VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Petersburg
120 N. Madison Street
Petersburg, VA 23803
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Nov. 8, 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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 20 Access to minor?s records 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program. A renewal inspection was initiated on 11/8/2021 and concluded on 11/10/2021. The administrator was contacted by telephone and a virtual inspection was conducted. There were 0 children present, with 1 staff. 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 2 child records, 2 staff records, and 6 board members 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. 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 today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and interview, the center did not ensure to maintain a separate record for each child enrolled which contained all of the required information. Evidence: 1. The record of child #1 (DOE: 09/7/2021) was missing the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. The record of child #1 contained documentation of written agreements between the parent and center that were signed after enrollment on 11/05/2021. The record of child #2 (DOE:09/20/2021) was missing one of the two designated contacts and contained documentation of written agreements that were signed after enrollment on 10/26/2021. 3. Administration acknowledged that both records were incomplete.
Plan of Correction:	Going forward must complete player space account before child can start/Contact parents to correct missing information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for two staff. Evidence: 1. The records of staff #1 (DOH: 09/15/2021) and staff #2 (DOH: 09/27/2021) did not contain the results of a central registry background check. 2. Administration acknowledged that the results were not received during the required time frame.
Plan of Correction:	HR will document late central registries with VDSS.