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Boys & Girls Club of Harrisonburg/Rockingham County-Stone Spring
1575 Peach Grove Avenue
Harrisonburg, VA 22801
(540) 434-6060

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: April 3, 2017 , April 5, 2017 and April 7, 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.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..

Technical Assistance:
We discussed the requirements for indoor safety, first aid supplies, staff qualifications and staff records. The risk assessments for violations were provided. We reviewed the requirements for injury records.

Comments:
Thank you for your assistance during the unannounced inspection conducted on April 3, 2017 from 2:55 PM to 6:20 PM and the announced inspections for staff record reviews conducted from 11:10 AM to 1:15 PM on April 5, 2017 and from 3:10 PM to 4:10 PM on April 7, 2017. On April 3, 2017, there were thirty-four children in care, ages four to ten years. I viewed program activities, staffing, supervision, interactions with children, terms of the license, fire and health inspections, insurance, posted information, injury records, emergency supplies and drill records, program procedures, five records for children, six records for staff, staff qualifications, staff training, daily routines, menu/snack, indoor and outdoor areas. Today, there was a monthly evacuation drill. Regular scheduled times for homework assistance have been offered. Various age groups had opportunities for table activities, computer time, active play in the gym and assistance with homework.

The recommendation for issuance of the license will be made after all required background checks and three references for one new board officer are obtained. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of five records for staff, and an interview with administrative staff, the TB screenings and statements for staff member 2 and 3 were not obtained within twenty-one days of initial employment. Evidence: The recorded start date in the files for staff member 2 and 3 was February 13, 2017. There were not any TB statements in the staff files.

Plan of Correction: The unit director will arrange to obtain the required TB statements from the two staff members. The administrative staff who conduct hiring will make sure new staff obtain and submit a TB statement not later than twenty-one days after beginning work with children.

Standard #: 22VAC40-185-40-E
Description: Based on interviews with staff, review of the record for child 5 and observations of the children participating in the program, the program was not in compliance with the terms of the license regarding the ages of children who can attend after school. Evidence: When asked about the ages of the children, the staff indicated that the youngest child in attendance was four years old. According to the child's record, the first date of attendance was February 17, 2017 and the child 5's age at the time was four years six months. The current license stipulates age five as the youngest age for children.

Plan of Correction: The director and administrative staff will make sure they are familiar with the terms of the license and comply with the stipulations on the license, including the age range allowed for the enrollment of children. Children may not begin attending the program until they reach the allowable age.

Standard #: 22VAC40-185-70-A
Description: Based on a review of five records for staff, and interviews with administrative staff, there was required information missing from the records of staff member 1, 2, 3, 4 and 5. Evidence: There were not any college transcripts for staff member 1 and 4 to demonstrate highest level of education and/or education qualifications. No documented start date and position title for staff member 1. Incomplete documentation of orientation training for staff member 2 and 3. No reference checks documented for staff member 1 and 2. Only one reference for staff member 4.

Plan of Correction: The program director immediately completed the orientation documentation for the training that was provided for staff member 2 and 3. The program director or assigned administrative staff will make sure arrangements are made to obtain college transcripts for the file of staff member 1 and 4, a minimum of two reference checks for staff member 1, 2 and 4; and the start date/position titles or changes are documented in the records of staff member 1.

Standard #: 22VAC40-185-210-A
Description: Based on a review of five records for staff, and interviews with staff, and observation of the staffing during group activities, there was not sufficient education and group care experience information for staff member 1, 2, 3 and 4 to demonstrate that the staff hired as program leaders met the qualification requirements. Evidence: The record of staff member 1 did not include college transcripts and/or training hours in child related topics and there was no information about a minimum of six months of programmatic experience. The record of staff member 2 lacked information about the required twenty-four hours of training in child-related topics. The record of staff member 3 lacked information regarding the minimum programmatic experience prior to beginning in the position. The record of staff member 4 lacked information to demonstrate the required minimum education/training. Staff member's lack of training and/or experience were verified during staff interviews. All four staff members were observed leading group activities during inspections.

Plan of Correction: The director and administrative staff will make sure all child related education and experience information has been obtained for the determination of hiring program leaders who meet the minimum qualification requirements. Otherwise, staff who lack qualifications will be placed in assistant positions until they qualify for a promotion. Staff who do not meet program leader qualifications will not be given responsibilities for leading activities while supervising groups of children on their own.

Standard #: 22VAC40-185-280-B
Description: Based on observation of the indoor activity areas, and interviews with staff, there were hazardous substances accessible to children and not stored in locked areas. (Repeat violation.) Evidence: In the computer lab, two pump containers of Germ X hand sanitizer with sixty-three percent content of ethyl alcohol were on two low tables in the computer lab. Four containers of hand sanitizer containing sixty-two percent ethyl alcohol were on the top of an open cart in the gym. The labels on all of the hand sanitizer containers said "Keep Out of Reach of Children". The open cart in the gym had Purple Power degreaser spray, Pro-Link disinfectant, Expo Write Board Spray, Great Value disinfectant wipes, solvent based marking paint, and germicidal spray on accessible shelves. Also, there was accessible Gloss Protective Enamil spray. In the staff lounge used for regular table activities, a two door cabinet under the sink, without a locking mechanism, contained Lysol disinfectant spray, Ajax, Clorox Clean-up spray, Daycom Germicidal cleaner and Germ-X hand sanitizer. The staff indicated that all of the hazardous substances were for school use only.

Plan of Correction: The director or designated staff will communicate with school staff and arrange for all hazardous substances to be removed from accessible areas of activity areas of the after school program. The cleaning supplies stored in cabinets will have locking mechanisms added to doors. All program staff will check the activity areas prior to daily use and make sure children do not have access to any toxic supplies.

Standard #: 22VAC40-185-540-C
Description: Based on a review of the required first aid supplies, and interviews with staff, there were not any tweezers available. Evidence: The first aid kit did not contain tweezers. A staff person said they were discarded after use with a child.

Plan of Correction: The site administrative staff make sure new tweezers are obtained for the first aid kit. The staff will report to the site director whenever supplies are used and need to be replaced. The site director will schedule regular checks of the first aid kit supplies.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on a review of five records for staff, and an interview with administrative staff, there were not background checks obtained for staff member 2 within thirty days of employment. Evidence: Staff member 2 began work on February 13, 2017. There was not a criminal history check and central registry clearance in the staff file. Staff indicated that the request for the central registry clearance needed to be resent due to missing information.

Plan of Correction: The assigned administrative staff will call the agencies in Richmond and check on the processing of the requested background checks. In the future, the administrative staff will make sure the background checks are requested at the time staff are hired. A system for tracking and documenting staff record information will be used to make sure all required information has been obtained on time.

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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