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Young Men's Christian Assoc of VA's Blue Ridge-Crystal Spring

Inspection · 2023-01-25

Date
2023-01-25
Complaint Related
No
Licensing Inspector
James R Basham
(804) 588-2370
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
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted on 1/25/2023. There were 38 children, ages 5 -11 years and 3 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records and 3 staff records were reviewed. The children were observed during arrival, snack and active time in the gymnasium. The inspector arrived for the inspection at 2:05pm and departed the center at 4:07pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

8
Standard 22.1-289.035-B-4
Based on review of three staff?s records, the center failed to ensure that all records were complete.

Evidence: Staff #1 was hired on 12/12/2022 and on the day of the inspection did not have the required out of state child abuse and neglect results documented.
Plan of Correction: Provider will obtain out of state child abuse and neglect results for staff.
Standard 8VAC20-770-60-C-2
REPEAT VIOLATION

Based on review of three staff?s records, the center failed to ensure that all records were complete.
Evidence: The review of records for staff #2 and staff #3 showed no central registry results.

1. Staff #2 was hired on 5/28/2022 and on the day of the inspection did not have the required central registry results documented.
2. Staff #3 was hired on 9/21/2022 and on the day of the inspection did not have the required central registry results documented.
Plan of Correction: Provider will obtain central registry results for staff.
Standard 8VAC20-780-130-A
Based on review of five children?s records, the center failed to ensure that each child has received the immunizations required before the child can attend.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required immunization record documented.
Plan of Correction: Provider will obtain immunization record from parent.
Standard 8VAC20-780-140-A
Based on review of five children?s records, the center failed to ensure that all physical records shall be obtained within 30 days after the first day of attendance.

Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required physical examination record.
Plan of Correction: Provider will obtain physical record from parent.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: Licensing Inspector observed three children leaving the cafeteria area to go to the kitchen area without a staff member. The children were out of sight for approximately 1-2 minutes before reentering the cafeteria. The staff was not able to see nor hear the children.
Plan of Correction: Provider will ensure sight and sound supervision of children is maintained by staff.
Standard 8VAC20-780-560-J
Based on observation, the center failed to ensure tables were sanitized before afternoon snack.

Evidence: The tables were not sanitized before children sat down to eat their afternoon snack.
Plan of Correction: Provider will ensure tables are sanitized before children have snack.
Standard 8VAC20-820-120-E-1
Based on observation, the center failed to ensure that certain documents related to the terms of the license are required to posted on the premises of each facility.

Evidence:
1. The license posted expired 7/26/2022 and on the day of the inspection the most recently issued license was not posted.
Plan of Correction: Provider will post the most recent license issued.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure that certain documents related to the terms of the license are required to posted on the premises of each facility.

Evidence: The inspection posted was dated 12/18/2019 and on the day of the inspection the findings of the most recent inspection were not posted.
Plan of Correction: Provider will post the findings of the most recent inspection.
View original record on Virginia Department of Social Services