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Young Men's Christian Association of Staunton VA (Bessie Weller)
600 Greenville Avenue
Staunton, VA 24401
(540) 885-8089

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: July 11, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Thank you for your assistance during this unannounced renewal inspection. This on-site visit was conducted on July 5, 2017 from 10:30 a.m. through 12:00 p.m. On this date, there were forty-nine (51) children in the care of ten (9) staff members. Eight (8) children's records and nine (9) staff records were reviewed and updated at the YMCA's main office from 10:00 a.m. through 1:00 p.m. on July 5, 2017. The medication and medication paperwork was reviewed for six children. Areas of non-compliance may be found on the violation notice. Risk scores were discussed. Areas observed were hand washing/bathroom procedures, transition, and outdoor organized play. All interactions between staff and children were appropriate and the children seemed comfortable with the daily routine. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 430-9256.

Violations:
Standard #: 22VAC40-185-510-A
Description: Based on the review of six medications, authorizations and medication administration logs, the center administered medication to two children without current parent authorization. Evidence: 1. Six medications and authorizations and medications logs were reviewed. 2. Child C was given medication twenty times after the parent authorization was expired. 3. Parent authorization for Child C was dated May 23, 2017 through June 6, 2017. 4. Child D was given medication on July 10, 2017. 5. Parent authorization for Child D was dated May 30, 2017 through June 10, 2017. 6. The site director confirmed the medication was given to Child C and D.

Plan of Correction: Medication policies will be reviewed with all MAT trained staff members.

Standard #: 22VAC40-185-510-G
Description: Based on medication review, the center failed to have a staff member that was trained in rectal medication administration. Evidence: 1. Six medications and authorizations were reviewed. 2. Diazepham 10 ml rectal medication was in the medication locked box. 3. Interview with the site director revealed no staff is trained in rectal medication administration.

Plan of Correction: The medication will be returned to the parent. Rectal medication will not be received until a staff has been trained to administer.

Standard #: 22VAC40-185-510-N
Description: Based on the review of six medications and authorizations, the center failed to return medication to the parent, request renewal authorization from the parent and/or dispose of the medication within 14 days if medication was not picked up by the parent. Evidence: 1. Six medications and authorizations were reviewed. 2. Three medications were in the locked box and the parent authorization had expired. 3. Two Epi pens, for Child A and B, had documentation of parent authorizations dated June 5, 2017 through June 10, 2017. 4. Ritalin, for Child C, had documentation of parent authorization dated May 23 through June 5, 2017. 5. Methylphenidate, for Child D, had documentation of parent authorization dated May 30, 2017 through June 10, 2017. 6. The site director confirmed these medications had expired.

Plan of Correction: Parents will be asked to renew the medication authorization. If they do not, the medication will be returned to them. Medication policies will be reviewed with all staff.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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