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Windy Gap Elementary YMCA After School Program
465 Truman Hill Road
Hardy, VA 24101
(540) 719-2809

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Aug. 23, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks (22VAC40-191)

An unannounced renewal inspection was made on 8/23/17. There were 36 children present with three staff (two groupings). Five children's records and three staff records were reviewed. There were three emergency/as needed medications observed at the site. The inspector arrived at the school at 2:30 pm on 8/23/17 and departed at 6:00 pm. The inspection was completed and exited on 8/28/17 as the inspector's equipment was not operable during the inspection on 8/23/17. The children were observed during arrival, during snack, during gym time, during movie time, and during departures. There was discussion with the site director about the following: upcoming fire inspection due (October 4), two shelter-in-place due to be practiced and documented for 2017, an August fire drill to be practiced and documented.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the center failed to ensure that each staff had a tuberculosis (TB) screening or test within 21 days after employment or within 12 months prior to employment. Evidence: 1. Staff #3 who was hired 10/17/16 had a TB test date of 1/17/17.

Plan of Correction: The administrative staff at the main office will make sure staff have a completed TB test within 21 days of hire if not completed prior to hire.

Standard #: 22VAC40-185-420-A
Description: Based on review of the parent handbook, the center failed to ensure that all required policies and procedures were given to the parents in writing before the child's first day of attendance. Evidence: 1. The following policy/procedure was not in the parent handbook: policy for communicating an emergency situation with parents.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-510-C
Description: Based on observation, the center failed to ensure that the center's procedures for administering medications included the duration of authorization for a long term prescription Evidence: 1. There was a prescription (emergency Epipen) observed. The authorization for this medication did not include a duration of the authorization.

Plan of Correction: The staff will have the length of time that the medication is effective documented on the authorization form.

Standard #: 22VAC40-185-510-D
Description: Based on observation and interview, the center failed to ensure that there was a medication authorization available to staff. Evidence: 1. There was an as needed inhaler at the site for a child in care. There was no authorization for use of this inhaler.

Plan of Correction: The staff will have the authorization completed.

Standard #: 22VAC40-185-510-G
Description: Based on observation and interview with staff, the center failed to ensure that prescription medication was labeled as required. Evidence: 1. There was one prescription medication observed (emergency Epipen) for a child in care which was not maintained in the original container from the pharmacy with the direction label attached (prescription label).

Plan of Correction: The staff will ask the parent to provide the pharmacy label.

Standard #: 22VAC40-185-540-C
Description: Based on observation and interview, the center failed to ensure that all required items were in the first aid kit. Evidence: 1. The following required items were missing from the first aid kit: thermometer, tweezers, first aid instruction manual. The site director verified that these items were missing from the first aid kit.

Plan of Correction: The site director stated a list of missing items had been given to the administrative staff to provide for the site. All of the items with the exception of the first aid instruction manual were brought to the site during the inspection.

Standard #: 22VAC40-185-540-E
Description: Based on observation and interview, the center failed to ensure that the required nonmedical emergency supplies were available at the site. Evidence: 1. There was no working battery operated radio or working flashlight at the site. Both are required supplies for emergency purposes. The site director confirmed that there was no flashlight at the site and the radio did not have working batteries and was corroded.

Plan of Correction: The site director will inform the administrative staff of the need for a battery operated flashlight and radio. These items were brought to the site during the inspection by the administrative staff.

Standard #: 22VAC40-185-550-B
Description: REPEAT VIOLATION Based on review of policies/procedures, the center failed to ensure that the emergency preparedness plan contained all procedural components. Evidence: 1. The emergency preparedness plan was missing the following required components: emergency officer and backup with 24 hour contact information, notification of local authorities, availability and primary use of communication tools, assembly points, primary and secondary means of egress/access (for shelter-in-place), facility containment procedures, staff training requirement, plan review and update.

Plan of Correction: The administrative staff will add the missing components to the emergency plan.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the center failed to ensure that tables used for feeding were sanitized as required. Evidence: 1. The tables to be used for snack were observed to be sprayed with a bleach and water solution and wiped immediately dry with a paper towel. This was done prior to the children arriving before snack. The requirements for sanitizing are to allow the bleach and water solution to stay on the tables for at least two minutes after being sprayed before being wiped dry.

Plan of Correction: The licensing inspector informed the site director of the requirements for cleaning and sanitizing tables used for food service. The site director will ensure that the tables are properly sanitized in the future.


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. To find programs participating in Virginia Quality, click here.

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