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Young Men's Christian Association of Greater Richmond-Camp Thund

Inspection · 2022-08-26

Date
2022-08-26
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

A renewal inspection was initiated on August 26, 2022 and concluded on September 29, 2022. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of nine child records and 10 staff records, annual fire and health inspections were reviewed. The certification?s for four lifeguards in attendance and on duty were reviewed. The onsite pool was inspected and was in compliance with the standards. The provider stated that transportation is provided and that three buses were in use on the day of inspection. The three buses were inspected, transportation documents and bus driver certifications were reviewed. Medication is administered, and medication, authorization forms and allergy plans were reviewed. All camp stations (areas) and equipment were observed. The following were closed for the season: Zip line and Water Zip Line, Alpine, Canoes, Fishing, Marksmanship area, and the climbing wall.

Fire Inspection: 05/06/2022
Health Inspection: 06/24/2022
Pool Inspection: 06/24/2022

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

9
Standard 22.1-289.035-B-4
Based on record review and interview, the center did not ensure all applicants for employment undergo background checks, as required by the Code of Virginia. A search of the child abuse and neglect registry, from any state in which the individual has resided in the preceding five years, was not obtained for one staff person.

Evidence:
1. The record of staff #4 (start date: 6/15/22) did not have documentation of an out- of-state child abuse and neglect search request by the end of the 30th day of employment.
2. The Sworn Statement or Affirmation for staff #4 indicated that the staff member has lived in Ohio within the past five years.
3. A member of management verified that the out-of-state check for Ohio had not been requested by the end of the 30th day and no follow up has been completed.
Plan of Correction: We have fixed this proves moving forward with our departments. We have since terminated the staff missing these background checks.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not have documentation of central registry findings for three staff members.

Evidence:
1. The record for staff #3 (hire date 05/19/22), staff #4 (hire date 06/15/22), and staff #10 (hire date 05/20/22 did not contain documentation of central registry findings.
2. Administrative staff confirmed that the central registry findings had not been received as of 09/29/22.
Plan of Correction: We have had issues with central registry portal and plan to correct this moving forward.
Standard 8VAC20-780-160-A
We have since terminated these seasonal staff but have fixed our pre-onboarding process to make sure TB's are complete.
Plan of Correction: We have since terminated these seasonal staff but have fixed our pre-om boarding process to make sure TB's complete
Standard 8VAC20-780-160-C
Based on a review of staff records and interview, the center did not ensure that documentation of two or more references as to character and reputation as well as competency checked before employment was kept in the staff record.

Evidence:
1. The record for staff #4 (hire date 06/15/22) did not contain documentation of two or more references before employment.
2. The administrator stated that staff #4 did not have documentation of two or more references.
Plan of Correction: We have fixed out expiration date file for our staff to make sure we send staff to redo any screenings.
Standard 8VAC20-780-270-A
Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
The Lodge basement room has several large windows. One of the windows had approximately a two inch by four inch hole with shattered glass coming from the hole. There was glass on the ground in front of the window area. The children in care had access to the area around the shattered and broken glass. This area is where children meet up to begin activities.
Plan of Correction: We have already turned in these requests to property to fix before next season.
Standard 8VAC20-780-280-B
Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
Bus #3 had a container of Windshield Washer Fluid and a container of Antifreeze Coolant labeled ?Warning? and ?Harmful?. The containers were located in the back of the bus behind the last seats unlocked and accessible to children.
Plan of Correction: We will make sure all busses and transportation lock up all materials that are unsafe to children.
Standard 8VAC20-780-530-A-1
Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current CPR certification.

Evidence:
1. The records for staff #1 (start date: 07/06/22), staff #2 (start date: 06/09/22) staff #4 (start date:6/15/22) staff #5 (start date: 06/29/22) staff #6 (start date: 03/06/20) did not have a current CPR certification. The staff are leaders in groups and/or help get children to and from areas in the camp.
2. Administrator staff stated that the staff members did not have CPR certifications.
Plan of Correction: We will be correcting this process for all future camp staff at CTB making sure to have complete staff certifications.
Standard 8VAC20-780-530-A-2
Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current First Aid certification.

Evidence:
1. The records for staff #1 (start date: 07/06/22), staff #2 (start date: 06/09/22) staff #4 (start date:6/15/22) staff #5 (start date: 06/29/22) staff #6 (start date: 03/06/20) did not have current First Aid certification. The staff are leaders in groups and/or help get children to and from areas in the camp.
2. Administrator staff stated that the staff members did not a current First Aid certification.
Plan of Correction: We will be correcting this process for all future camp staff at CTB making sure to have complete staff certifications.
Standard 8VAC20-780-70
Based on a review of staff records and interview, the center did not ensure that documentation of two or more references as to character and reputation as well as competency checked before employment was kept in the staff record.

Evidence:
1. The record for staff #4 (hire date 06/15/22) did not contain documentation of two or more references before employment.
2. The administrator stated that staff #4 did not have documentation of two or more references.
Plan of Correction: We will continue to work on completion of staff files within our department with references.
View original record on Virginia Department of Social Services