VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Northside
4207 Old Brook Road
Richmond, VA 23227
(804) 474-4405

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Nov. 14, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety inspection was conducted on November 14, 2019 to review supplemental health and safety requirements. The inspection was initiated at 3:20 pm and concluded at 5:30 pm. The inspector observed children arriving from the public schools. Children were checked in on the attendance sheet and then played with blocks, cards and looked at books. A total of 54 school age children were in care with six staff. Later children divided into groups by age where they worked on homework, painted pictures, and played a game of four corners in the gym. Snack time was also observed with hand washing being conducted. Today's snack consisted of chex-mix and pears. All areas used for child care were inspected. The facility has age appropriate materials and supplies. The facility had the following required information posted: license, last inspection notice, emergency numbers, menu, daily schedule, evacuation map/ procedures, and various parent information. The first aid kit and non-medical emergency supplies were inspected and found complete. Staff emergency information was reviewed on site. Staff records were review at the YMCA Downtown Administrative office on September 25, 2019. The inspector interacted with staff and children in care. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Five children's records were reviewed along with emergency contact information for six staff. Medications, medication authorizations and allergy care plans were reviewed. The most recent evacuation drill was conducted on 10/09/2019. The two required shelter-in-place drills have not yet been conducted. They will need to be completed by the end of the year. A lock-down drill was documented on 06/12/2019. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on review of staff records, the center did not obtain documentation of a tuberculosis screening for staff at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The record for staff #8, hired 07/19/2019, had documentation of a tuberculosis screening dated 06/14/2019, exceeding 30 days prior to hire.
Plan of Correction:	Per the administration: We will ensure tuberculosis screening are completed at the time of hire and are not more than 30 days old.
Standard #:	22VAC40-665-580-B
Description:	Based on review of staff records, the center did not ensure staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment or subsidy vendor approval. Evidence: Staff #2, hired 04/03/2019, did not have documentation of completing Virginia preservice training within 90 days from hire.
Plan of Correction:	Per the administration: We will have staff complete the training.
Standard #:	22VAC40-665-580-E-1
Description:	Based on review of staff records, the center did not ensure staff obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. Evidence: 1. Staff #7, hired 04/05/2019, did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. 2. Documentation indicated staff #7's CPR certification expired 06/29/2019.
Plan of Correction:	Per administration: We will have staff update their CPR certification.
Standard #:	22VAC40-665-580-E-2
Description:	Based on review of staff records, the center did not ensure staff obtained current first aid certification. Evidence: 1. Staff #7, hired 04/05/2019, did not have current certification in first aid training. 2. Documentation indicated staff #7's first aid certification expired 06/29/2019.
Plan of Correction:	Per the administration: We will have staff update their first aid certification,