VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA School Age Child Care at Princess Anne Family YMCA
2121 Landstown Road
Virginia beach, VA 23456
(757) 410-9557

Current Inspector: Emily Walsh (757) 404-2575

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. 8VAC20-820 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 and concluded on 04/02/2024. The inspector arrived at 12:00 PM and departed at 2:30 PM. There were 53 school aged children present with 6 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 6 child records and 6 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program administrator during the exit interview.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based upon review of records, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening obtained prior to being on duty with the children. Evidence: Staff 4 was hired on 5/10/2023. The tuberculosis screening was not obtained until 5/24/2023.
Plan of Correction:	The facility responded with the following: Staff have been given the correct staff file information sheets and an association announcement will be made to all Director's to ensure all correct forms are included in staff files.
Standard #:	8VAC20-780-70
Description:	Based upon review of records, the facility has not ensured that staff records include all required information. Evidence: According to the program administrator, staff 2 is a program leader. The record for staff 2 did not indicate that staff 2 is a program leader, nor did it contain documentation of the program leader qualifications.
Plan of Correction:	The facility responded with the following: Staff have now added qualification information to the file for staff 2. Dir Of Childcare H/S and Director will audit all site staff files to ensure accuracy and completion of required paperwork.
Standard #:	8VAC20-780-80-A
Description:	Based upon staff interview and review of documentation, the facility has not ensured that for each group of children, a written record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained. Evidence: The children were all together in one large grouping. Staff 1 was asked how many children were in care. Staff 1 responded that there were 53 children in care. The written record of attendance indicated 50 children in care. One child was signed in on the wrong day and two other children had not been checked into care.
Plan of Correction:	The facility responded with the following: An association training for staff will be held on May 8, 2024, that will review in detail daily attendance procedures as well as training on how to maintain accurate headcount and child attendance across daily care.
Standard #:	8VAC20-780-340-B
Description:	Based upon staff interview, the facility has not ensured that during the center's hours of operation, one adult on the premises shall either be the administrator or an adult appointed by the license as the person in charge. Evidence: Upon arrival of the inspector, the inspector was told by staff 6 that staff 1 was in charge. Staff 1 stated that she was not in charge and that staff 7 was in charge and that she was at another location.
Plan of Correction:	The facility responded with the following: The director has reviewed all staff roles and responsibilities to ensure awareness of who is the point of contact and designated staff in charge.
Standard #:	8VAC20-780-340-D
Description:	Based upon review of records, the facility has not ensured that each program leader supervises no more that two aides. Evidence: At the start of the inspection, there were 6 staff on duty of whom only 1 was identified by the program administrator as a program leader. A second program leader arrived from break during the inspection. This brought the ratio of program leaders to aides to 2 program leaders and 5 aides.
Plan of Correction:	The facility responded with the following: The Director will complete Operational plans for camp that will detail out staff schedules. Operation Director will work with staff to support the structure of schedules to maintain appropriate supervision of program aides and program leads.
Standard #:	8VAC20-780-500-A
Description:	Repeat violation Based upon observation, the facility has not ensured that children's hands are washed after eating. Evidence: The children were observed eating lunch. When children finished, they were interacting with friends and other activities with other children with only occasional reminders to go wash their hands. Children were observed getting up from the table, interacting with other children and sitting back down at the table. There was no structure or means to ensure that all children washed their hands.
Plan of Correction:	The facility responded with the following: The director has met with staff to discuss and review daily schedule and routines to include handwashing both before and after mealtimes.
Standard #:	8VAC20-780-510-B
Description:	Repeat violation Based upon observation and review of records, the facility has not ensured that prescription medication is given to a child only with written parental authorization. Evidence: Staff 4 administered albuterol to child 1 during the inspection. There was no written parent authorization for the medication to be administered.
Plan of Correction:	The facility responded with the following: The appropriate medication paperwork for child 1 has been obtained and filed away. The Director of Childcare H/S will work with the team to maintain an auditing system for children in care who require medication.
Standard #:	8VAC20-780-510-G
Description:	Based upon observation, the facility has not ensured that medication is labeled with the child's name, the name of the medication, the dosage amount and the time or times to be given (prescription label). Evidence: The albuterol to be administered to child 1 was not labeled with the child's name, dosage amount and the time(s) to be given.
Plan of Correction:	The facility responded with the following: The medication has been appropriately labeled with all necessary information. The Director of Childcare H/S will work with the team to maintain an auditing system for children in care who require medication. Weekly medication reports will be done along with monthly auditing of paperwork.
Standard #:	8VAC20-780-510-L
Description:	Based upon staff interview, the facility has not ensured that medication are kept in a locked place using a safe locking method that prevents access by children. Evidence: When asked about children's medication, staff responded that child 1 had an inhaler in her bag. It was confirmed that child 1's inhaler was in her bag in her bin.
Plan of Correction:	The facility responded with the following: The Director will ensure that all medication for children is appropriately labeled and stored according to regulation. An association training for staff will be held on May 9, 2024 that will review medication intake procedures and policies.
Standard #:	8VAC20-780-550-P
Description:	Repeat violation Based upon a review of injury records, the facility has not ensured that the written records of children's injuries include all required information. Evidence: An injury record dated 3/6/2024 for child 5 documented that the parent was informed of the injury on 3/5/2024.
Plan of Correction:	The facility responded with the following: An association training for staff will be held on May 9, 2024, that will review with staff the procedures for injury reporting.
Standard #:	8VAC20-780-560-L
Description:	Based upon observation, the facility has not ensured that staff sit with the children during meal times. Evidence: The children were observed eating lunch. Staff were walking around the tables where children were eating or standing still and watching the children eat. Staff 2 was walking around eating from a snack bag.
Plan of Correction:	The facility responded with the following: Director has met with staff to review the policies and procedures for mealtimes with children during care. Staff will remain seated and engaged with children while eating.