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: Oct. 17, 2022 and Oct. 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) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on 10/17/2022 from approximately 3:15 p.m. ? 4:30 p.m. and completed 10/31/2022. There were 22 children present ranging in ages 5 years old to 12 years old and 2 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of 5 child records and 3 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. 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, 11/08/2022. 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 preventive measure(s).

Violations:

Standard #:	8VAC20-780-40-J
Description:	Based on interview, the provider failed to ensure that the injury prevention procedures were updated at least annually based on documentation of injuries and review of the activities and services. Evidence: The Program Director reported that this update has not been done for this YMCA site.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on child record review, the provider failed to ensure that five of five records contained the required information for each child enrolled. Evidence: 1. The records for enrolled children, C1, C2, C3, C4, and C5 failed to contain the written agreements between the parent and the center required by 8VAC20-780-90.A.10. 2. The records for C3 enrolled 09/12/2022 and C5 enrolled 08/15/2022 did not contain health information as required by 8VAC20-780-140. 3. The record for C3 enrolled 09/12/2022 did not contain the name, address, and phone number for two designated people to call in an emergency if a parent cannot be reached. The record contained one of the two contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on staff record review, the provider failed to ensure that 3 of 3 records contained required information. Evidence: 1. Record for S1, employed 06/20/22 did not contain: health information required by 8VAC20-780-160.C; information about any health problems that may interfere with fulfilling the job responsibilities; First Aid and CPR training orientation; completion of the 10 hour Pre-Service training; and orientation and training required in 8VAC20-780-240. 2. Record for S2, employed 04/18/22 did not contain: health information required by 8VAC20-780-160.C; information about any health problems that may interfere with fulfilling the job responsibilities; First Aid and CPR training orientation; completion of the 10 hour Pre-Service training; and orientation and training required in 8VAC20-780-240. 3. Record for S3, employed 10/19/20 did not contain: health information required by 8VAC20-780-160.C; information about any health problems that may interfere with fulfilling the job responsibilities; First Aid and CPR training orientation; completion of the 10 hour Pre-Service training; and orientation and training required in 8VAC20-780-240.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-380-A
Description:	Based on observation, the provider failed to ensure that a daily schedule is posted. Evidence: The bulletin board used by the YMCA program to meet the posting requirements did not include the daily schedule for the program.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-H
Description:	Based on interview, the provider failed to maintain a record of the dates of the practice emergency evacuation drills. Evidence: The Program Director was unable to locate the emergency evacuation drill records during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the provider failed to ensure the findings of the most recent inspection of the program were posted in a place conspicuous to the public. Evidence: The inspection documents were placed in a plastic sleeve covered by other documents on the bulletin board used by the YMCA program to meet the posting requirements of 8VAC20-780-40.
Plan of Correction:	Not available online. Contact Inspector for more information.