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The YMCA Of South Hampton Roads-Mt. Trashmore Preschool

Inspection · 2021-09-20

Date
2021-09-20
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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.
22VAC40-191 Background Checks (22VAC40-191)
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, interviews and a virtual tour of the program. A monitoring inspection was initiated on 9/20/21 and concluded on 9/21/21. The director was contacted by telephone and a virtual inspection was conducted. There were 38 children present with 7 staff supervising. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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.

Violations

3
Standard 22VAC40-185-160-A
Based on a review of three staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing.

Evidence:
1. The record for staff #3 (date of hire 6/1/21) did not contain documentation of a negative tuberculosis screening.
2. Staff #4 (Program Administrator) confirmed that the documentation of a negative tuberculosis screening was not completed within 21 days of employment for all staff #3.
Plan of Correction: The facility responded: The Child Care staff at Mt. Trashmore Family YMCA will ensure that each staff member will submit documentation of a negative tuberculosis screening. Documentation of a negative TB screening has to be completed prior to the staff?s start date and must be less than 30 days old.
Standard 22VAC40-191-60-C-2
Based on a review of three staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #3 (date of hire 6/1/21) did not contain documentation of a completed search of the central registry finding.
2. Staff #4 (Program Administrator) confirmed that the search of the central registry finding has not been received within 30 days of employment for staff #3.
Plan of Correction: The facility responded: The Childcare staff at the Mt. Trashmore Family YMCA will ensure that all staff will have a central registry search done with results within 30 days of employment.
Standard 63.2(17)-1720.1-B-4
Based on a review of three staff records, it was determined that the facility did not ensure that they 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 or equivalent registry from any state in which the staff has resided in the preceding five years.

Evidence:
1. The record for staff #3 (date of hire 6/1/21) did not contain documentation of a completed sex offender search for Texas and a search of the central registry finding from Texas. The sworn statement indicated staff #3 had previously lived in Texas within the last 5 years.
2. Staff #4 (Program Administrator) reviewed the record for the staff #3 and confirmed that the sex offender search for the state of Texas and the search of the central registry finding from the state of Texas in which staff #3 previously resided in has not been received.
Plan of Correction: The facility responded: The Child Care staff at Mt. Trtashmore Family YMCA will obtain copies of the results of all employees criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state the employee has resided in the preceding five years.
View original record on Virginia Department of Social Services