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Young Men's Christian Association of Greater Richmond-Spring Run
13901 N. Spring Run Road
Midlothian, VA 23112
(804) 549-6578

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: May 31, 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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)

Comments:
An unannounced renewal inspection was conducted on May 31, 2022. The director was available during the inspection. There were 17 children present, ranging in ages from 5 years to 12 years, with 3 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 5 child records, 3 staff records, and 5 officers/agents 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 #: 8VAC20-780-80-B-2
Description: Based on a review of injury report records and interview, the center did not ensure to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.
Evidence: The injury report for child #6 dated May 12, 2022 was reviewed. Administration stated the child ingested hand sanitizer that was sprayed on top of the child's water bottle. The center was notified of the incident by the parent after pick-up at 6pm. The parent informed the center the child was being taken to the hospital for vomiting. As of May 31, 2022, no report was made to the department's representative. Administration stated she didn't know she had to report it to the department.

Plan of Correction: Director will notify Inspector as soon as I get the information through the website.

Standard #: 8VAC20-780-550-P
Description: Based on review of records and interview, the center did not ensure written records of children's serious and minor injuries contained all the required information.
Evidence: Two injury reports were reviewed. There was no documentation of any future action to prevent recurrence of the injury. Administration stated that is discussed among the staff but didn't know the center was to document it.

Plan of Correction: Leadership will make sure all staff understand the process moving forward for incident reporting within the appropriate timeframe along with stating appropriate prevention plans on our internal document. Through this, the center?s leadership will create a preventative plan for future injuries in our annual injury prevention plan.

Standard #: 8VAC20-820-120-E-2
Description: Based on observation and interview, the provider did not ensure to post on the premises
the findings of the most recent inspection of the facility.
Evidence: The most recent violation notice from 04/19/2022 was not posted. Administration stated she didn't know it had to be posted.

Plan of Correction: Director will be sure to print out the current inspection once it's completed.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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