VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of the Virginia Peninsulas
361 Walnut St
Warsaw, VA 22572
(804) 333-3510

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: March 14, 2022

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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (22VAC40-191)

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 March 14, 2022 and concluded on March 17, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 20 children present, ranging in ages from 5 years to 12 years, with 2 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 2 child records and 3 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. 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. 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 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1 (hired on 10/18/21) contained documentation of a central registry finding dated 12/1/1. 2. The record of Staff #2 (hired on 10/11/21) contained documentation of a central registry finding dated 11/18/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-150-B
Description:	Based on a review of children's records, the center did not ensure that immunizations received shall be signed by a physician, his designee, or an official of the local health department. Evidence: The record of child #2 contained documentation of immunizations that were not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	Documentation will be requested to be turned in by 3/25.
Standard #:	8VAC20-780-160-A-1
Description:	Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #1 (hired on 10/18/21) did not contain documentation of a tuberculosis screening.
Plan of Correction:	TB tests will be completed with necessary inform and in file by March 25.
Standard #:	8VAC20-780-160-B
Description:	Based on a review of staff records, the center failed to obtain an acceptable form of documentation of tuberculosis screening. Evidence: The record of staff #3 contained documentation of a tuberculosis screening that was not signed by a physician, physician's designee or an official of the local health department.
Plan of Correction:	TB tests will be completed with necessary info and in file by March 25.
Standard #:	8VAC20-780-340-D
Description:	Based on a review of staff records and interview, the center failed to ensure that there is a qualified program leader regularly present in each grouping of children. Evidence: Staff #3 was identified by administration as the program leader for the after school program. Staff #3 does not meet the qualifications for the position. There was no documentation of 24 hours of training as a program leader. Administration confirmed staff #3 did not have the required training.
Plan of Correction:	Moving forward we will ensure there is a program lead in each grouping of children.