VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Mens Christian Association of the Virginia Peninsulas-R.F.
301 Sentara Circle
Williamsburg, VA 23188
(757) 229-9622

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Dec. 30, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 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:

An unannounced complaint inspection was conducted on December 30, 2019 and completed on December 31, 2019 in regards to Supervision, Special Services and Special Care Provision/Emergencies . Licensing inspector made observations of the program, staff supervision and reviewed center documentation. Interviews with center staff were also conducted. There was a preponderance of evidence to support the allegation for Special Services and Special Care Provision/Emergencies and therefore the complaint was determined VALID. The areas of noncompliance related to the complaint were noted on the violation notice. Other violations not related to the complaint were also noted on the violation notice. The results of this inspection were reviewed with the center staff during the exit interview. Please contact the Licensing Inspector with any question (757) 404-0568.

Violations:

Standard #:	22VAC40-185-160-A
Complaint related:	No
Description:	Based on review of 3 staff records, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: The records for staff #2 (date of hire 5-21-19) and staff #3 (date of hire 11-11-19) did not include documentation of a TB screening. The center director and executive director confirmed the dates of employment and missing TB screenings.
Plan of Correction:	The Program Director will get the TB screenings documentation and place it in the records.
Standard #:	22VAC40-185-500-A
Complaint related:	Yes
Description:	Based on observation, the licensee did not ensure that children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Seven out of eight children were observed eating lunch and seven did not wash their hands or use disposable wipes after eating.
Plan of Correction:	The Program Director will ensure there is proper training for all schoolage staff.
Standard #:	22VAC40-185-560-G
Complaint related:	Yes
Description:	Based on observation and staff interviews, the licensee did not ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: Seven out of eight children were observed eating lunch and two lunch boxes were not labeled in a way that identifies the owner and 7 did not have the date.
Plan of Correction:	The Program Director will ensure that all meals/lunch boxes are labeled and dated for each child.
Standard #:	22VAC40-185-560-K
Complaint related:	No
Description:	Based on observation and staff interviews, the licensee did not ensure the tables were sanitized before and after each use for feeding. Evidence: Seven children were observed preparing for and eating lunch and the table was not sanitized before or after they eat.
Plan of Correction:	The Program Director will ensure all staff are trained on sanitizing all tables before and after meals/ snacks.
Standard #:	22VAC40-185-560-N
Complaint related:	No
Description:	Based on observation and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: One child, child #1 was observed eating and drinking while walking around in the multipurpose room and in the centers hallways.
Plan of Correction:	The Program Director will ensure all staff are trained on making sure children are seated while eating and drinking and they are only eating /drinking during meal times.
Standard #:	22VAC40-191-60-B
Complaint related:	No
Description:	Based on review of three staff records, the licensee did not ensure that an employee or volunteer of a licensed or registered child welfare agency must not be employed or provide volunteer service until the agency has the person's completed sworn statement or affirmation. Evidence: The record for staff #3 (date of hire 11-11-2019) did not include a completed sworn statement or affirmation. The Program Director and Executive Director confirmed the date of employment and missing sworn statement.
Plan of Correction:	The Program Director and Executive Director will contact corporate to send over proper documentation and place it in the record.
Standard #:	22VAC40-191-60-C-2
Complaint related:	No
Description:	Based on review of three staff records, the licensee did not ensure that all staff of a licensed or registered child welfare agency obtains a central registry finding within 30 days of employment or volunteer service. Evidence: The record for staff #3 (date of hire 11-11-2019) did not include a central registry finding (CPS). The Program Director and Executive Director confirmed the date of employment and missing CPS check.
Plan of Correction:	The Program Director and Executive Director will contact corporate to send over proper documentation and place it in the record.
Standard #:	63.2(17)-1720.1-B-2
Complaint related:	No
Description:	Based on review of three staff records, the licensee did not ensure that all staff submit to fingerprinting and results obtained prior to the first day of employment. Evidence: Two out of three records reviewed did not include finger print checks conducted as required; 1)The record for staff #3 (date of hire 11-11-2019) did not include fingerprint check results. 2) The record for staff #1 included the results of the finger print check dated 5-29-19 and the first date of employment was on 5-21-19. The finger print check was obtained after the first day of employment for staff #1. The Program Director and Executive Director confirmed the dates of employment and missing finger print check information and finger print check date.
Plan of Correction:	The Program Director and Executive Director will contact corporate to send over proper documentation and place it in the record. Program Director will ensure that all future staff will be finger printed prior to their start date.