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Young Men's Christian Association of Greater Richmond-Bryce Lane

Inspection · 2025-08-08

Date
2025-08-08
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks.
20 Access to minor?s records.
22.1 Early Childhood Care and Education.
63.2 Child Abuse & Neglect.

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. 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 monitoring inspection was initiated on August 8, 2025 and completed on August 26, 2025. The on-site inspection began at 10:20 AM and ended at 12:15 PM. The inspector reviewed compliance in the areas listed above. There were 19 children present and five staff. The inspector reviewed five children?s records and five staff records electronically on August 12, 2025, August 25, 2025, and August 26, 2025. This inspection included document review, tour of the facility, interviews, and observations.

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, which will be the close of business on September 12, 2025. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The record for staff #4, who has been employed over 14 months, did not have documentation identifying staff #4 as the individual for whom the out of state child abuse and neglect search request was completed for.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

The record for child #2, enrolled for over 13 months did not have documentation of an immunization record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
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.

The record for child #2, enrolled for 13 months did not have documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Immunizations and physical examination reports are required to be signed and dated by a physician, his designee, or an official of the local health department.

The immunization and physical examination reports for child#3, enrolled for over 14 months were not signed by a physician, his designee, or an official of the local health department.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

The record for staff #3, who has been employed over 22 months, did not have documentation identifying staff #3 as the individual for whom the TB screening was completed for.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

In room #2, one container of disinfectant was located on top of the changing table in reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-I
Prescription medication may be given if the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

Prescription medication for child H, was not in the original, labeled container.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

1.The record for child #1, enrolled for over six months, was missing the following required components: one of the two designated emergency contacts.
2.The record for child #4, enrolled for over 10 months, did not have documentation of viewing proof of the child?s identity and age.
Plan of Correction: Not available online. Contact Inspector for more information.