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Young Men's Christian Association of Greater Richmond-Manchester

Inspection · 2024-07-15

Date
2024-07-15
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was initiated on 7/15/2024 and completed on 7/24/2024 in response to a self-report received by the licensing office on 7/8/24 relating to supervision of children. The inspector reviewed 2 children?s records on-site and 3 staff records electronically on 7/17/24. This inspection included document review, tour of facility, observations, and interviews.

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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/19/2024. A POC submitted after this date will not appear on the public website.

The inspection report was amended on 9/12/2024.

Violations

4
Standard 22.1-289.035-B-1
Based on review of staff records, the center did not ensure each staff member completed a sworn statement prior to their date of employment.

Evidence:
1. The record for staff #3 (DOH: 10/22/2021) contained a sworn statement signed and dated on 10/25/2021.
Plan of Correction: Admin has communicated with H.R. about ensuring background checks are completed before date of hire.
Standard 22.1-289.035-B-2
Based on review of staff records, the center did not obtain the results of a national fingerprint-based criminal history record check prior to employment for each staff.

Evidence:
1. The record for staff #3 (DOH 10/22/2021) contained a fingerprint background check dated 4/12/2022.
Plan of Correction: Admin has communicated with H.R. about ensuring background checks are completed before date of hire.
Standard 8VAC20-780-340-A
Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Evidence:
1. Child #1 reported to staff #3 and staff # 4 that child #2 inappropriately touched them while in the restroom.
2. Staff #3 confirmed seeing child #1 enter the restroom. Staff #3 stated they did not see child #2 enter the same restroom as child #1. Staff #3 reported witnessing child #1 and child #2 leaving the same restroom. Staff #3 did not recall exactly how long the children were in the restroom.
3. Staff #4 stated they stopped child #2 from following child #1 into the restroom the week prior to this incident, however, never documented or reported the incident to any other staff.
Plan of Correction: On 7/8 and 7/9 staff were retrain on supervision and how to properly observe bathroom breaks. Counseling form were given to staff involved.
Standard 8VAC20-780-40-E
Based on interviews, the center failed to ensure operational responsibilities that the center?s activities and services are maintained in compliance with the center?s own policies and procedures that are required by the standards.

Evidence:
1. The YMCA Counselor Training Manual states that staff must maintain active supervision at all times to include, ?Be able to account for children in your care, always. Staff shall continuously scan the entire environment to know where someone is and what they are doing.?
2. Staff #3 stated they were unaware that child #2 was in the same restroom as child #1 until the children exited the restroom together.
Plan of Correction: On 7/9- Debrief was done will all staff to address safety and supervision. Increase of supervision was implemented 7/9. Child who did inappropriate behavior was disciplined according to our policy.
View original record on Virginia Department of Social Services