VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - Maybeury
901 Maybeury Drive
Henrico, VA 23229
(804) 474-4405

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: Feb. 25, 2021 and Feb. 26, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on February 25, 2021 and concluded on February 26, 2021. The in-charge person was contacted by telephone to initiate the inspection. There were zero children present and zero staff. The inspector emailed a list of items required to complete the inspection. The Inspector reviewed two children?s records and two staff records along with seven officer/agent records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of two children's records, the facility did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child's first day of attendance. Evidence: 1. The record of child #2, enrolled 09/02/2019, did not contain documentation of immunizations. 2. The administrative staff stated she could not locate the immunization record for child #2.
Plan of Correction:	Per the administrative staff: I will contact the parent and have them provide documentation.
Standard #:	22VAC40-185-140-A
Description:	Based on review and interview of two children's records, the facility did not obtain documentation of a physical examination for one child before the child's attendance or within one month after attendance. Evidence: 1. The record for child #2, enrolled 09/02/2019, did not contain documentation of a physical examination. 2. The administrative staff stated documentation of a physical for child #2 could not be located.
Plan of Correction:	Per the administrative staff: I will contact the parent and request they provide documentation of a physical for the record.
Standard #:	22VAC40-185-240-C
Description:	Based on review of two staff records and interview, the facility did not ensure one staff obtained 16 hours of annual training and development activities related to child safety and development and the function of the center. Evidence: 1. Staff #1, had 4.5 hours of training for the period of 1/29/2020 through 01/28/2021 when 16 hours was required. 2. Staff #3 acknowledged that staff #1 was missing 11.5 hours of annual training.
Plan of Correction:	Per the administrative staff: We will ensure staff obtain the required 16 hours of training. 03/05/2021
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on review of the business entity page submitted 02/12/2021 and staff interview, the facility did not obtain required background checks for each Board officer and agent within 30 days after the change. Evidence: 1. Board officer #2 (took office 01/01/2020) had documentation of a sworn statement dated 02/18/2021 exceeding the 30 days from when the board officer took office. Staff #3 stated that Board officer #2 did not have documentation of the central registry check. 2. Staff #3 stated that Board officer #3 (took office 01/01/2020) did not have documentation of a sworn statement or search of the central registry check. 3. Staff #3 stated that Board officer #4 (took office 01/01/2017) did not have documentation of a sworn statement or search of the central registry check. 4. Staff #3 stated that Board officer #5 (took office 01/01/2021) did not have documentation of a sworn statement or search of the central registry check.
Plan of Correction:	Per Administrative Staff: The facility is working to get all of the background checks completed
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of the business entity page submitted 01/19/2021 and staff interview, the facility did not obtain the required background checks for each Board officer and agent within 30 days after the change. Evidence: 1. Staff #3 stated that Board officer #2 (took office 01/01/2020) did not have documentation of a fingerprint background check. 2. Staff #3 stated that Board officer #3 (took office 01/01/2020) did not have documentation of a fingerprint background check. 3. Staff #3 stated that Board officer #4 (took office 01/01/2017) did not have documentation of a fingerprint background check. 4. Staff #3 stated that Board officer #5 (took office 01/01/2021) did not have documentation of a fingerprint background check.
Plan of Correction:	Per the administrative staff: the facility is working to get the background checks completed.
Standard #:	63.2(17)-1721.1-B-4
Description:	Based on review of the business entity page submitted 02/19/2021 and staff interview, the facility did not request the results of the sex offender registry check within the required timeframe from any state in which the applicant had resided in the past five years for one staff/ agent. Evidence: 1. Documentation indicated agent #1 had resided in another state outside of Virginia within the last five years. Agent #1 did not have a sex offender registry check from the state in which they had resided. 2. Staff #3 stated that agent #1 (hired 08/07/2018) did not have documentation of an out of state search of the sex offender registry from any other state resided in the past five years. The search was due to be completed no later than 12/31/2020 for current staff and agents and had not been completed as of 02/25/2021.
Plan of Correction:	Per the administrative staff: The facility is working to get the background checks completed.