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Young Men's Christian Association of Greater Richmond-Petersburg

Inspection · 2022-11-23

Date
2022-11-23
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was initiated on 11/23/2022 and concluded on 11/29/2022. The inspector was on site on 11/23/2022 from approximately 7:29 am-8:50 am. There were six (6) children present, ranging in ages from six (6) to 10 years, with four (4) staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies, nutrition and background checks. A total of five (5) child records and five (5) staff records were reviewed. Staff records were reviewed remotely on 11/28/2022 and 11/29/2022.

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 date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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. Please do not use staff names; list staff by positions only.

Violations

3
Standard 22.1-289.035-B-4
Based on a review of five (5) staff records and interview, the center did not ensure to complete an out of state child abuse and neglect search request by the end of the 30th day of employment for one (1) staff as required.

Evidence:
1. The record of staff #5 (date of employment: 6/3/2022) contained a sworn statement which indicated that the staff resided outside of Virginia within the preceding five (5) years. The record did not contain an out of state child abuse and neglect registry request.
2. Administration acknowledged the request had not been made within the 30 days.
Plan of Correction: we have sent the details to get this out of state background check done as soon as possible. moving forward, we have added a level of accountability and double checking to make sure we don?t miss any out of state checks in the future.
Standard 8VAC20-770-60-C-2
Based on a review of five (5) staff records and interview, the center did not ensure to obtain a central registry finding for three (3) staff by the end of the 30th day of employment as required.

Evidence:
1. The record of staff #1 (date of employment:10/6/2022) contained a central registry finding dated 11/8/2022. The record of staff #4 (date of employment: 10/3/2022) contained a central registry finding dated 11/8/2022. The record of staff #5 (date of employment: 6/3/2022) contained a central registry finding dated 7/31/2022.
2. Administration acknowledged that the findings were not obtained within 30 days of employment.
Plan of Correction: We are working on a more consistent and standardized way of showing proof of send off and 30 day follow up.
Standard 8VAC20-780-240-A
Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence:
1. The record of staff #5 (date of employment:6/3/2022) did not contain documentation of the completion of the Virginia Department of Education-sponsored orientation.
2. Administration acknowledged that the course was not completed.
Plan of Correction: We are making sure this staff completes this and making sure all staff follow this procedure.
View original record on Virginia Department of Social Services