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Young Men's Christian Association of Greater Richmond-Petersburg

Inspection · 2024-08-01

Date
2024-08-01
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.
8VAC20-770 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, on-site monitoring inspection was initiated on 08/01/2024 and completed on 08/09/2024, as a part of the licensure period. The on-site inspection began at 10:30 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 65 children present and 10 staff. The inspector reviewed 7 children?s records on site and 9 staff records electronically. This inspection included document review, a tour of the facility, interviews, 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 08/20/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-3
Based on record review, observation, and interview, the center failed to obtain a copy of the results of a search of the central registry background check for all staff.
Evidence:
1. The record for staff #3, date of employment 05/17/2024, did not contain the results of a search of the central registry background check. Staff #3 was observed working with children.
2. The record for staff #4, date of employment 05/17/2024, did not contain the results of a search of the central registry background check. Staff #4 was observed working with children.
3. Interview with administration confirmed that a central registry background check was not requested for staff #3 or staff #4.
Plan of Correction: Administration has contacted H.R. to reiterate completing CRS during the time frame from D.O.H. CRS was sent out on 08/02/2024.
Standard 8VAC20-780-130-A
Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence: The record for child #7, date of enrollment 05/14/2024, did not contain documentation that the child has received the immunizations required by the State Board of Health.
Plan of Correction: Administration will ensure that each child has immunizations on file before 1st day of attendance.
Standard 8VAC20-780-280-B
Based on observation, and interview, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were 2 spray bottles with liquid in them and labeled disinfectant unlocked on a desk. The staff used the spray bottle to clean and sanitize the tables before the children sat down to eat lunch.
2. Interview with administration confirmed that the spray bottles were not kept in a locked place using a safe locking method that prevents access by children.
Plan of Correction: Bottles and other hazardous chemicals have been locked away.
Standard 8VAC20-780-60-A
Based on record review, the center failed to maintain a complete record for each enrolled child.
Evidence:
1.The record for child #7, date of enrollment 05/14/24, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: Administration will ensure that each child in attendance has a complete record before 1st day of attendance.
Standard 8VAC20-780-60-A-8
Based on documentation review, and record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence.
1. The record for child #7, date of enrollment 05/14/24, stated that the child has a food allergy.
2. Child #7 is listed on the center allergy list.
3. The record did not contain a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: Center understands that moving forward they need action plans from children with allergies.
View original record on Virginia Department of Social Services