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Young Men's Christian Association of Greater Richmond - S.P.E.

Inspection · 2021-08-12

Date
2021-08-12
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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.

An initial inspection was initiated on 08/12/2021 and concluded on 08/17/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 0 children present, with 1 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, background checks, special care and emergencies and nutrition. A total of 3 staff records and 6 board member/agent 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

2
Standard 22VAC40-185-420-A
Based on review of the center's policies and procedures and interview, the center did not ensure that the information provided to parents in writing contained all of the required components.

Evidence:
1. The center's policies for the arrival and departure of children did not include procedures for when a child is not picked up in emergency situations including but not limited to inclement weather or natural disasters.
2. Administration acknowledged that this policy was missing.
Plan of Correction: The Sr. Regional Director will meet with the Youth Development Leadership Team to ensure the necessary changes are made for approval. After the center's policies include procedures for when a child is not picked up in emergency situations are included, the document will be submitted to the licensing representative.
To prevent future occurrences the center will review the plans annually to ensure they align current licensing standards.
Standard 22VAC40-185-550-A
Based on review of the emergency preparedness plan and interview, the center did not ensure to obtain documentation that the plan had been developed in consultation with local or state authorities.

Evidence:
1. The emergency preparedness plan did not contain documentation of being reviewed by local or state authorities.
2. Administration acknowledged that the site specific plan had not been reviewed by local or state authorities.
Plan of Correction: The center will contact a local or state official, have the emergency action plan reviewed and ensure the necessary changes are made for approval. After the plan is approved the document will be submitted to the licensing representative.
View original record on Virginia Department of Social Services