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Young Men's Christian Association of Greater Richmond - Lakemont

Inspection · 2023-02-27

Date
2023-02-27
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

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 minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced renewal inspection was initiated on 2/27/2023 and concluded on 2/28/2023. The inspector was on site on 2/27/2023 from approximately 3:57pm-5:09 pm. There were 11 children present, ranging in ages from 6-10 years, with 3 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 5 child records, 5 staff records, and 6 officer records were reviewed. Staff and officer records were reviewed remotely.

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 8VAC20-780-160-A
Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one (1) staff at the time of employment and prior to coming into contact with children.

Evidence:
1. The record of staff #2 (date of employment: 12/22/2022) contained a TB screening dated 12/23/2022.
2. Administration acknowledged that the TB screening was submitted after the first date of employment.
Plan of Correction: we have fixed this process
Standard 8VAC20-780-70
Based on a review of five (5) staff records and interview, the center did not ensure a complete record was kept for one (1) staff.

Evidence:
1. The record of staff #3 (date of employment: 2/5/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Administration acknowledged that the references had not been obtained.
Plan of Correction: We are redoing this and will make sure to follow our procedures.
View original record on Virginia Department of Social Services