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YMCA of Metropolitan Washigton at First Assembly of God

Inspection · 2025-02-13

Date
2025-02-13
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
22.1 Potable Water Lead Testing
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was conducted on 2/13/2025. The on-site inspection began at 11:40am and ended at 2:35pm. The inspector reviewed compliance in the areas listed above. There were 33 children and 12 staff present during the inspection. The inspector reviewed 5 child records and 4 staff records on-site. This inspection included document review, interviews, and a tour of the facility.

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 violation will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-A
REPEAT VIOLATION
All employees shall undergo a background check in accordance with subsection B of the Code of Virginia every 5 years.

At the time of the inspection, Staff #1 did not have results of a central registry recheck. The results were overdue by 6 months.
Plan of Correction: The results were obtained on February 20, 2025.
Standard 22.1-289.035-B-4
REPEAT VIOLATION
The child day center is required to obtain background checks from any state in which the individual has resided in the preceding 5 years.

Staff #4 and Staff #5, employed for more than 5 years, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.
Staff #5 did not have results of an out of state criminal history record check.
Plan of Correction: Staff #4 has mailed documentation requesting an out of state background check on February 21, 2025. Results will be submitting to Licensing Inspector once obtained.

Staff #5 made an appointment for out of state background checks on February 26, 2025. Went in person to agency on February 27, 2025 to complete documentation. Results will be submitted to Licensing Inspector once obtained.

In the future, ensure that all staff background checks are obtained in a timely fashion.
Standard 22.1-289.036-B-1
The center is required to obtain a completed sworn statement prior to the employees first day of employment.

Agent #1, employed for more than 2 years, did not have a sworn statement.
Plan of Correction: Agent #1 completed the sworn statement on February 25, 2025.
Standard 22.1-289.036-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.

Agent #1, employed for more than 2 years, did not have a completed national criminal background check.
Plan of Correction: Agent #1 had a fingerprinting appointment scheduled for February 22, 2025. Results will be submitted to Licensing Inspector once obtained.
Standard 8VAC20-780-140-A
REPEAT VIOLATION
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

Child #2, enrolled for more than 5 months, did not have documentation of a physical examination.
Plan of Correction: Child #2 last day of attendance will be March 14, 2025. In the future inform parents to ensure that the entire health form is completed by physician. If any parts of the the health forms are incomplete, have physician state on form reasons why.
Standard 8VAC20-780-260-B
Annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

The center did not have a complete health inspection.
Plan of Correction: The Health Department is scheduled to complete the environmental sanitation inspection on February 25, 2025. Sanitation Inspection is complete.
Standard 8VAC20-780-40-J
Injury prevention procedures shall be updated at least annually based on documentation of injuries and review of the activities and services.

The provider stated the center did not have an injury prevention log.
Plan of Correction: Injury reports are taken and filed. Was unaware of additional injury log being required. In the future as requested will begin to use the injury log required for use along with our current injury reports.
Standard 8VAC20-780-40-M
REPEAT VIOLATION
The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions.

Child #1, enrolled for more than one year, had food sensitivities that were not indicated on the written list accessible to staff.
Plan of Correction: Corrections was made to include food allergies of Child #1 on allergy list.
Ensure that allergy list is updated and available to all staff.
View original record on Virginia Department of Social Services