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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: Dec. 7, 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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Comments:
An unannounced on-site renewal inspection was conducted on 12/12/2023; a staff record review was conducted on 12/07/2023. There were 44 children, ages 5 years-11 years, and a total of 6 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 arriving to the program, during afternoon snack, in large motor play outside and during homework time. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived to the center at 2:45 pm and departed at 4:10 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 #: 22.1-289.035-B-4
Description: REPEAT VIOLATION

Based on record review and discussion with staff, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

Evidence: The record for Staff 1 contained documentation that Staff 1 had resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 09/12/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 12/07/2023 inspection. Staff 1 was observed working during the 12/12/2023 inspection.

Plan of Correction: Will create a process to track to get them back within the timeframe.

Standard #: 8VAC20-780-160-A
Description: Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: The record for Staff 1 contained a documented hire date of 09/12/2023. There was not documentation of a negative tuberculosis screening in the record for Staff 1. Staff 1 was observed working during the 12/12/2023 inspection.

Plan of Correction: Will have them schedule an appointment.

Standard #: 8VAC20-780-70
Description: Based on record review, the provider failed to ensure that staff records contain all of the elements as required by the standards.

Evidence:
1. The record for Staff 1 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 1 has a job position of program lead).
2. The record for Staff 2 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 2 has a job position of program lead).
3. The record for Staff 5 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 5 has a job position of program lead).

Plan of Correction: Will get the information into the records.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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