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Young Men's Christian Association of Greater Richmond-Walnut Hil

Inspection · 2021-11-08

Date
2021-11-08
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.

A monitoring inspection was initiated on 11/08/2021 and concluded on 11/10/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 47 children present, ranging in ages from 5 to 10 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 3 child records and 3 staff records were reviewed.

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 22VAC40-185-60-A
Based on record review and interview, the center did not ensure that a separate record was kept for each child enrolled that contained all of the required information.

Evidence:
1. The record of child #2 (DOE: 09/07/2021) contained one of the two required names, addresses, and phone numbers of designated people to call in an emergency if a parent could not be reached.
2. The record of child #3 (DOE: 09/20/2021) contained documentation of the written agreements that are required to be in the record by the child's first date of attendance dated 11/9/2021.
3. Administration acknowledged that both records did not meet the requirements.
Plan of Correction: Parents will correct/add missing information. Parents must complete player space account before starting.
Standard 22VAC40-191-60-C-2
Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for two staff.

Evidence:
1. The records of staff #2 (DOH: 10/06/2021) and staff #3 (DOH: 09/14/2021) did not contain central registry results.
2. Administration acknowledged that they had not been received within the required time frame.
Plan of Correction: HR will document follow up in written form.
Standard 63.2(17)-1720.1-B-4
Based on record review and interview, the center did not ensure to obtain the results of an out of state sex offender registry and out of state criminal history name check prior to the first date of employment and an out of state child abuse and neglect registry by the end of the 30th day of employment for one staff.

Evidence:
1. The record of staff #3 (DOH: 09/14/2021) contained a sworn statement that indicated that the staff resided outside of the state of Virginia within the preceding 5 years.
2. The record did not contain the results of the out of state sex offender name check, criminal history or child abuse and neglect background checks.
3. Administration acknowledged that they did not have records of the out of state background checks.
Plan of Correction: HR will make out of state backgrounds.
View original record on Virginia Department of Social Services