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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 8, 2019

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.
22VAC40-80 THE LICENSING PROCESS.
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 transportation, hand washing, medication and staff records. The risk assessments for violations was provided. We talked about posting requirements, and injury documentation. Also, you were reminded of the need for a July evacuation practice and two more shelter-in-place drills this summer. We talked about the need to resume bringing some games and activity options for the few children who do not use the pool during weekly trip or during any water activity/swimming field trips. We talked reviewed the site director requirements and having a designated person in charge on site at all times.

Comments:
Thank you for your assistance during the monitoring inspection conducted from 10:57 AM to 12:05 PM at the Gypsy Hill Park pool, from 12:20 PM to 2:30 PM at the school site, and from 3:05 PM to 4:40 PM at the administrative office. Today, there were forty-seven school age children supervised by seven staff. I viewed swimming pool activities, supervision, staffing, interaction with children, transportation procedures, emergency supplies and drill records, injury records medication, lunch, menu/nutrition, posted information, five records for children, five staff records, staff qualifications, staff training, equipment, daily routines, activities, emergency planning, indoor and outdoor areas. The staff were observed providing positive interactions with children and attended to individual needs for attention and guidance. The swimming pool areas were supervised by staff positioned either in a section of the pool or at various parts of the fenced area used by the children. At the school, the children enjoyed games in the gym and various outside activities. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a review of five records for staff, and an interview with administrative staff, the program failed to maintain all required information in staff records. Evidence: Staff member 1 who was reassigned to work at the licensed summer camp for this location on June 17, 2019, did not have a copy of a M.A.T. certificate in the file. There was only a copy of a receipt for the class taken on May 15, 2017. In addition, the criminal history record results from a finger print background check was not located in the file. A staff file checklist in the file stated the due date for the next criminal history check as May 1, 2023.

Plan of Correction: The administrator will obtain a copy of the M.A.T. certificate from staff member 1 or have the staff member obtain another copy from the trainer. The criminal history record will be located in email or another copy requested from the Office of Background Investigations for the finding in May 2018. If the background check is not located, staff member 1 will be told to make arrangements for another finger print appointment and the lost record will be replaced with a new background check. The administrator will continue to use the staff file checklist to track information in the staff records. Training certificates will be obtained at the time of hire or the completion of a course.

Standard #: 22VAC40-185-500-A
Description: Based on observation of one child who was having snack later than the scheduled snack time, and an interview with administrative staff, the children were not provided a routine for hand washing before and after morning snack during the swimming pool field trip. Evidence: Later in the morning of July 8, 2019, one child requested snack that he missed during the group snack time when they arrived at the pool after 10:00 AM. The licensing inspector asked the designated program director about the hand washing routines during the pool trips and was told that the children washed hands at the school site before the bus trip to Gypsy Hill Park. Staff confirmed there was not any washing of hands before and after eating snack this morning either at the pool hand sinks or by using hand wipes. After returning to the school site, staff showed the licensing inspector a container of disposable wipes near the check in/out table. Staff indicated that the container of wipes for hand washing was removed from the bag which has been carried on field trips in order to make space for carrying other items.

Plan of Correction: The administrative staff will make sure the disposable wipes are carried on field trips, including scheduled swimming activities. All staff will be instructed by administrative staff to make sure children wash hands directly before and after they eat by using the wipes or an accessible hand sink during off site activities. Summer staff training will include all required daily routines for compliance with licensing standards.

Standard #: 22VAC40-185-510-A
Description: Based on a review medication for five children, and interviews with administrative staff, staff have administered prescription medication to one child without written authorization from the parent. (Repeat Violation.) Evidence: Since June 3, 2019, M.A.T. certified camp staff have administered daily medication given to 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 authorization form used did not include Staunton-Augusta Y.M.C.A.

Plan of Correction: The site administrative staff immediately contacted the parent and will obtain a signed authorization for used by Staunton-Augusta Y.M.C.A. The parent's written permission will be renewed every ten program days on a medication authorization form or add a signature by the physician for the Y.M.C.A. staff.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medication for five children, and interviews with staff, the program failed to notify the parent that the authorization for one child's medication expired so that either the authorization was renewed, a physician's authorization was added if for long-term use, or the medication returned within fourteen days. Evidence: The parent's written permission dated May 13, 2019 was for administration of over-the-counter medication for child 5M beginning June 3, 2019. The last administration date was on June 13, 2019. The authorization was not renewed after ten program days ending on June 14, 2019 or returned to the parent by June 28, 2019 or disposed of immediately after June 28, 2019. Staff did not have a physician's authorization for the medication in order to keep the medication on site for the summer weeks of operation.

Plan of Correction: The administrative staff on site will obtain a renewed authorization form for the medication kept for child 5M or return the medication to the center. A program administrative staff person with M.A.T. certification will be assigned to always check the authorization forms when medication is brought to the center and make sure parents have provided a physician's authorization along with the parent signature if the parent wants the medication kept at the program long term. The assigned M.A.T. certified staff will make sure medication is returned to parents if a parent authorization expired.

Standard #: 22VAC40-185-580-C
Description: Based on observation of the loading of children in two separate buses at Gypsy Hill Park, and interviews with staff, the program failed to ensure that during transportation of children, all required information was in each vehicle. Evidence: On the park road outside of the fenced swimming pool, twenty-four school age children entered one bus with staff and twenty-three children entered a second bus with staff. There was a total of seven staff with their assigned groups. The licensing inspector inquired with staff at each bus about the list of children they had present for transport. The staff indicated that they usually had a list of names for registered attendance that date that was carried by each lead supervisor with their group. However, the lists were not dropped off at the school site before the scheduled departure time of 9:00 AM. When asked, staff persons in each bus indicated that they had not written a list of names of the children transported in each bus that morning in place of the usual registration list. After returning to the school site, the lists of registered attendees were seen on the check in/out table where they were dropped off during the field trip.

Plan of Correction: The administrative staff coming from the main office will always make sure the list of registered children attending that date are always at the school site before field trips if those lists are relied on for transportation and field trip information. The on-site director will be told to create lists of the names of the children transported for each vehicle if the usual list has not been provided in time. The administrator will review the transportation requirement 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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