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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: June 14, 2019

Complaint Related: No

Areas Reviewed:
63.2(17)-1722-B Failure to obtain background checks pursuant to ?? 63.2-1720, 63.2-1720.1, 63.2-1721, and 63.2-1721.1 shall be grounds for denial, revocation, or termination of a license, registration, or approval or any contract with the Department or a local department to provide child care services to clients of the Department or local department. No violation shall occur if the assisted living facility, adult day care center, child-placing agency, independent foster home, family day system, family day home, or child day center has applied for the background check timely and it has not been obtained due to administrative delay. The provisions of this section shall be enforced by the Department.
Code 1950, ? 63-235; 1968, cc. 578, ? 63.1-198, 585; 1975, c. 439; 1985, c. 360; 1992, c. 746; 1993, cc. 730, 742; 1995, c. 401; 1996, c. 747; 1997, c. 427; 1998, cc. 551, 581; 2002, c. 747; 2015, cc. 758, 770; 2017, cc. 189, 751, 809.
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.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
We discussed the requirements for medication, injury records and posting emergency procedures/maps. The risk assessments for violations were provided. We reviewed the options for site director qualifications and having a qualified director on site. Also, we talked about staff records and education transcripts.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:50 AM to 12:10 PM at the school camp site and from 12:36 PM to 3:40 PM at the main office for a record review. Today, there were forty-five children, ages five through ten years, with seven to ten staff. I viewed program activities, daily routines, equipment, posted information, staffing, supervision, interactions with children, snack, menu, nutrition, medication, emergency supplies, injury records, emergency plan, five records for children, five staff records, staff qualifications, staff training, indoor and outdoor areas. The children enjoyed numerous group games in the gym. They had opportunities for active play outside. A variety of field trips have been planned. Regular pool time will be offered. The staff were observed providing attentive supervision and regular interactions with the children. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-510-A
Description: Based on a review medication for three children, and interviews with administrative staff, staff have administered prescription medication to two children without written authorization from the parents. Evidence: Since June 3, 2019, M.A.T. certified camp staff have administered daily medication for child 1M and the only authorization form in the record was signed by a physician on May 17, 2019 and stated it was permission for Staunton, Augusta and Waynesboro Public Schools. The same type of public school form was completed by a parent and physician on June 9, 2019 for child 2M who was administered medication on June 11, 12 and 13, 2019. The authorization forms used did not include the name of the Staunton-Augusta Y.M.C.A.

Plan of Correction: The administrative staff will have parents sign the medication authorizaiton forms which will give the camp staff permission to administer medication. In addition, the physician's signature will be obtained on a form giving permission to the Staunton-Augusta Y.M.C.A. staff if the name is not added to public school form. The camp staff who accept medication from parents will always make sure the required written authorizations were provided.

Standard #: 22VAC40-185-550-C
Description: Based on a review of posted information, and interviews with administrative staff, all required emergency procedures/maps were not posted at the school. Evidence: The emergency procedures/map posted in the gym only had procedures for evacuations and did not include the shelter-in-place location for severe weather. There was not a map with the emergency procedures posted in the cafeteria. An administrator indicated that the correct maps were in a binder in the main office.

Plan of Correction: The administrator will make sure the maps with the emergency procedures for evacuations and shelter-in-place are posted for use in the cafeteria and gym. The shelter-in-place procedures will be added to the gym map.

Standard #: 22VAC40-185-550-M
Description: Based on a review of the minor injury reports for June, and interviews with staff, there was required information missing from two report forms. Evidence: There was not any documentation of the time and method of parent notification for a minor injury on June 10, 2019. An injury report for June 11, 2019 did not have the date, time and method of parent notification as well as a second staff signature.

Plan of Correction: The site staff will have the staff person who notified the parents of the injuries on June 10, and June 11 add the information about the time and method of parent notification for the dates notified. A site director will provide the second signature for the June 11, 2019 injury report. The site administrative staff will make sure all required information is documented on the date of each injury and before the report forms are filed.

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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