VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Boys & Girls Club of the Mountain Empire -Bristol, Virginia Unit
334 Rebecca Street
Bristol, VA 24201
(276) 669-8932

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Oct. 18, 2024 , Oct. 21, 2024 , Oct. 23, 2024 and Oct. 24, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site renewal inspection was initiated on 10/18/2024 and completed on 10/24/2024. The on-site inspection began at 2:20 pm and ended at 4:35 pm. The inspector reviewed compliance in the areas listed above. There were 72 children present and nine staff. The inspector reviewed five children?s records and six staff records on-site and four board members files electronically on 10/23 & 10/24/2024. This inspection included. document review, tour of the facility, and interviews. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/31/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	The license and any other documents (violation notice, inspection summary) required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The violation notice posted was dated 11/1/23. The most current violation notice was dated 6/3/24.
Plan of Correction:	Violations that were posted in Unit Director's office will now be posted on the entrance wall in the lobby area.
Standard #:	22.1-289.035-A
Description:	All applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check in accordance with subsection B prior to employment or beginning to serve as a volunteer, prior to employment or beginning to serve as a volunteer and every five years thereafter. Board member #1 does not have an out of state background check conducted every five years.
Plan of Correction:	Board member has been sent documents to update background check.
Standard #:	8VAC20-780-210-A-4-b
Description:	Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and have six months of supervised programmatic experience. Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received. Staff #3, who has been working 17 months, and staff #6, who has been working 14 months, are working as program leaders (lead teachers) but, do not have documentation they have received 24 hours of training to be promoted to program leader.
Plan of Correction:	Documentation of trainings will be added to their file.
Standard #:	8VAC20-780-260-B
Description:	After the first license, annual approval from the health department shall be provided. The center did not have an annual approval/inspection from the health department.
Plan of Correction:	The Health Department was called the day of the visit and will be inspecting on 10.25.24
Standard #:	8VAC20-780-270-A
Description:	Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood. The wooden piece of equipment with the pool table balls, in the game room area, has splintered and deteriorating wood. The ground covering that was under the resilient surface is currently on top of the surfacing in various places, causing a tripping hazard.
Plan of Correction:	Maintenance of these areas will be scheduled immediately.
Standard #:	8VAC20-780-280-B
Description:	Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The back bathroom, close to the cafeteria, had disinfectant spray on the sink. The art room had spray paint, spray adhesive, cleanser, spray bleach, disinfectant spray and all purpose cleaner, not locked. This room was used by the children during the inspection. A storage room off of the game room was not locked and had the following: grass killer, air freshener, bleach, hospital disinfectant, and disinfectant spray. All of these areas are accessible by the children.
Plan of Correction:	All hazardous materials will be stored in locked rooms. All rooms that should not be accessible to children shall be locked.
Standard #:	8VAC20-780-330-B
Description:	Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The resilient surfacing under the blue curvy slide measure less than one inch. The slide needed six inches of surfacing.
Plan of Correction:	We are working on bids for new mulch for the entire playground.
Standard #:	8VAC20-780-340-F
Description:	Children under 10 years of age always shall be within actual sight and sound supervision of staff. Upon arrival to the center at 2:20 pm, the public school bus was dropping off children under the age of 10 years. There were no staff present outside or at the entrance door supervising the children. Children under 10 years of age were allowed to come inside the center to get water or go to the bathroom. The children were out of sight and sound supervision of staff.
Plan of Correction:	There will be staff supervision at the gate when the children arrive each day.
Standard #:	8VAC20-780-550-E
Description:	Shelter in place procedures shall be practiced a minimum of twice per year. No documentation was available during the inspection showing shelter in place procedures are practiced twice a year.
Plan of Correction:	There will be a shelter in place procedure completed immediately.
Standard #:	8VAC20-780-550-F
Description:	Lockdown procedures shall be practiced at least annually. There was no documentation available during the inspection that lockdown procedures are practiced annually.
Plan of Correction:	A lockdown procedure will be conducted immediately.