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

Inspection · 2022-03-29

Date
2022-03-29
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

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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

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 3/29/2022 and concluded on 03/31/2022. The director was contacted by telephone and a virtual inspection was conducted. There were 37 children present with 4 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

5
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for one staff within 30 days of employment as required.

Evidence:
1. The record of staff #3 (DOH: 1/14/2022) did not contain the results of a central registry background check.
2. Administration acknowledged that the check was missing.
Plan of Correction: Sending to get TB screen and resending CRS within 10 days of license visit, will provide proof to Licensing Inspector.
Standard 8VAC20-780-160-A-1
Based on record review and interview, the center did not ensure to obtain the results of a negative TB screening at the time of employment as required.

Evidence:
1. The record of staff #3 (DOH: 1/14/2022) did not contain a TB screening.
2. Administration acknowledged that the screening was missing.
Plan of Correction: Sending to get TB visit within 10 days of license visit.
Standard 8VAC20-780-60-A
Based on record review and interview, the center did not ensure that each enrolled child had a record that contained all of the required information.

Evidence:
1. The record of child #2 (DOE: 8/23/2022) and child #3 (DOE: 8/23/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached as required.
2. Administration acknowledged that the record did not contain designated contacts that were not parents.
Plan of Correction: Director has contacted parent and has updated emergency information 3/31/2022. Director will add to child's file
Standard 8VAC20-780-60-A-7
Based on record review and interview the center did not ensure to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence:
1. The record of child #1 (DOE: 1/10/2022) contained documentation that the child had a diagnosed food allergy. The record did not contain the required allergy care plan.
2. Administration acknowledged that they did not have an allergy care plan for the child.
Plan of Correction: Allergy care plan was printed and given to mom on 3/30/2022. Mom will have doctor update and will return after spring break (4/4-4/8)
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that each staff record contained all of the required information.

Evidence:
1. The record of staff #3 (DOH: 1/14/2022) contained references that were received after the start of employment dated 1/20/2022.
2. The record of staff #3 did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of employment.
3. Administration acknowledged that the record was not complete.
Plan of Correction: HR will make sure all items are completed in a timely manner at time of hire moving forward.
View original record on Virginia Department of Social Services