VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Evergreen
1701 Evergreen Parkway
Midlothian, VA 23114
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Oct. 12, 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 10/12/2022 and concluded on 10/13/2022. The inspector was on site on 10/12/2022 from approximately 4:00 pm-5:45 pm. There were 23 children present, ranging in ages from 5 to 10 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, nutrition and background checks. A total of 5 child records and 2 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. 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 #:	8VAC20-780-140-A
Description:	Based on a review of five (5) children's records and interview, the center did not ensure that one (1) child had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of child #2 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the record was not obtained.
Plan of Correction:	We will make sure that all children have correct files.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/22/2022) 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 was missing one (1) contact. The record of child #2 (date of enrollment: 8/22/2022) was missing the contact information for one (1) designated person. The record of child #4 (date of enrollment: 8/22/2022) was missing the contact information for two (2) designated people. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	We will fix these right away to make sure child files are complete.
Standard #:	8VAC20-780-70
Description:	Based on a review of two (2) staff records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The records of staff #1 and staff #2 did not contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. 2. The records of staff #1 and staff #2 did not contain information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities. 3. Administration acknowledged that the staff's health and emergency contact information were not available on site during the inspection.
Plan of Correction:	We will make sure all staff information sheets are at the site.
Standard #:	8VAC20-780-500-A
Description:	Based on observation and interview, the center did not ensure that children's hands were washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: 1. On 10/12/2022, the children were observed using hand sanitizer before eating snack. 2. Administration acknowledged that the children did not wash their hands with soap and running water or disposable wipes before eating.
Plan of Correction:	We will be fixing our onboarding training over this based on recent conversations over clarity.
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in August or September.
Plan of Correction:	We will make sure all drills are done frequently.
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 will have the most current inspection up.