VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - S.P.E.
4301 Fort McHenry Parkway
Glen allen, VA 23060
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Jan. 14, 2022

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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (22VAC40-191) 20 Access to minor?s records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts and documents review. A monitoring inspection was initiated on 1/14/2022 and concluded on 1/20/2022. There were 36 children present, ranging in ages from 5 to 10 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 3 child records and 3 staff records were reviewed. 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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 #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center did not ensure to obtain the results of an out of state criminal history background check from any state in which the individual had resided in the preceding five years prior to hire for one staff as required. Evidence: 1. The record of staff #3 (DOH: 8/27/2021) contained a sworn statement that indicated that the individual had resided outside of the state within the preceding 5 years. The record did not contain the results of an out of state criminal history background check prior to the first date of employment. 2. Administration acknowledged that the background check had not been obtained.
Plan of Correction:	The Sr. Regional Director will meet the HR Coordinator to discuss a plan to prevent future occurrences.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days for 3 staff as required. Evidence: 1. The records of staff #1 (DOH: 9/15/2021) and the record of staff #2 (DOH: 12/7/2021) did not contain the results of a central registry background check. 2. The record of staff number #3 (DOH: 8/27/2021) contained the results of a central registry background check dated 12/6/2021. 3. Administration acknowledged that the central registry results were not obtained within the required time frame.
Plan of Correction:	The Sr. Regional Director will meet with HR Coordinator to develop a plan to ensure there is proof/ documentation that central registry background checks? are mailed with in 7 days. We will also discuss a process to follow up on central registry background checks? if the document have not been received within 30 days to prevent future occurrences.