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Young Men's Christian Association of the Virginia Peninsulas-R.F

Inspection · 2022-03-17

Date
2022-03-17
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
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.
8VAC20-790 SUBSIDY REGULATIONS.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education

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 March 17, 2022 and concluded on March 22, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 18 children present, ranging in ages from 3 to 5, with 3 staff supervising. 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 2 child records and 2 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.

Violations

6
Standard 22.1-289.035-B-4
Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of a sex offender registry check and a search of the child abuse and neglect registry (CPS) or equivalent registry from any state in which the individual has resided in the preceding five years. The results for the sex offender are to be obtained before reporting to the child day center. The CPS check is required to be submitted by the end of the 30th day of employment.

Evidence: The record for staff #1, employment date 2-7-2022 did not include a sex offender check for South Carolina and Georgia, where staff #1 had lived within the last five years. There were not results for a CPS check from Georgia available for review.
Plan of Correction: Sex offender checks will be complete by 3/24/2022 & CPS mailed out by 3/25/2022.
Standard 8VAC20-770-40-D-1-c
Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of the search of central registry check (CPS) before five years since the date of the most recent central registry finding.

Evidence: The record for staff #2, did not include an updated CPS check by the end of five years. The most recent one available for review was dated 7-20-2016.
Plan of Correction: Updated CPS check will be mailed out 3/24/2022.
Standard 8VAC20-780-160-A-1
Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained documentation of the tuberculosis screening (TB) at the time of employment and prior to coming into contact with children.

Evidence: The record for staff #1, employment date 2-7-2022 did not include a TB screening and center staff confirmed they have been working with children.
Plan of Correction: All staff members will complete TB test prior to date with children.
Standard 8VAC20-780-550-D
Based on review of center documentation and staff interviews, the licensee did not ensure to practice 2 shelter-n-place drills annually.


Evidence: There was not documentation available for review that 2 shelter in place drills had been conducted in 2021.
Plan of Correction: The center will conduct 2 shelter in place drills per year moving forward.
Standard 8VAC20-820-120-A-6
Based on review of center documentation and staff interviews, the licensee did not ensure to operate within the terms of its license.


Evidence: The center operated outside the terms of the license as they did not follow the established age rage for care, (care is for ages 3 years to age 12). Center documentation and center staff confirmed child #1, was age 2 when they entered the childcare program. Child #1 was in care as a two year beginning in November 1, 2021 until the child turned 3 years old on March 14, 2022.
Plan of Correction: Moving forward any changes requested will be sent in writing to the licensing inspector.
Standard 8VAC20-820-120-E-2
Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were available for review.

Evidence: The inspection finding posted were dated 9-24-2020. The most recent inspection was dated October 25, 2021.
Plan of Correction: Effective 3/24/22 the most recent inspection findings will be posted.
View original record on Virginia Department of Social Services