VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA-SACC and Summer Camp at Lewis & Clark
18101 Clark & York Boulevard
Ruther glen, VA 22546
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Sept. 22, 2021 , Sept. 23, 2021 and Sept. 28, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on 09/22/2021 and concluded on 09/28/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 26 children present with three 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 three child records and three 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.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on a review of three staff records, the center did not ensure that two staff members submitted documentation of a negative tuberculosis (TB) screening within the required time frame. Evidence: 1) The record for Staff #1, hired on 06/07/21, did not contain documentation of a negative tuberculosis screening. 2) The record for Staff #2, hired on 07/26/21, did not contain documentation of a negative tuberculosis screening. Each staff member and individual from an independent contractor 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.
Plan of Correction:	The staff members scheduled appointments to obtain their tuberculosis screening/test results and will submit upon receipt.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of three children's records, the center did not ensure one child's record contained the required information. Evidence: 1) The record for Child #2, enrolled on 08/16/21, did not contain two emergency contacts other than the parents. Each child record shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	The emergency contacts will be obtained and the record will be updated. In the future, children's records will be reviewed upon enrollment to ensure all information is correct.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of three staff records and interview, the center did not ensure two staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #2, hired on 07/26/21, did not contain the results of a central registry finding. 2) The record for Staff #3, hired on 08/23/2021, did not contain the results of a central registry finding. 3) During interview, a member of management reported the central registry finding for Staff #2 and Staff #3 had not been received within 30 days of employment.
Plan of Correction:	The center followed up with OBI to obtain an update on the status of the central registry findings and will file upon receipt.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on a review of three staff records and interview, the center did not obtain a copy of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which one staff member has resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #3, hired on 08/23/21, indicated the staff has resided outside of Virginia in the last five years. The record did not contain a sex offender registry check or the results of a child abuse and neglect search from the state Staff #3 had resided. The state is a National Fingerprint File (NFF) state; therefore, an out of state criminal history name check is not required. 2) During interview, a member of management reported the required out-of-state background checks have not been requested. The sex offender registry is required to be obtained prior to hiring. The out-of-state search of child abuse or neglect is required to be requested within the first 30 days of being hired.
Plan of Correction:	The state will be contacted and required searches conducted.