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Young Men's Christian Association of Greater Richmond-Pleasants

Inspection · 2024-12-16

Date
2024-12-16
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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. 8VAC20-790 Physical Plant
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
63.2 Child Abuse & Neglect
22.1 Early Childhood Care and Education
20 Access to minor?s records

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

This inspection was amended on January 15, 2025.

An unannounced, on-site monitoring inspection was initiated on December 16, 2024, and completed on January 7, 2025, as a part of the licensure period. The on-site inspection began at 7:50 am and ended at 9:00 am. The inspector reviewed compliance in the areas listed above. There were 21 children present and two staff. The inspector reviewed five children?s records and four staff records electronically on January 7, 2025. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), 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 business days from today, which will be the close of business on January 17, 2025. A POC submitted after this date will not appear on the public website.

Violations

4
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.
Staff #2, employed for 6 months, did not have documentation of a sex offender registry check
and a requested search of the child abuse and neglect registry from the identified state in
which Staff #2 resided in the preceding five years.
Plan of Correction: Per Administration: Admin has communicated w/HR regarding out of state documents and to double check accuracy of sworn documents.
Standard 8VAC20-780-245-L
There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Staff #1 and staff #2 were the only staff on site from 7:50 am until 8:15 am on December 16, 2024, neither had daily health observation training.
Plan of Correction: Per Administration: Both staff members are working on DHO certification currently.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides.
Staff #1 and staff #2 were the only staff on site from 7:50 am until 8:15 am on December 16, 2024, neither met program leader qualifications.
Plan of Correction: Per Administration: Director is aware and working on making sure staff are qualified moving forward.
Standard 8VAC20-780-510-F
The medication authorization shall be available to staff during the entire time it is effective.
Medication, on site, for child #6 did not have a medication authorization form.
Plan of Correction: Per Administration: Director is communication with parents for MAT form.
View original record on Virginia Department of Social Services