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

Inspection · 2024-07-23

Date
2024-07-23
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 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 7/23/2024 and completed on 7/23/2024. There were two licensing inspectors on-site and the inspection began at 9:05am and ended at 12:50pm. The inspector reviewed compliance in the areas listed above. There were 126 children present and 11 staff. The inspector reviewed 10 children?s records on-site and 10 staff records on 7/26/2024. This inspection included document review, tour of the facility, and observations.

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

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/7/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-780-270-A
**REPEAT VIOLATION**
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:
1. In cabin 11, 12, 13, 14, and 15 the electrical panels are without covers.
2. In cabin 12, 13, 14, and 15, protruding nails were observed on the wall at the height at which children could be injured.
3. In cabin 11, rotted wood floorboards were observed on the floor inside the cabin as well as on the stairs to the cabin.
4. The Shawonodasee lodge was observed with 3 broken screens in windows as well as
5. Bathroom #1 located next to the Alpine tower was observed with a protruding metal wire on the outside of the building where children walk.
6. Bathroom #2 located on the walking trail was observed with the soap dispenser broken off the wall.
Plan of Correction: Property ticket was submitted 7/23. 7/24 and 7/31 panels and staircase has been fixed. 7/25 nails have been removed.
Standard 8VAC20-780-510-F
Based on review of medication records, the center did not ensure medication authorization was made available to staff during the entire time it was effective.

Evidence:
1. The record for child #4 contained a medication authorization for a prescription medication without a physician?s signature. The medication was observed on-site at the time of inspection.
2. A prescription inhaler and non-prescription allergy medication was observed for Child #20 and no written parental authorization was present for this medication. The record for this child also contained a medication authorization for a prescription medication that is incomplete due to missing effective dates. The medications were observed on-site at the time of inspection.
Plan of Correction: For child #4 parents were contacted on 7/23 to get signature. Medication was sent home. For child #20 child is no longer at camp. Meds sent home.
Standard 8VAC20-780-510-G
**REPEAT VIOLATION**
Based on review of medication records and staff interview, the center did not ensure prescription medication was be labeled with the child?s name, the name of the medication, the dosage amount, and the time or times to be given.

Evidence:
1. The medication for child #2, an epi-pen, was observed without a prescription label with the child?s name, the dosage amount and the time or times to be given.
2. Staff acknowledged the medication did not have a prescription label with child?s name, the dosage amount and the time or times to be given.
Plan of Correction: Everything has been corrected and labeled correctly.
Standard 8VAC20-780-510-N
Based on review of medication records, the center did not ensure a record of medication given to children included any adverse reactions were noted in the record.

Evidence:
1. The medication logs for 5 children were blank in the section labeled ?any noted side effects.?
Plan of Correction: Moving forward staff understand to add comments always even if no signs/or side effects.
Standard 8VAC20-780-510-P
**REPEAT VIOLATION**
Based on a review of medication records, the center failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then failed to dispose of medications that were not picked up.

Evidence:
1. A medication authorization, for a prescription Epi-pen and non-prescription Zyrtec was observed on 7/23/2024 for child #18 with an expiration date of 5/31/2023, and the medication was still on site at the time of inspection.
Plan of Correction: Parent was contacted on 7/23 to have doctor fill out a new form. Medication was sent home.
Standard 8VAC20-780-60-A
Based on review of children?s records, the center did not ensure documentation of a work phone number and place of employment of each parent in each child?s record.

Evidence:
1. The record for child #8 and child #9 did not contain employment information or a work phone number for either parent listed. The information on both children?s records were blank.
2. Staff acknowledged not having employment information or work phone numbers for either of the children?s records.
Plan of Correction: Parents have been contacted for missing info.