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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: April 7, 2016

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 renewal inspection was conducted 4/7/2016 . There were 28 children in care with three staff present. The inspector arrived at 2:30 P.M. and departed the program at 6:10 p.m. Observed the children during: arrival ,homework, snack and gym time. Discussion with the site director: maintaining records, medication requirements, DHO training requirements, director attending Phase 2 in the licensing office, and opening up an afterschool program in a local school.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on three review of staff's records, the center failed to ensure that the TB screenings were obtained within 21 days of hire or completed within 12 months prior to hire. Evidence: 1. The inspector found that staff # 2 was hired on 1/7/2016 and the TB screening was completed on 6/20/2014.

Plan of Correction: The site director will send the staff person to obtain a new TB screening and in the future all staff's TB will be obtained within the correct time line.

Standard #: 22VAC40-185-70-A
Description: Based on review of three staff's records, the center failed to ensure that all records were complete. Evidence: 1. The inspector found that staff's # 2 references were completed on 1/28/2016 and 1/11/2016. Staff date of hire was 1/7/2016. References are required to be completed prior to stating the position.

Plan of Correction: In the future all staff's references will be completed and obtained prior to stating the position.

Standard #: 22VAC40-185-240-A
Description: Based on review of four staff records, the center failed to ensure that all staff receive orientation training by the end of the first day of assuming job responsibilities. Evidence: 1. The inspector found that staff # 2 did not have documented orientation by the end of the first day of assuming job responsibilities. Start date for staff # 2 was 1/7/2016 and the date of orientation was 1/8/2016.

Plan of Correction: The director will make sure that all new staff will have orientation by the end of their first day.

Standard #: 22VAC40-185-240-B
Description: Based on review and interviews with staff, the center failed to ensure that staff received in all policies and procedures in writing. Evidence: 1. The inspector found that the following policies were missing from the staff handbook: procedure for supervising a child arrives after a scheduled class or activity, procedure to confirm absence of a child when the child is scheduled to arrive from another program, procedures for identifying where attending children are at all time, procedures for ensure that all children are accounted before leaving for a field trip, and procedures for action in care of lost or missing children.

Plan of Correction: The site director will add the missing procedure to the staff handbook and will make sure that all staff receive a new copy.

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 record review there were no staff currently trained in DHO training working at the present time. The director stated that all three staff did take an online class, but did not print documentation of obtaining the training.

Plan of Correction: The director will print the documentation and file them in the staff's records.

Standard #: 22VAC40-185-420-A
Description: Based on review of the parent policies, the center failed to ensure that all required policies were given to parents in writing by the end of the child's first day. Evidence: 1. The inspector found that the following polices were not in writing: sunscreen, insect repellent and transportation.

Plan of Correction: The site director will add the missing procedures to the parent handbook, and will make sure that all parents obtain a new copy.

Standard #: 22VAC40-185-510-G
Description: Based on review of authorizations, the center failed to ensure that all authorizations were completed. Evidence: 1. Child # 5 did not have parent authorization for the medication. The authorization was dated for 10/20/2015.

Plan of Correction: The director will have the parent to obtain a authorization from the physician since the medication is considered long term. The director will send the medication home or have the parent to complete an authorization from.

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 # 1 had medications and the child is no longer in care.

Plan of Correction: The director will discard the medication and will monitor all medications.

Standard #: 22VAC40-185-550-D
Description: Based on review of the evacuation log and interviews with the site director, a monthly fire drill has not occurred. Evidence: 1. The inspector found that a drill has not been completed since 9/2015.

Plan of Correction: The director will make sure that a drill is completed monthly and will have staff monitor.

Standard #: 22VAC40-185-550-H
Description: Based on interviews with the site director and review of the documents, the center failed to ensure that a document containing emergency information was maintained on the vehicles. Evidence: 1. The inspector found that the route to the hospital was not with the documents on the bus.

Plan of Correction: The director will add the missing routes to the documents for each bus.

Standard #: 22VAC40-191-60-B
Description: Based on review of three staff's records, the center failed to ensure that all sworn disclosures were completed by the staff prior to starting their position. Evidence: 1. The inspector found that staff # 2 did not complete the sworn disclosure.

Plan of Correction: On the day of the inspection staff # 2 completed the sworn disclosure. In the future the director will look over all required paper work.

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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