VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care @ Deep Creek Elementary
2809 Forehand Drive
Chesapeake, VA 23323
(757) 366-9622

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Sept. 14, 2023 , Sept. 18, 2023 and Sept. 26, 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

Comments:

A renewal inspection was initiated on 9/14/2023 from 2:45pm to 4:45pm. At the time of the inspection there were 45 children in care and 4 staff members. Children were observed participating in transition activities, snack and homework. Records were requested for review of 9 children while at the facility and 4 staff records were reviewed at the central office. The inspector toured the facility, observed supervision and reviewed emergency evacuation documentation, medication authorizations and allergy documentation. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit interview with the Program Director.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review and interviews, it was determined the center did not ensure that the documentation was obtained that each child in care had received immunizations as required by the State Board of Health before the child attends the center. Evidence: The record for Child #1, Child #5, and Child #8 did not contain documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on a review of children?s records and interviews, it was determined the center did not ensure that the program maintained a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: Repeat Violation 1.The allergy list available to staff was no longer current as it was dated for the previous school year (2022-2023). a.Three out of the four children listed on the expired allergy list were no longer enrolled. 2.Staff #4 (Program Director) confirmed the allergy list was not current.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information. Evidence: Repeat Violation 1. There was no record on file for Child #8. The child was in care during the inspection. 2. Staff #4 (Program Director) confirmed there were no enrollment records available for Child #8. 3. Eight out of nine children?s files reviewed, did not have all of the required information. 4.The record for Child #9 did not contain two emergency contacts. 5. The record for Child #1 did not contain parents? names, addresses, home and work phone numbers, physicians name and phone number, two emergency contacts, authorizations for pick up, and proof of identity. 6. The record for Child #2 did not include documentation of proof of identity. 7. The record for Child #3 did not contain parents? names, addresses, home and work phone numbers, physicians name and phone number, two emergency contacts and proof of identity. 8. The record for Child #4 did not include documentation of viewing proof of identity. 9. The record for Child #5 did not contain parent work phone number, physicians name and phone number, two emergency contacts and proof of identity. 10.The record for Child #6 did not include documentation of viewing proof of identity. 11. Staff #4 (Program Director) confirmed the records for the children listed above did not contain the required information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-90--A
Description:	Based on record review and interviews, it was determined the center did not ensure that the required written and signed agreements between the parent and the center shall be in each child?s record by the first day of the child?s attendance. Evidence: 1. Seven out nine children (Child #1, #2, #3, #5, #6, #8, #9) who were in attendance on the day of the inspection, records did not contained signed agreements between the parent and the center. 2. Staff #4 (Program Director) confirmed the parental agreements were not signed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-320-B
Description:	Based on observation and interviews, it was determined that the center did not ensure that bathrooms are equipped with paper towels. Evidence: Repeat Violation 1. In the girls bathroom a child was trying to dry her hands but the paper towel dispenser was not working. The child stated ?when there are no paper towels we just shake our hands?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	Based on a review of children?s records and interviews, it was determined the center did not ensure that when staff are supervising children they shall always ensure their care and protection. Evidence: 1.On 9/7/23, the center had Child #9 (a 6 year old) in care without having any contact information, no pick up authorizations and no records on site or available to staff caring for Child #9. Child # 9?s first day of attendance in this program was 9/5/2023. 2. On 9/7/2023 at approximately 5:53pm the child had not been picked up and the program closed at 6pm. Staff #4 stated she called the corporate office to obtain contact information for Child #9, however Staff #4 stated corporate was closed and no one answered the phone. a.Staff #4 contacted another program site and a staff member there said they knew the child?s mother and gave Staff #4 a contact phone number to call. b.Staff #4 called the number given and spoke to someone about this child; this person told them she was a non-custodial parent of Child #9 and gave them a contact phone contact number for the father who she stated was the custodial parent. 3. Staff #4 called the number given and spoke to someone else about this child; he indicated that he would send a woman to pick up Child #9 and gave Staff #4 the name of this person. a.When the child was picked up at approximately 6:17pm, staff did not check the ID of the woman who had been verbally authorized to pick up the child by the custodial parent, but did release Child #9 to this person. b.The custodial parent of Child #9 confirmed that staff did not check the ID of the person picking up the child on 9/7/2023. c.Without enrollment records, Staff #4 had no way to verify the parties that were spoken to, or whether the woman who picked up the child had actually been authorized to do so by the person who enrolled Child #9 in the program. 4. On 9/14/23, Child #8 was in care, however he was not listed on the roster, and staff did not have any records on this child. His first day of attendance was 9/5/2023. a.On 9/18/23 Child #8 was on the roster however Staff #4 stated there were no records for Child #8 available on site.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-430-K
Description:	Based on observation and interviews, it was determined the center did not ensure that a provision was made for an individual place for each child?s personal belongings. Evidence: 1. Children?s backpacks, lunchboxes and sweaters were piled on top of each other on a table in the cafeteria. 2. Backpacks and lunch boxes were falling on the floor as children attempted to reach their own belongings. 3. Staff #4 (Program Director) confirmed the children did not have an individual place for children to place their belongings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-G
Description:	Based on observation and interviews, it was determined the center did not ensure that medication was labeled with the child?s name. Evidence: The box of emergency medication for Child #13 was not labeled with the child?s name. Staff #4 (Program Director) confirmed there was no name on the box.
Plan of Correction:	The Program Director labeled the box with the child's name during the inspection.
Standard #:	8VAC20-780-510-P
Description:	Based on observation and interviews, it was determined the center did not ensure that when medication expires, the parent is notified and the medication is returned to the parent within 14 days. Evidence: Repeat Violation Medication for Child #11 (enrollment ended 6/16/23) expired April 2023 was not returned to the parent and was on-site on the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-F
Description:	Based on observation and interviews, it was determined that the center did not ensure that a menu listing foods to be served for meals and snacks was posted in a location conspicuous to parents. Evidence: Repeat Violation 1. The inspector observed that there was no snack menu posted on the Parent Board. 2. Staff #4 (Program Director) confirmed the snack menu was not posted.
Plan of Correction:	The Program Director found the menu and posted it on the parent board during the inspection.