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: Dec. 15, 2021 , Dec. 16, 2021 , Dec. 20, 2021 and Dec. 21, 2021

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 22.1 Early Childhood Care and Education

Technical Assistance:

n/a

Comments:

A renewal inspection was initiated on 12/15/21 and concluded on 12/21/21. The inspector conducted an unannounced inspection on-site on 12/15/21 from approximately 3:50pm to 5:00pm. The inspector later followed up with the director by telephone to request additional documentation and conduct interviews. On 12/15/21, there were 24 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of three staff records and interviews, 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 #2, hired on 07/26/21, 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. 2) During interviews, a member of management reported the central registry finding for Staff #2 could not be located.
Plan of Correction:	Per the center: "Staff #2 no longer works for the organization, but has left in good standing. Should they return, a central registry finding will be present prior to employment. In the future, to prevent this violation, no staff will begin work prior to central registry being sent to ensure return within 30 days. Responsibility to Youth Director."
Standard #:	8VAC20-780-160-C
Description:	Based on a review of three staff records and interviews, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record for Staff #3, hired on 10/24/19, was dated 11/13/2019. The TB screening expired on 11/13/2021. 2) During interview, a member of management reported the TB screening for Staff #3 expired on 11/13/2021 and a new one has not been obtained.
Plan of Correction:	Per the center: "Staff #3 was notified that a new TB test needed to be obtained as soon as possible to continue employment. A due date of 1/31/22 was given due to COVID and urgent care availability. In the future, to prevent this violation, no staff will begin employment until a TB screening has been initiated or completed. Responsibility to Youth Director."
Standard #:	8VAC20-780-60-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 #1, enrolled on 11/29/21, did not contain the address for the second emergency contact listed. 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:	Per the center: "Child #1s parents were notified per these findings and asked to update the second emergency contact. In the future, to prevent this violation, participants will not start enrollment without addresses. Responsibility to Youth Director."
Standard #:	8VAC20-780-70
Description:	Based on a review of three staff records, observations, and interviews, the center did not ensure three staff records contained the required information. Evidence: 1) The record for Staff #1, hired on 06/07/21, did not contain the results of a negative tuberculosis (TB) screening within 21 days of beginning employment. 2) The record for Staff #2, hired on 07/26/21, did not contain the results of a negative tuberculosis (TB) screening within 21 days of beginning employment. 3) During interview, a member of management acknowledged the TB results for Staff #1 and Staff #2 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/21 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record. 3) The record kept at the center for Staff #2, hired on 07/26/21, did not contain the name, address and telephone number of a person to be notified in an emergency or information about any health problems which may interfere with fulfilling the job responsibilities. 4) Staff #2 was observed at the center during the inspection. 5) The record for Staff #2 did not contain documentation to demonstrate that the individual completed orientation training.
Plan of Correction:	Per the center: "Staff #1 and #2 were notified that a TB screening needed to be completed as soon as possible to continue employment and given until 1/31/2022 to complete due to COVID and urgent care availability. In the future, to prevent this violation, no staff will begin employment until a TB screening has been initiated or completed. Staff #2 was notified of their missing information. Staff #2 is no longer employed, but should they return, must have emergency contact info along with record of orientation training. Responsibility to Youth Director."