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Young Men's Christian Association of the Virginia Peninsulas

Inspection · 2023-02-27

Date
2023-02-27
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 BACKGROUND CHECKS
22.1 EARLY CHILDHOOD CARE AND EDUCATION

Inspector Notes

A renewal inspection was conducted on, February 27, 2023. The inspector was on site from approximately 4:15 pm until 5:30 pm. The director was not on site at the time of the inspection. There were 10 children present, ranging in ages from five years to twelve years, with two staff supervising. Children were observed painting, working on homework, and playing board games. Five additional children arrived and were signed into the program later after tutoring with the school. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of four child records were reviewed and three staff records were reviewed virtually on March 3, 2023. Additional information regarding board officers was obtained on March 23, 2023.

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. If you have questions regarding this inspection, please contact the licensing inspector.

Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations

10
Standard 22.1-289.036-A
Based on a review of four agent records, the center failed to obtain a sworn statement every five years from the date of the original background check for one agent.

Evidence:

The record of agent #1 contained documentation of a sworn statement dated 02/15/2018, exceeding five years.
Plan of Correction: Per the director: we will have the board officer update the background check.
Standard 8VAC20-780-140-A
Based on review of four children?s records, the center did not obtain documentation of physical for one child?s record by the first day of attendance or within 30 days after the first day of attendance.

Evidence:

The record of child #1, enrolled 08/08/2022, did not contain documentation of a physical exceeding 30 days of the first day of attendance.
Plan of Correction: Per the director: I will have the parent provide a copy of a physical.
Standard 8VAC20-780-160-A
Based on review of three staff records, the center did not obtain documentation of a negative tuberculosis screening for two staff members at the time of employment and prior to coming into contact with children and shall have been completed within 30 calendar days of the date of employment.

Evidence:

1. The record of staff #1, employed 09/06/2022, contained documentation of a tuberculosis screening dated 09/27/2022 exceeding the date of employment.
2. The record of staff #3, employed 11/06/2022, contained documentation of a tuberculosis screening dated 08/30/2021 exceeding 30 days prior to the date of employment.
Plan of Correction: Per the director: We will make sure staff have their tuberculosis screening prior to hire.
Standard 8VAC20-780-190-A-3
Based on review of staff records and interview, the center did not ensure the assigned program director met program director qualifications.

Evidence:

The record of staff #1, identified as the center?s program director, contained documentation of completing 79 college credits of which 10 semester hours were in a child related subject when 48 semester hours of college credits of which 12 semester hours are in a child related subject is required. Staff #1 was missing documentation of two college credit hours in a child related subject.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based on review of documentation, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence:

Documentation of a fire inspection could not be located. The director stated the elementary school did not have a fire inspection this year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based on interview, the center did not implement a monthly practice evacuation drill.

Evidence:

Staff stated that evacuation drills had not been conducted and that a drill log could not be located.
Plan of Correction: Per the director: we will start documenting drills every month.
Standard 8VAC20-780-550-E
Based on interview, the center did not practice a minimum of two shelter in place drill in the past year.

Evidence:

Staff stated that they had not conducted any shelter-in-place drill and that a drill log could not be located.
Plan of Correction: Per the director: we will complete two drills and document them.
Standard 8VAC20-780-550-F
Based on interview, the center did not ensure lockdown procedures were practiced at least annually.

Evidence:

Staff stated a lockdown drill had not been conducted and that a drill log could not be located.
Plan of Correction: Per the director: We will conduct a lockdown drill every year.
Standard 8VAC20-780-60-A
Based on review of five children?s records, observations and interview, the center did not maintain and keep at the center a separate record for each child enrolled.

Evidence:

1. The record of child #1 did not contain documentation of a physical and immunizations that was kept on site.
2. The Licensing inspector requested the record of child #2 during the 02/27/2023 inspection. Staff stated children?s records and documentation of immunizations and physical were not kept on site.
3. The Licensing inspector requested the record of child #3 during the 02/27/2023 inspection. Staff stated the children?s records and documentation of immunizations and physical were not kept on site.
4. The Licensing inspector requested the record of child #4 during the 02/27/2023 inspection. Staff stated children?s records and documentation of immunizations and physicals were not kept on site.
5. Child #1, child #2, child #3, and child #4 were on site during the inspection on 02/27/2023.
Staff #1, stated children?s records were kept at the main office off site from the licensed program.
Plan of Correction: Per the director: I will keep all children's record on site and have parents provide missing information.
Standard 8VAC20-780-70
Based on review of staff records, the center did not obtain documentation to demonstrate that an individual possessed the education, certification and experience required by the job position.

Evidence:

The record of staff #2, identified as a program leader, did not have documentation of education, certification and experience as required for the job position.
Plan of Correction: Per the director: I will have staff complete the necessary training.
View original record on Virginia Department of Social Services