar days of employment. Evidence: 1. Staff 1 (no documentation on file for DOH) did not have documentation of VDOE orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on a review of staff records, the center failed to ensure staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. There is no documentation in Staff 1's record showing orientation. 2. Staff 2 (DOH 09/08/2022) did not have documentation of orientation in record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on record review the center failed to implement monthly practice evacuation drills. Reference: 1. There was no record of evacuation drills conducted in the months of January, March, or April.
Plan of Correction:	The new program director states that he will get everything back on track and begin conducting monthly evacuation drills.