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Young Men's Christian Assoc of VA's Blue Ridge-James Madison

Inspection · 2024-10-23

Date
2024-10-23
Complaint Related
No
Licensing Inspector
James R Basham
(804) 588-2370
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 10/23/2024 and completed on 10/28/2024, as a part of the conditional licensure period. The on-site inspection began at 7:18AM and ended at 8:39AM. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 staff. The inspector reviewed 3 children?s records onsite 10/23/2024 and 2 staff records electronically 10/28/2024. This inspection included-document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility and observations (this would include observations of photos, recordings, etc.)

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.

Violations

3
Standard 8VAC20-780-340-C
During the stated hours of operation, there shall always be on the premises when one or more children are present one or more staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee with direct means for communication between the two of them. The other employee shall have received instruction in how to contact the appropriate authorities if there is an emergency. Staff #2 was the only staff person present on 10/23/2024 and there were no other employees with a direct means of communication or who have received instruction on who to contact in an emergency.
Plan of Correction: Provider has established a direct means of communication with an employee who has received instruction on who to contact in an emergency.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies. Child #1 had a documented allergy and a written list of allergies was not accessible to staff.
Plan of Correction: Provider will post a list of any known allergies for children.
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. The records for Child #1, enrolled 2 months, was missing 9 required components. Child #2, enrolled 2 months, was missing 8 components. Child #3, enrolled 2 months, was missing 10 components.
Plan of Correction: Provider will ensure that all components of children's records are at the center.