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Boones Mill Elementary YMCA Before & After School Program
265 Taylors Road
Boones mill, VA 24065
(540) 493-3600

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Oct. 11, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was completed on 10/11/17. There were 21 children present with two staff supervising. A third staff person arrived at approximately 3:45 pm. Five children's records and two staff records were reviewed. There were two emergency medications for one child in care with multiple food allergies. The inspector arrived at the school at 3:30 pm and departed at 6:00 pm. The children were observed during outside times, during snack time, during homework time, and during departures. There was discussion with the site director about the following: the method of documenting changes to the menu, having each parent's address documented in the children's records, obtaining the written documentation of the recent fire inspection report.

Violations:
Standard #: 22VAC40-185-240-D-1
Description: Based on interview and record review, the center failed to ensure that when the center has agreed to administer medication that there was a staff member who was trained in the administration of medication (MAT). Evidence: 1. Staff #1 was observed arriving to the center at approximately 3:45 pm. Staff #1, according to the school-age child care coordinator, regularly arrives for her shift at this time each day. Staff #1, according to the child care coordinator, is the only staff person assigned to this site who is MAT trained. 2. There were two emergency medications observed for a child in care with multiple food allergies who attends from approximately 3:15 pm each day. 3. There was no staff person who was trained in the administration of medications available from approximately 3:15 pm until approximately 3:45 pm each day.

Plan of Correction: The child care coordinator will work to have a staff person who is trained cover the afternoon until staff #1 arrives.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to ensure that the children washed their hands or used disposable wipes after eating snack as required. Evidence: 1. Four children were observed to arrive to the program late (approximately 4:30 pm). The children were observed eating snack and did not wash their hands or use disposable wipes after eating. The Standards require hand washing or the use of disposable wipes before and after eating.

Plan of Correction: The staff will make sure hand washing is practiced as required in the future.

Standard #: 22VAC40-185-510-D
Description: Based on record review and interview with staff, the center failed to ensure that there was a medication authorization available to staff for medication that was available to be used. Evidence: 1. There was no authorization for administration of a liquid antihistamine for child #1 who has multiple food allergies. The medication was observed at the center for the child.

Plan of Correction: The site director will have the parent and physician complete an authorization for the medication to be given in the event of an emergency and it is needed.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the center failed to ensure that a medication for a child in care was labeled with the dosage amount or the time/times to be given. Evidence: 1. A liquid antihistamine was observed for a child with allergies to several foods. The medication did not have the dosage amount to be given to the child and did not have the time or times to be given to the child.

Plan of Correction: The medication will be labeled with the dosage and times once an authorization is obtained from the parent.

Standard #: 22VAC40-185-540-E
Description: Based on observation, the center failed to ensure that the required non-medical emergency supplies were operational. Evidence: 1. The battery operated radio was not working. The inspector and the site director both tried to have the radio operate but were unsuccessful.

Plan of Correction: The site director will ensure that a battery operated radio is available and working at the center at all times.

Standard #: 22VAC40-185-550-C
Description: Based on observation, the center failed to ensure that the routes showing the evacuation routes and shelter-in-place location were noted on the posted map. Evidence: 1. There was a map of the school's floor plan posted. There were no emergency evacuation routes noted and there was no shelter-in-place location noted on the map.

Plan of Correction: The child care coordinator corrected this during the inspection. The emergency exit routes and the shelter location were added to the map.

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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