VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Mens Christian Association of Greater Richmond-Shady Grove
11255 Nuckols Road
Glen allen, VA 23059
(804) 305-1364

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: July 21, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on site on 7/21/2022 with center director and staff. Files were sent for review on 8/09/2022. There were 166 children present, ranging in ages from 5 years to 12 years. 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 10 child records and 10 staff records were reviewed. The children were engaged in a variety of outdoor activities including archery, eating lunch, preparing for the pool, and playing on the playground. One group was swimming in the indoor pool. 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 call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of 10 staff records, the facility failed to have documentation of a search of the central registry (CPS check) for each staff within 30 days. Evidence: Staff 4 (date of employment 12/7/2021) had a CPs check dated 6/19/2022. Staff 6 (date of employment 6/9/2022), Staff 7 (date of employment (6/9/2022), and Staff 9 (date of employment 6/9/2022) did not have documentation of a CPS check or documentation of having submitted a CPs check within 7 days of hire as required.
Plan of Correction:	The program manager contacted HR and they stated the CPS checks had been submitted through CCAPS; however, there was no documentation to show if the upload was successful. The CPS checks will be resubmitted.
Standard #:	8VAC20-780-160-A
Description:	Based on review of 10 staff records, the facility failed to have documentation of a negative tuberculosis screening or test (TB) at the time of employment and prior to coming in contact with children. Evidence: Staff 6 (date of employment 6/9/2022) did not have documentation of a TB test or screening until 7/11/2022.
Plan of Correction:	TB tests or screenings will be obtained prior to direct contact with children.
Standard #:	8VAC20-780-240-B
Description:	Based on review of 10 staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 6 (date of employment 6/9/2022), Staff 7 (date of employment 6/9/2022), Staff 8 (date of employment 6/14/2022), and Staff 9 (date of employment 6/9/2022) did not have documentation of orientation on file.
Plan of Correction:	All staff will receive orientation prior to directly working with children.
Standard #:	8VAC20-780-510-B
Description:	Based on review of 23 medications, the facility failed to have written parental authorization for each medication. Evidence: The medication authorization for Child L did not include written parental authorization for the facility to administer.
Plan of Correction:	The facility will ask the parent to complete a written medication authorization.
Standard #:	8VAC20-780-510-P
Description:	Based on review of 23 medications, the facility failed to notify the parents that the medication authorization had expired and the medication need to be picked up within 14 days if a new authorization was not renewed. The medication authorization for Child F expired 2/10/2022, Child I expired 5/27/2022, and Child J expired 4/27/2022. The medications were still on site 7/21/2022 and had not been disposed of or returned to the parent.
Plan of Correction:	The parents will be notified that the medications need to be picked up within 14 days. If the mediations are not picked up, they will be discarded.