VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-JB Watkins
501 Coalfield Road
Midlothian, VA 23114
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: May 1, 2023

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770)

Comments:

An unannounced monitoring inspection was initiated on 5/1/2023 and concluded on 5/2/2023. The inspector was on site on 5/1/2023 from approximately 3:51 pm-5:04 pm. This inspection was focused on main area(s) of previous non-compliance in the areas of administration, staff qualifications and training, special care provisions and emergencies, special services, and background checks. There were 34 children present ranging in age from 5 to 11 years with 3 staff supervising. Interviews were conducted, observations were made at the center, and documentation was reviewed. A total of three (3) staff records and five (5) child records were reviewed. Staff records were reviewed remotely on 5/2/2023. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of three (3) staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #3 (date of employment: 3/20/2023) did not contain a central registry finding. 2. Administration acknowledged that they did not have the finding in the record.
Plan of Correction:	This has been fixed.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure to keep a separate record for two (2) children that contained the required information. Evidence: 1. The record of child #4 (date of attendance: 3/22/2022) and child #5 (date of attendance: 8/22/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	This has been fixed.
Standard #:	8VAC20-780-240-A
Description:	Based on a review of three (3) staff records and interview, the center did not ensure that one (1) staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #1 (date of employment: 2/1/2023) did not contain record of the completion of the Virginia Department of Education-sponsored orientation course. 2. Administration acknowledged that the course was not completed within the 90 days as required.
Plan of Correction:	This has been fixed.