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Young Men's Christian Association of Greater Richmond-P. Henry

Inspection · 2024-09-19

Date
2024-09-19
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 9/19/2024 and completed on 9/20/2024. The on-site inspection began at approximately 2:26 pm and ended at 4:45 pm. The inspector reviewed compliance in the areas listed above. There were 79 children present and 9 staff. The inspector reviewed 8 children?s records on site and 8 staff records electronically on 9/20/2024. This inspection included document review, a tour of the facility, interviews, observations, and measurements.

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 9/27/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Administration stated that staff #4's central registry was not requested prior to the employee's first day of employment.
Plan of Correction: Admin has communicated with HR the steps to take when requesting CRS.
Standard 8VAC20-780-130-A
REPEAT VIOLATION

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #1, who had been attending for approximately 30 days, did not have documentation of an immunization record on file.
Plan of Correction: Director is contacting parent to get immunization.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

Staff #3 completed the department sponsored orientation approximately 7 months late.
Plan of Correction: Director has been reminded of training timeline.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Staff #3 annually completed approximately 12 hours of annual training.
Plan of Correction: Director has been reminded to let staff know about annual trainings.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides.

Staff #7 was identified as a program leader who had been fulfilling the role for approximately 13 months. Staff #7 did not have the training required by the position.
Plan of Correction: Staff is working on training to become lead teacher qualified.
Standard 8VAC20-780-510-B
Prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

Child #2, who had been enrolled for approximately 30 days, did not have a current written medication authorization. Staff #1 stated that the medication had been administered daily since the date of enrollment.
Plan of Correction: Director is contacting parent to get MAT form.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person that contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center and information to be kept at the center about any health problems that may interfere with fulfilling the job responsibilities.

The emergency contact and health information was not available on site for staff #4, who had been employed for approximately 1 month, and staff #6, who had been employed for approximately 4 days.
Plan of Correction: Staff forms have been filled out and placed in file.