VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association - Kersey Creek
10004 LEARNING LANE
Mechanicsville, VA 23116
(804) 649-9622

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Oct. 12, 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) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on October 12, 2023 with the site director and staff. There were 10 school age children present with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 2 staff records were reviewed. *Staff records were shared electronically. The children were playing outdoors and playing in the gym. 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. Time of today?s inspection: 3:50 p.m. to 5:40 p.m. Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of two staff records, the facility failed to have documentation of a completed search of the central registry (CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 6/8/2022) did not have documentation of a CPS check until 10/19/2023. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.
Plan of Correction:	The original search of the central registry could not be located by HR. The facility ran another CPS search and received the results 10/19/2023.
Standard #:	8VAC20-780-60-A
Description:	Based on staff interview and review of documentation, the facility failed to have all required documentation for each child's file on site and accessible. Evidence: the children's records are kept electronically, but the onsite staff have not been able to access it this school year. The printed information for each child did not include the child's birth date, parent's address, parent's place of employment, name and phone number of child's physician, address of two emergency contacts, signed agreements, physical or immunization record. There was no printed information for four children present.
Plan of Correction:	Site director contacted the regional supervisor to access the electronic files.
Standard #:	8VAC20-780-240-B
Description:	Based on review of two staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of employment 6/8/2022) had documentation of orientation on 8/21/2023 on file.
Plan of Correction:	The original orientation documentation could not be located; staff did orientation training again on 8/21/2023.
Standard #:	8VAC20-780-245-L
Description:	Based on review of two staff files and management interview, the facility failed to have at least one staff member on duty who has obtained instruction in performing the daily health observation of children. Evidence: there was no documentation to support that Staff 1 or Staff 2 have daily health observation training.
Plan of Correction:	Staff will take the daily heath observation training.