VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Bowling Green Elementary
17502 New Baltimore Road
Milford, VA 22514
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: 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 five children present with two 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-C
Description:	Based on a review of three staff records and interview, the center did not ensure that one staff resubmit tuberculosis (TB) test results every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department. Evidence: 1) The most recent TB screening in the record for Staff #3, hired on 04/02/19, was dated 05/28/19. The TB screening expired on 05/28/21. 2) During interview, a member of management confirmed this is the most recent TB screening on file for Staff #3. Staff should resubmit TB test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.
Plan of Correction:	The staff member will schedule an appointment and will resubmit the updated tuberculosis screening.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of three staff records, the center did not ensure one staff member's record was complete. Evidence: 1) The two telephone reference checks in the record for Staff #1, hired on 06/14/2021, did not include the dates of contact or signature of the person making the call. Each staff record should contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include: dates of contact; names of persons contacted; the firms contacted; the results; and signature of person making call.
Plan of Correction:	In the future, each reference taken over the telephone will contain the required information.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of three staff records and interview, the center did not ensure one staff member completed a national fingerprint-based criminal history check before the first day of employment. Evidence: 1) The record for Staff #1, hired on 06/14/2021, did not contain the results of a national fingerprint-based criminal history check prior to hire. 2) During interview, a member of management confirmed the required results of a national fingerprint-based criminal history check were not obtained for Staff #1 prior to hire.
Plan of Correction:	The staff member will schedule an appointment with OBI to obtain the required results.
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 #1, hired on 06/14/21, 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 #1 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 the required searches conducted.