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Caroline Family YMCA

Inspection · 2021-12-30

Date
2021-12-30
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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.
8VAC20-770 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 12/30/2021 and concluded on 01/13/2022. The director was contacted by telephone and a virtual inspection was conducted. There were five children present with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of two child records and two 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

2
Standard 8VAC20-770-60-C-2
Based on a review of two staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in record for Staff #1, hired on 04/02/19, was dated
06/11/20. 2) During interviews, a member of management confirmed the results of the central
finding for Staff #1 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff member had been continuously employed.
Plan of Correction: Moving forward, a member of management will follow up and document contact with OBI if a central registry is not received within 30 days of employment. The follow up central registry for Staff #1 will be obtained within the required time frame.
Standard 8VAC20-780-160-C
Based on a review of two staff records and interviews, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing.

Evidence: 1) The most recent TB screening in the record for Staff #1, hired on 04/02/19, was dated 05/28/19. The TB screening expired on 05/28/21. 2) During interview, a member of management reported the TB screening for Staff #1 expired on 05/28/21 and a new one has
not been obtained.
Plan of Correction: Per the center, Staff #1 has been given until 01/31/22 to provide a new TB screening/test.
View original record on Virginia Department of Social Services