VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Altavista Area YMCA - Brookneal
204 Lynchburg Avenue
Brookneal, VA 24528
(434) 369-9622 (20)

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Jan. 22, 2024

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 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 1/22/2024. There were 26 children, ages 17 months- 5 years, and 6 staff members providing direct care and supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies, and nutrition. The children were observed during arrival, mealtime, teacher-directed activities, and self-directed activities. A total of 5 children?s records, and 5 staff records were reviewed. The inspector discussed the following with the provider: program leaders, safe equipment, food from home and drinking while walking. The inspector arrived for the inspection at approximately 8:50 am and departed at approximately 11:50 am. 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 #:	8VAC20-780-130-A
Description:	Systemic Violation Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 1 documented the first date of attendance as 10/02/2023. The immunization record was dated 10/19/2023. 2. The record for Child 4 documented the first date of attendance as 05/30/2023. The immunization record was dated 06/08/2023.
Plan of Correction:	Provider will obtain information before children attend.
Standard #:	8VAC20-780-140-A
Description:	Systemic Violation Based on record review and interviews with staff, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 5 documented the first date of attendance as 11/06/2023. There was no documentation of a physical examination in the record for Child 5. Staff 6 confirmed there was no documentation of a physical examination in the record for Child 5.
Plan of Correction:	Provider will obtain information from parent.
Standard #:	8VAC20-780-60-A
Description:	Systemic Violation 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: The record for Child 5 indicated a food allergy. The record for Child 5 did not contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Provider will obtain information from parent.
Standard #:	8VAC20-780-210-A
Description:	Based on record review, interviews with staff, and observation, the center failed to ensure program leaders meet the program leader qualifications. Evidence: Staff 5 was in the role of program leader in the Toddler room. Staff 5 and Staff 6 confirmed Staff 5 was the program leader. The record for Staff 5 did not have documentation to show the staff person?s, experience, education, and training meet the requirement of the position of program leader.
Plan of Correction:	Provider will make staffing changes.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: At approximately 8:50 am on 1/22/2023, the inspector observed Child 3, age 2, walking from Restroom A to the Toddler 2 Room out of actual sight and sound supervision of program staff. Restroom A is approximately 23 feet and around a corner from the Toddler 2 room.
Plan of Correction:	Provider will ensure children are within sight and sound.
Standard #:	8VAC20-780-500-A
Description:	Based on observations, 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 or snacks. Evidence: Children in Toddler 2 room, ages 2 years- 3 years, were observed returning to activities without washing their hands or using a disposable wipe after morning snack.
Plan of Correction:	Provider will remind staff of standards.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and staff demonstration, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way the neither the staff ember?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: Staff 5 demonstrated how they use the diaper disposal system in the Toddler Room. Staff place the diaper in the top of the disposal system, with their hand, turn a handle on the exterior of the disposal system, and the diaper drops into the bottom of the disposal system. The staff hands touch the exterior surface of the disposal system during disposal.
Plan of Correction:	Provider will obtain different disposal system.