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Young Men's Christian Association of Greater Richmond-Manchester

Inspection · 2024-12-16

Date
2024-12-16
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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

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 12/16/2024 and completed on 12/18/2024. The on-site inspection began at 7:55am and ended at 9:23am. The Department issued a Special Order on 12/12/2024 to place the licensee on probation for a period of three months; and require the licensee to contact parents, guardians, or other responsible persons regarding health and safety violations as a result of high-risk violations. The inspector reviewed compliance in the areas listed above. There were 38 children present and 3 staff. The inspector reviewed 5 children?s records on-site and 4 staff records electronically on 12/18/2024. 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 1/3/2025. A POC submitted after this date will not appear on the public website.

Violations

2
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 #1, employed for more than 1 year and 11 months, did not have documentation of a completed central registry check from one state.
Plan of Correction: Admin has communicated with HR about documenting update for late CRS.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Child #5, who has been enrolled for 4 months, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: Manchester staff has communicated with parents to have action plan for allergy