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Staunton-Augusta YMCA - Teen Center Site

Inspection · 2023-07-24

Date
2023-07-24
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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

A monitoring inspection was initiated on 07/24/2023 and concluded on 07/24/2023. There were 26 children present, ranging in ages from 10 years to 12 years, with 8 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed.

Please complete the plan of correction and date to be corrected sections for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. 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 preventive measure(s).

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

4
Standard 22.1-289.035-B-4
Based on a review of records and interview, the center did not request an out-of-state sex offender check for each employee who has resided in any other state in the preceding five years.

Evidence:
1. The record of Staff 1 (DOH 06/06/2022) did not contain documentation that an out-of-state sex offender was completed prior to hire. Staff 1 identified living in one other state in the past 5 years on their Sworn Disclosure Statement.
2. The record of Staff 3 (DOH 06/06/2023) did not contain documentation that an out-of-state sex offender was completed prior to hire. Staff 3 identified living in one other state in the past 5 years on their Sworn Disclosure Statement.
3. Staff 4 confirmed that were no results of an out-of-state sex offender background check for Staff 1 and Staff 3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on a review of staff records, the center did not ensure to obtain a Sworn Statement from each staff prior to employment.

Evidence:
1. The record of Staff 2 (DOH 06/01/2023) did not contain documentation of a Sworn Statement.
2. Staff 4 confirmed there was not a Sworn Statement in the record of Staff 2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on a review of staff records, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.

Evidence:
1. The record of Staff 2 (DOH 06/01/2023) did not contain documentation of a central registry finding.
2. The record of Staff 3 (DOH 06/06/2023) did not contain documentation of a central registry finding.
3. Staff 4 confirmed that Staff 2 and Staff 3 did not have documentation of a central registry finding in their records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-D
Based on record review, the center failed to ensure that staff who work with a group of children at the center and are employed at a short-term program shall only be required to obtain a minimum of 10 hours of staff training per year.

Evidence:
1. The record of Staff #1 (DOH 06/06/2022) did not have evidence of 10 hours of staff training for the year of 06/2022 to 06/2023.
2. Staff #4 could not find any certificates of training from 06/2022 to 06/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services