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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: June 15, 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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 06/15/2017 and was completed on 06/16/2017. There were 28 children in care and 5 staff members present during the inspection. The inspector reviewed 5 children's records, 6 staff records and 4 medications during the inspection. The children were observed during arrival, hand washing, breakfast and the departure for a field trip. Emergency plans, including emergency plans for field trips, first-aid kits, the playground, 3 buses, the parent handbook and the staff handbook were reviewed. The inspector discussed cleaning products used to clean/sanitize tables, napping options for the 4 year old children in care, unenrolled children participating in licensed program activities, proper storage of cleaning materials, meal service times and requirements, director of child care attending Phase 2 in the licensing office on July 13, 2017 and daily schedules for staff and children with the staff. On 06/15/2017 the inspector arrived at 7:00 a.m. and departed at 1:15 p.m., on 06/16/2016 the inspector arrived 11:50 a.m. and departed at 2:00 p.m. An exit interview to discuss areas of non-compliance took place at the completion of the inspection on 06/16/2017. This inspection will be reviewed with the Licensing Administrator to discuss further action. Thank you for your time today. If you have any questions please contact your licensing inspector.

Violations:
Standard #: 22VAC40-185-40-E
Description: Based on observations, record review, policy/procedure review and staff interviews, the facility failed to ensure that all terms of the license were met. Evidence: 1. The facility failed to maintain compliance with the standards that are required to maintain a license.

Plan of Correction: The Director and other child care staff will be attending the Phase 2 training in the Piedmont Regional Office in July 2017. The Director will start a two people check and balance system to be compliant.

Standard #: 22VAC40-185-50-A
Description: Based on observation, the facility failed to ensure that all children and staff records are treated confidentially. Evidence:. 1. The supplemental information page from the 10/2016 inspection was posted along with the inspection summary and violation notice on the corkboard located on the wall at the child care desk

Plan of Correction: The Director removed the supplemental page from the board on 06/16/2017. In the future the supplemental page will not be posted.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the facility failed to ensure that all staff records contained the required information as stated in the standards. Evidence: 1. The record for Staff #2 did not contain a phone number for the listed emergency contact. 2. The record for Staff #5 did not contain documentation of 2 or more references as to character and reputation. 3. The record for Staff #6 did not contain documentation of a start date.

Plan of Correction: The Director obtained the emergency contact number for Staff #2, the Director will get 2 references for staff #5, and the Director will add a start date to Staff #6 record. All paperwork will now be verified by a second source.

Standard #: 22VAC40-185-210-A
Description: Based on record review, the facility failed to ensure that all staff identified as Program Leaders meet one of the requirements stated in the standards. Evidence: 1. The record for Staff #2 and Staff #6 indicates the position of Program Leader and does not contain documentation of Program Lead qualification.

Plan of Correction: The Director will check both staff files and obtain the necessary documentations to verify the qualification of Program Lead and will provide the necessary training to meet the requirement.

Standard #: 22VAC40-185-240-A
Description: Based on record review, the facility failed to ensure that all staff receive the training required by the standards by the end of their first day of assuming job responsibilities. Evidence: 1. The record for Staff #5 did not contain documentation of an orientation/training on the requirements that are stated in 22 VAC 40-185-240 2. Staff #5 was working on 6/15/2017 3. Staff #5 has a hire date of 11/2016

Plan of Correction: The director will provide an orientation with Staff #5 and all records will be verified by a second person.

Standard #: 22VAC40-185-240-B
Description: Based on the review of the staff handbook, the facility failed to provide all staff in writing with the required information as stated in the standards. Evidence: 1. The staff handbook does not contain procedures for supervising children who may arrive after scheduled classes or activities including field trips have begun. 2. The staff handbook does not contain procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center. 3. The staff handbook does not contain procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center.

Plan of Correction: The Child Care Staff will update the staff handbook and train the staff on the updates.

Standard #: 22VAC40-185-280-B
Description: Based on observations, the center failed to ensure that hazardous substances are kept in a locked place. Evidence: 1. There was a container of Lysol Wipes located on the counter near the refrigerator in the child care room. 2. The cabinet under the sink in the child care room was unlocked during the inspection and contained 15 containers of various cleaning materials.

Plan of Correction: All cleaning materials were removed other than the soap and water and sanitizer; the cabinet will be kept locked at all times.

Standard #: 22VAC40-185-420-A
Description: Based on the review of the parent handbook, the facility failed to provide all parents in writing with the required information as stated in the standards. Evidence: 1. The parent handbook does not contain operating information, including the hours and days of operation and holidays or other times closed, and the phone number where a message can be given to staff. 2. The center's policies for the arrival and departure of children, including procedures for verifying that only persons authorized by the parent are allowed to pick up the child, picking up children after closing, when a child is not picked up for emergency situations including but not limited to inclement weather or natural disasters. 3. The center's policies regarding the application of sunscreen, diaper ointment or cream and insect repellent 4. The custodial parent's right to be admitted to the center as required by the Code of Virginia

Plan of Correction: The Director will add the missing requirements to the Parent Handbook.

Standard #: 22VAC40-185-510-G
Description: Based on the review of medications, the facility failed to ensure that medication was administered as required by the standards. Evidence: 1. Medication A did not have a prescription label to identify the child to which the medication was prescribed, the child's name was written in a marker on the medication box

Plan of Correction: The parent will be required to bring in a labeled medication before the child can return. Moving forward, children that require medications will be required to provide all medications at the time of enrollment to ensure that all medications have labels. The staff member taking the medication will initial the medication container and the registration form to verify that the medication has a prescription label.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the center failed to ensure that all medications are kept in a locked place as stated in the standards. Evidence: 1. There were 3 medications inside of the black first-aid backpack that were not locked; all 3 medications were loose inside the backpack. 2. There were multiple packs of antacid, non-aspirin and aspirin inside the unlocked first-aid kit on the Blue Bus.

Plan of Correction: The medication in the first-aid kit on the bus will be removed. Safety Sacks to lock medication will be purchased for the storage of medication in the future.

Standard #: 22VAC40-185-550-M
Description: Based on the review of the injury record report, the facility failed to include all of the requirements for an injury record as stated in the standards. Evidence: 1. The injury record report did not include the following required components: staff present, date and time parents were notified, and any future action to prevent recurrence of injury.

Plan of Correction: The Director will begin to use the VDSS model form to ensure that all requirements are met.

Standard #: 22VAC40-185-560-G
Description: Based on observation, the facility failed to ensure that when food is brought from home it shall be clearly labeled and dated in a way that identifies the owner. Evidence: 1. There were three undated lunch boxes, located in children's cubbies, at the time that lunch boxes were viewed during arrival 2. There was one undated and unlabeled lunch box , located in a child's cubby, at the time that lunch boxes were viewed during arrival

Plan of Correction: The Director will create a system to ensure that all food from home are labeled and dated.

Standard #: 22VAC40-191-60-B
Description: Based on record review, the facility failed to ensure that all employees must not be employed until the agency has a completed sworn statement or affirmation. Evidence: 1. The record for Staff #5 did not contain a sworn statement or affirmation 2. Staff #5 was working during the inspection on 06/15/2017 3. Staff #5 has a hire date of 11/2016

Plan of Correction: The Director obtained a sworn statement from Staff #6. All files will be checked by a second person.

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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