VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Family YMCA, Inc. Chatham Heights
1235 Chatham Heights Road
Martinsville, VA 24112
(276) 201-9574

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

Inspection Date: April 2, 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 04/02/2024 and concluded with an electronic record review on 04/04/2024. There were 22 children, ages 5 years - 11 years, and 4 staff members providing direct care and supervision 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 mealtime, and teacher-directed activities. The inspector discussed the following with the provider: evacuation, lockdown and shelter in place drills. A total of 5 children?s records, 4 staff records, and 9 medications were reviewed. The inspector arrived for the inspection at approximately 2:30 pm and departed at approximately 3:45 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 #:	8VAC20-780-70
Description:	Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 1, 2, 3, and 4 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard.
Plan of Correction:	Staff will locate information and keep onsite.
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 were observed returning to activities after afternoon snack without washing their hands or using a disposable wipe.
Plan of Correction:	Staff will ensure that children wash hands or use a disposable wipe before and after meals.
Standard #:	8VAC20-780-510-G
Description:	Based on medication review and staff interviews, the center failed to medication shall be labeled with child?s name, the name of the medication and dosage amount, and time to times to be given. Evidence: Medications 3, 4, and 5 were not labeled with child?s name. Staff 1 confirmed the medications belonged to Child 1.
Plan of Correction:	Staff will label medications.
Standard #:	8VAC20-780-510-L
Description:	Based on observations, the center failed to ensure that medication, except for those prescriptions designated otherwise by written physician?s order, including refrigerated medication and staff personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Medications 1, 2, 3, 4, and 5 were stored in an unlocked red bag in an unlocked blue and black duffel bag. Medications 8, and 9 were stored in an unlocked black bag in an unlocked blue and black duffel bag. The blue and black duffel bag was located near tables used by children.
Plan of Correction:	Staff will lock up medications.
Standard #:	8VAC20-780-540-E
Description:	Based on observation, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: During the inspection, a working battery-operated radio was not available.
Plan of Correction:	Staff will get batteries for radio.