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Young Men's Christian Association of Greater Richmond-JB Watkins

Inspection · 2021-11-10

Date
2021-11-10
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
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, and a virtual tour of the program.

A monitoring inspection was initiated on 11/10/2021 and concluded on 11/16/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 33 children present, ranging in ages from 5 to 11 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 3 child records and 3 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.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

4
Standard 22VAC40-185-140-A
Based on record review and interview, the center did not ensure to obtain documentation of a physical for one child within the required time frame.

Evidence:
1. The record of child #1 (DOE:08/23/2021) did not contain documentation of a complete physical examination.
2. Administration acknowledged that the documenation had not been obtained.
Plan of Correction: communicate with parents to receive complete physical
Standard 22VAC40-191-60-B
Based on record review and interview, the center did not ensure to obtain a complete sworn statement prior to the first date of employment for one staff as required.

Evidence:
1. The record of staff #1 (DOH: 08/23/2021) contained an incomplete sworn statement dated 08/13/2021.
2. Administration acknowledged that the sworn statement was incomplete.
Plan of Correction: staff will redo sworn statement
Standard 22VAC40-191-60-C-2
Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for one staff.

Evidence:
1. The record of staff #1 (DOH:08/23/2021) contained the results of a central registry dated 10/27/2021.
2. Administration acknowledged that the results had not been received within the required time frame.
Plan of Correction: We had a computer drive crash, removing documents. Will resend central registry.
Standard 63.2(17)-1720.1-B-4
Based on record review and interview, the center did not ensure to obtain the results of an out of state child abuse and neglect registry search request by the end of the 30th day of employment for one staff.

Evidence:
1. The record of staff #1 (DOH:08/23/2021) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record contained an out of state child abuse and neglect registry from one state dated 10/25/2021.
2. Administration acknowledged that the out of state child abuse and neglect registry was not received during the required time frame.
Plan of Correction: We had a computer drive crash, removing documents. Will resend out of state report.
View original record on Virginia Department of Social Services