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Boys & Girls Club of the Mountain Empire - Abingdon Unit
16173 Elementary Drive
Abingdon, VA 24210
(276) 696-9923

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: June 3, 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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was initiated on 6/3/24 and concluded on 6/3/24. There were 108 children present with 15 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 six child records and five staff records were reviewed. The inspection started at 9:45 am and concluded at 12:00 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 program.

Please complete the ?plan of correction? and date to be corrected? for each violation cited on the violation notice and return it to me within five (5) business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring gain; and 3) person or person(s) responsible for implementation.

Violations:
Standard #: 22.1-289.035-B-4
Description: (REPEAT VIOLATION)
Based on record reviews, the center failed to ensure that all staff complete all background checks within the required timeframe.
Evidence:
There are no central registry background checks on file for staff #4 (hire date 4/9/24) and staff #5 (hire date 4/23/24)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on record reviews, the center failed to ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.
Evidence:
There is no tuberculosis screening on file for staff # 5 (hire date 4/23/24).

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on observation the center failed to ensure that all the required information for each staff is kept at the center.
1. The 15 staff present did not have emergency contact information at the center.
2. Staff #1-5 do not have two reference checks on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-80-B-2
Description: Based on interviews the center failed to ensure that the center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.
Staff # 1 stated that a child had fallen in the hallway and broke their wrist. The center did not notify the department's representative within the required timeframes.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-B
Description: Based on record reviews, the center failed to ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
There is no orientation training documentation on file for staff # 1 (hire date 5/10/24), staff #2 (hire date 5/6/24), staff #3 (hire date 5/8/24), staff #4 (hire date 4/9/24) and staff #5 (hire date 4/23/24)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-P
Description: Based on record reviews the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Child #6 has an authorization for a medication that expired November, 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-540-C
Description: Based on observation and interviews the center failed to ensure that all the required items were in the first aid kits.
Evidence:
The first aid kit was missing a thermometer.

Plan of Correction: Not available online. Contact Inspector for more information.

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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