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Effingham Street Family YMCA

Inspection · 2024-12-13

Date
2024-12-13
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse and Neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on 12/13/24. The on-site inspection began at 4:20pm and ended at 6:15pm. The inspector reviewed compliance in the areas listed above. There were 41 children present and seven staff. The inspector reviewed five children?s records and five staff records. 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/30/24. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.035-B-3
Centers must request central registry results for all staff members.
There is no documentation of a central registry search in the record of Staff #1 (employed for 2 and a half years). In the record of Staff #2 (employed for seven months), the documentation for the central registry search shows that the search results were not received until six months after the staff member's hire date.
Plan of Correction: Program Director will ensure that Staff #1 Central Registry search will be requested and results documented in staff file. Program Director will ensure that all staff Central Registry results are received prior to employment date. Program Director has created a staff audit spreadsheet to ensure compliance of staff files.
Standard 8VAC20-780-160-A
Documentation of a tuberculosis(TB) screening shall be submitted at the time of employment and prior to coming into contact with children.
The record for Staff #2 hasTB results that were submitted after the time of employment and not prior to coming into contact with children.
Plan of Correction: Program Director will ensure that all staff Tuberculosis screening results are received prior to employment date. Program Director has created a staff audit spreadsheet to ensure compliance of staff files.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
In the record for Staff #2 (employed seven months), the documentation for the Virginia Department of Education-sponsored orientation course show that the training was not completed within 90 calendar days of employment.
Plan of Correction: Program Director will ensure that all staff Virginia Department of Education sponsored orientation is completed within 90 days of employment date. Program Director has created a staff audit spreadsheet to ensure compliance of staff files.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Documentation of orientation show that Staff #2 (employed for seven months) did not receive orientation training within the required timeframe. Orientation for the staff member was completed in the seventh month of being employed.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services