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YMCA School Age Child Care @ Mt. Trashmore Family YMCA

Inspection · 2021-12-10

Date
2021-12-10
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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.
22VAC40-191 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program A monitoring inspection was initiated on 12/10/21 and concluded on 12/17/21. The provider was contacted by telephone to initiate the inspection. There were 88 children present and 11 staff present. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 5 children?s records and 7 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

3
Standard 8VAC20-770-60-B
Based on a review of 7 staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed.

Evidence:
1. The record for staff #7 (date of hire 6/18/21) contained a sworn statement or affirmation that was dated 12/15/21.
2. Staff #1 (Program Director) reviewed the record for staff #7 and confirmed the sworn statement or affirmation was completed after employment began..
Plan of Correction: The facility responded: All new staff will complete a sworn statement or affirmation prior to beginning employment.
Standard 8VAC20-770-60-C-2
Based on a review of 7 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #4 (date of hire (10/29/21) did not contain documentation of a completed search of the central registry finding.
2. The record for staff #7 (date of hire (6/18/21) did not contain documentation of a completed search of the central registry finding.
3. Staff #1 (Program Director) reviewed the records for the staff #4 and staff #7, and confirmed that the search of the central registry finding has not been received for either staff , and that both staff had been employed for more than 30 days.
Plan of Correction: The facility responded: Staff #4 and staff #7 has previously completed the search of the central registry, but we were unable to locate it for viewing during the inspection. If it can't be located staff #4and staff #7 will complete a new search of the central registry. All new staff will complete a search of the central registry upon hire and we will ensure it is received within 30 days.
Standard 8VAC20-780-160-A-1
Based on a review of 7 staff records, it was determined that the facility did not ensure that all staff provide documentation of a negative TB screening at the time of employment and prior to coming into contact with children.

Evidence:
1. The record for staff #7 (date of hire 6/18/21) did not contain documentation of a negative TB screening.
2. Staff #8 (Program Director) confirmed that the both listed above did not have a negative TB screening available for viewing during the inspection.
Plan of Correction: The facility responded: Staff #7 will be sent to complete a TB screening. All new staff will complete a TB screening prior to employment.
View original record on Virginia Department of Social Services