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Danville Family YMCA
215 Riverside Drive
Danville, VA 24540
(434) 792-0621

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Oct. 19, 2015

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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted 10/19/2015 . There were 26 children in care with three staff present. The inspector arrived at 2:30 P.M. and departed the program at 5:30 p.m. Observed the children during: arrival ,homework, snack and outside time. Discussion with the site director: maintaining records, medication requirements, DHO training requirements, moving the NOI and the violation notice so that parents are able to view it, and making sure that all backgrounds are completed correctly.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, the center failed to ensure that all physical examination were obtained within 30 days of enrollment. Evidence: 1. The inspector found that child # 1 did not have a physical examination in the record. The start date for child # 1 was 9/2/2015.

Plan of Correction: The director will obtain a physical from the parent and will monitor records.

Standard #: 22VAC40-185-70-A
Description: Based on review of six staff's records, the center failed to ensure that all records were complete. Evidence: 1. The inspector reviewed three staff's records and found that staff# 1 was missing the date of when the two required references were completed.

Plan of Correction: The director will date the references for the staff person and will monitor.

Standard #: 22VAC40-185-240-D-5
Description: Based on review of three staff's records and observation, the center failed to ensure that at least one staff member was on duty with DHO. Evidence: 1. According to the director and record review there were no staff currently trained in DHO training working at the present time.

Plan of Correction: The director will work with staff to obtain the DHO training and will monitor all deadlines.

Standard #: 22VAC40-185-260-A
Description: Based on review of previous fire inspection, the center failed to ensure that the fire inspection was completed annually. Evidence: 1. The most recent fire inspection was completed on 8/20/2014.

Plan of Correction: The director will work with the main office people of the program to ensure that an inspection is completed annually.

Standard #: 22VAC40-185-260-B
Description: Based on review of previous health inspection, the center failed to ensure that the health inspection was completed annually.

Evidence:

1. The most recent health inspection was completed on 9/30/2014.

Plan of Correction: The director will work with the main office people of the program to ensure that an inspection is completed annually.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to ensure that all chemicals were locked. Evidence: 1. The inspector observed a spray bottle of cleaner that had two warnings on the labels that was not locked.

Plan of Correction: The director locked the chemical on the cabinet.

Standard #: 22VAC40-185-340-D
Description: Based on observation and review of three records, the center failed to ensure that each grouping of children had a qualified program lead.

1. The inspector observed two staff members with a grouping of 26 children. All records were reviewed and there was no documentation for program lead.

Plan of Correction: The director will obtain the transcripts for school for each staff.

Standard #: 22VAC40-185-510-G
Description: Based on review of authorizations, the center failed to ensure that all authorizations were completed. Evidence: 1. Child # 6 did not have parent authorization for the medication.

Plan of Correction: The director will have the parent to complete the MAT form and will monitor.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the center failed to ensure that all medication was locked. Evidence: 1. The inspector found four medications unlocked in the cabinet above the sink in the child care areas.

Plan of Correction: During the inspection the director locked the medications and will monitor.

Standard #: 22VAC40-185-510-N
Description: Based on observation and review of authorizations, the center failed to ensure that all parents were notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Evidence:
1. The inspector found that child # 8 had medications with the authorization signed by the parents on 8/20/2015. The medications were not returned to the parent or an authorization was not renewed.
2. Child #7 had a medication still at the program and the child was no longer in care. The medication was not returned to the parent.

Plan of Correction: The director will discard all medication or will send home to parent.

Standard #: 22VAC40-191-60-C-1
Description: Based on review of three staff's records, the center failed to ensure that all background checks were completed within the correct time frame.

Evidence:
1. Staff # 1 documented start date was 2/19/2105 and the CRC was returned on 7/29/2015.
2. Staff # 2 documented start date was 4/1/2015 and the CRC was returned on 7/25/2015.

Plan of Correction: The director stated that staff # 1 started in another department prior to starting in child care. The new start date was added to the record. The director will monitor all dates and deadlines.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of six staff's records, the center failed to ensure that all background checks were completed within the correct time frame.

Evidence:
1. 1. The inspector reviewed six staff records and found that staff #3 was missing the Child Protective Services check. Start date for staff # 3 is 9/24/2012.

Plan of Correction: The director will submit the form ASAP and will monitor.

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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