VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-JB Watkins
501 Coalfield Road
Midlothian, VA 23114
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 28, 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 (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated on 9/28/2022 and concluded on 9/30/2022. The inspector was on site on 9/28/2022 from approximately 3:55 pm-5:17 pm. There were 37 children present ranging in age from five (5) to 10 years with five (5) staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of five (5) child records and five (5) staff records were reviewed. Staff records were reviewed remotely. 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 #:	8VAC20-780-160-C
Description:	Based on a review of five (5) staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for one (1) staff at least every two years from the date of the initial screening or testing as required. Evidence: 1. The record of staff # 4 contained a tuberculosis screening dated 8/29/2020. 2. Administration acknowledged that a follow up tuberculosis screening had not been obtained for staff #4.
Plan of Correction:	We have sent this staff to get TB screen redone.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The record of child #3 (date of enrollment: 9/2/2022) did not contain 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 #4 (date of enrollment: 9/13/2022) was missing the contact information for one designated person. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	We will make sure to follow up with all parents to collect info on children.
Standard #:	8VAC20-780-70
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that two (2) records were complete. Evidence: 1. The records of staff #1 (date of employment: 8/26/2022) did not contain documentation to demonstrate that the individual possessed the education required by the position. The record of staff #3 (date of employment: 8/24/2022) did not contain documentation to demonstrate that the individual possessed the orientation training required by the position. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	We have fixed the orientation training for these staff.
Standard #:	8VAC20-780-80-B-2
Description:	Based on review of documentation 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: 1. In interview on 9/28/2022, the center's administration informed the inspector of a serious injury that occurred on 9/7/2022. The injury required outside medical attention. 2. Administration acknowledged that the department's representative was not informed within two business days.
Plan of Correction:	We have followed up with training to make sure this doesn't occur moving forward.
Standard #:	8VAC20-780-560-F
Description:	Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period was dated and posted in a location conspicuous to parents or given to parents. Evidence: 1. A posted menu was observed that was dated for May. 2. Administration acknowledged that the menu was not current and a current copy was not given to the parents.
Plan of Correction:	We will make sure we post a new menu each month.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the center did not ensure to post the findings of the most recent inspection as required. Evidence: 1. The most recent inspection was not observed on the center's licensing board. 2. Administration acknowledged that the most recent inspection findings were not posted.
Plan of Correction:	We have since corrected this on our license board.