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YMCA Alexandria

Inspection · 2024-12-05

Date
2024-12-05
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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
8VAC20-790 Subsidy Regulations

During the inspection, the inspector reviewed the areas listed above. 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 monitoring inspection was conducted on 12/5/2024. The on-site inspection began at 2:25pm and ended at 5:35pm. The inspector reviewed compliance in the areas listed above. There were no children present upon arrival of the inspection. The inspector reviewed 3 child records and 4 staff records on-site. This inspection included document review, interviews, and a tour of the facility.

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. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289-036-B-4
The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

Staff #1, employed for more than two years, and Staff #2, employed for more than one year, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.
Plan of Correction: Third party searches were performed but not accepted. This is not a violation due to negligence. Moving forward, we will use Virginia background checks for the people who live in MD (as they are compatible with MD) and will not use third party background check services.
Standard 8VAC20-780-160-A
At the time of employment and before coming into contact with children, each staff member shall submit documentation of a negative tuberculosis (TB) screening.

The TB screening for Staff #2 is dated almost 3 months after the date of employment.
Plan of Correction: No staff will start working before having TB results in.
Standard 8VAC20-780-160-C
REPEAT VIOLATION
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

The record for Staff #1 contained subsequent TB results dated almost one month after expiration.
Plan of Correction: A list of expirations will be compiled and placed on calendars and devices to give reminders that given documents need to be updated before it expires.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided for meeting requirements for: water supply, sewage disposal system, and food service (if applicable).

The child day center did not have documentation of a health inspection. The Virginia Department of Health confirmed that the centers last health inspection was conducted in 2021.
Plan of Correction: We are currently in talks with the health department to get someone out before the new year or the end of January 2025.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill.

The center did not practice an evacuation drill for the month of November.
Plan of Correction: Reminders shall be set on devices and will document said evacuation drills.
Standard 8VAC20-780-550-H
The center shall maintain a record of the dates of the practice drills for one year.

The center did not have a record of practice drills for January - August 2024.
Plan of Correction: The center shall keep the records of past fire drills posted and will set reminders to perform them monthly.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain: documentation of viewing proof of the child's identity and age and the first and last dates of attendance.

The record for Child #1 did not contain documentation of viewing proof of age and identity or the first date of attendance. The record for Child #2 did not contain the first date of attendance.
Plan of Correction: No child shall start the program without all the documents needed.
View original record on Virginia Department of Social Services