YMCA of the Virginia Peninsulas - A.T. Johnson
18849 Kings Highway
Montross, VA 22520
(804) 493-8163
Current Inspector: Cindy Horne (804) 297-4469
Inspection Date: Dec. 11, 2020 , Dec. 30, 2020 , Jan. 4, 2021 , Jan. 19, 2021 , Jan. 27, 2021 , Jan. 28, 2021 , Feb. 6, 2021 and Feb. 17, 2021
Complaint Related: Yes
- Areas Reviewed:
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22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
- Technical Assistance:
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n/a
- Comments:
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This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A complaint inspection was initiated on 12/11/2020 and concluded on 03/01/2021. A complaint was received by the department regarding the center?s administration and the supervision of children. The director was contacted by telephone to conduct the investigation. The inspector emailed the director a list of documentation required to complete the investigation.
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law and no violations related to the complaint were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.
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 the date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).
If you have any questions about this inspection, please contact the licensing inspector at (804) 662-9772.
- Violations:
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Standard #: 22VAC40-191-60-B Complaint related: No Description: Based on a review of four staff records, the center did not ensure that one staff had a completed sworn statement or affirmation prior to the beginning of employment.
Evidence: 1) The record for Staff #1, hired on 09/24/2020, contained a sworn statement that was dated 10/05/2020.Plan of Correction: Per the Center: "New policy/procedure will not allow on boarding staff to be activated in payroll until paperwork has been completed and turned into HR."
Standard #: 22VAC40-191-60-C-2 Complaint related: No Description: Based on a review four staff records, the center did not ensure that one staff member had a central registry finding within 30 days of employment.
Evidence: 1) The record for Staff #1, hired on 09/24/2020, did not contain the results of a central registry finding. The record did not contain documentation of any further contact, and the staff has been continuously employed.Plan of Correction: Per the Center: "New policy/procedure will not allow on boarding staff to be activated in payroll until paperwork is complete. Staff #1 paperwork sent 3/2/21."
Standard #: 63.2(17)-1720.1-B-2 Complaint related: No Description: Based on a review of four staff records, the center did not obtain the results of a fingerprint background check for two staff members prior to the beginning of employment.
Evidence: 1) The results of the fingerprint background check in the record for Staff #1, hired on 09/24/2020, were dated 10/06/2020. 2) The results of the fingerprint background check in the record for Staff #4, hired on 03/02/2020, were dated 03/09/2020.Plan of Correction: Per the Center: "New policy/procedure will not allow on boarding staff to be activated in payroll until paperwork is complete."
Standard #: 63.2(17)-1720.1-B-4 Complaint related: No Description: Based on a review of four staff records, the center did not obtain a copy of the required out-of-state background check results for two staff members within the required time frame.
Evidence: 1) The sworn statement in the record for Staff #1, hired on 09/24/2020, indicated the staff member lived out-of-state within the last five years. The record did not contain the results of a child abuse and neglect registry from the state the staff member resided in the past five years. 2) The out-of-state results of the criminal history name check for Staff #1 were dated 01/27/2021. The results were not obtained prior to the beginning of employment.
2) The sworn statement in the record for Staff #4, hired on 03/02/2020, indicated the staff member lived out-of-state within the last five years. The record did not contain the results of a criminal history name check and sex offender registry check from each state Staff #4 has resided in the past five years. Staff #4 was hired prior to 07/01/2020, therefore the results were due by 12/31/2020.Plan of Correction: Per the Center: "New policy/procedure will not allow onboarding staff to be activated in payroll until paperwork is complete. Staff #4 paperwork sent 3/2/21."
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
