VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greenbrier Family YMCA
1033 Greenbrier Parkway
Chesapeake, VA 23320
(757) 547-9622

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: July 16, 2020 and July 22, 2020

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. 20 Access to minor?s records 63.2(17) License & Registration Procedures

Technical Assistance:

2020 legislative implementation reviewed; Individuals must have a determination letter from the Office of Background Investigations prior to beginning employment - to include training; For phase III - Groups of children may share the same physical space (e.g. classroom, gymnasium) so long as social distancing of six feet can be maintained and children do not mix between groups.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 07/16/2020 and concluded on 07/22/2020. The director was contacted by telephone to initiate the inspection. There were 80 children present and 7 staff. The inspector emailed the director a list of items required to complete the inspection. The inspector reviewed 4 children's records and 4 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility. The licensing inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs.

Violations:

Standard #:	22VAC40-185-480-B
Description:	Based on record review and interview, the center failed to maintain a written statement from the parent advising of a child's swimming skills before the child is allowed in water above the child's shoulder height. Evidence: 1. The record for child 1, child 2 and child 3 lacked a written statement from the parent advising of their child's swimming skills. 2. The program director confirmed that a swimming skills statement was not included on the new enrollment forms.
Plan of Correction:	A swimming skills statement will be obtained from each parent.
Standard #:	22VAC40-185-510-G
Description:	Based on medication review and interview, the center failed to administers drugs in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. One medication was not administered to a child despite written authorization from the physician stating a daily dose was to be given. a. The written medication authorization form for child 4 indicates that medication a and medication b shall be administered daily at noon. Additionally, the prescription label affixed to medication a and medication b indicate a daily dosage at noon. b. The program director stated that medication b was not being administered to child 4 as the parent had requested that this medication only be administered "as needed."
Plan of Correction:	This issue was discussed with the parent at pick-up on 07/22/2020. The parent stated they did not want medication b given unless needed. Today,- 07/23/2020, the parent will be asked to obtain a new authorization from the physician stating that medication b is only to be given as needed. The medication will be returned today until a new authorization form is received.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review and interview, the center failed to ensure that the results of the fingerprint background check was obtained for staff prior to employment. Evidence: 1. There is no fingerprint background check on file for staff 1 who has a hire date of 07/17/2020 according to written information reviewed on 07/22/2020 during the remote video inspection. a. Staff 1 was working in the licensed program on 07/16/2020 according to information submitted to the inspector on 07/20/2020. b. The program director confirmed that staff 1 was present on 07/16/2020 in the licensed program. 2. Staff 2 was working in the licensed program on 07/16/2020 prior to receipt of a fingerprint background check according to written information received on 07/20/2020. a. The program director confirmed that staff 2 was present on 07/16/2020 in the licensed program.
Plan of Correction:	The results of the fingerprint background check for staff 2 were received on 07/17/2020. Staff 1 had her fingerprints scanned on 07/17/2020. The results will be forwarded to the inspection when received. Going forward, staff will not work in the licensed program until the results of the fingerprint background check are received.