VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - Hopkins
4800 Hopkins Road
North chesterfield, VA 23234
(804) 474-4405

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Nov. 17, 2022

Complaint Related: No

Areas Reviewed:

X 8VAC20-780 Administration. X 8VAC20-780 Staff Qualifications and Training. X 8VAC20-780 Physical Plant. X 8VAC20-780 Staffing and Supervision. X 8VAC20-780 Programs. X 8VAC20-780 Special Care Provisions and Emergencies X 8VAC20-780 Special Services. X 8VAC20-820 THE LICENSE. X 8VAC20-820 THE LICENSING PROCESS. X 8VAC20-820 HEARINGS PROCEDURES. X 8VAC20-770 Background Checks X 22.1 Early Childhood Care and Education X 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 11/17/2022. The inspector was on site at the center from approximately 4:10pm to 6:32pm. There were 17 children in attendance and a total of 2 staff present. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. Five children?s records and two employee records were reviewed during this inspection. There were violations found during today?s inspection. See the violation notice for more details.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not ensure two of two staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (employment date: 9/14/21) had documentation of central registry results dated 05/04/22. 2. The record of staff #2 (employment date: 11/18/21) had documentation of central registry results dated 01/04/22.
Plan of Correction:	We have been working on fixing our process for all follow up documentation. We will continue to work on fixing these violations. This process has been implemented within our association.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center did not ensure four of five children?s records contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1 (enrollment date: 8/25/2022) did not have documentation of immunizations. 2. The record of child #2 (enrollment date: 11/12/2022) did not have documentation of immunizations. 3. The record of child #3 (enrollment date: 11/12/2022) did not have documentation of immunizations. 4. The record of child #4 (enrollment date: 8/25/2022) did not have documentation of immunizations.
Plan of Correction:	We have reached out to these parents to make sure they upload the required documentation. Moving forward, we will make sure new children have all corrected paperwork for children. Date of correction 12/15/22
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center did not ensure four of five children?s records contained documentation of the child?s physical examination by or under the direction of a physician before the child?s attendance or within 30 days of attendance. Evidence: 1. The record of child #1 (enrollment date: 8/25/2022) did not have documentation of a physical examination. 2. The record of child #2 (enrollment date: 11/12/2022) did not have documentation of a physical examination. 3. The record of child #3 (enrollment date: 11/12/2022) did not have documentation of a physical examination. 4. The record of child #4 (enrollment date: 8/25/2022) did not have documentation of a physical examination.
Plan of Correction:	We have reached out to these parents to make sure they upload the required documentation. Moving forward, we will make sure new children have all corrected paperwork for children. Date of correction 12/15/22
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center did not ensure one of two staff records contained documentation of a tuberculosis screening submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (employment date: 11/18/21) did not have documentation of a tuberculosis screening.
Plan of Correction:	Our process is that TB must be completed before they are hired and cleared to work. We will make sure this stays consistent. We have sent this staff person to redo TB screening. Date of correction 12/15/22
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center did not ensure four of five children?s records contained required documentation. Evidence: 1. The record of child #1 (enrollment date: 8/25/2022) had documentation of one of the two required emergency contacts. 2. The record of child #2 (enrollment date: 11/12/2022) did not have documentation of the following; one emergency contact, child?s physician name and phone number, authorized to pick up information, allergies, health issues, school previously attended, required parent agreements and proof of identification. 3. The record of child #3 (enrollment date: 11/12/2022) was missing all required information for the child?s record. 4. The record of child #4 (enrollment date: 8/25/2022) did not have documentation of the following; one emergency contact, child?s physician name and phone number, authorized to pick up information, allergies, health issues, school previously attended.
Plan of Correction:	We have been working on a better approach with maintaining correct information for all children. We have an online system that we have all child files, but are needing to work on a process that fixes all of these actions. We are reaching out to these individuals to get these items corrected. Date of correction 12/15/22
Standard #:	8VAC20-780-240-B
Description:	Based on record review, the center did not ensure two of two staff records had documentation showing that the staff has completed orientation training in subsection C of this section prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of staff #1 (employment date: 9/14/21) did not have documentation of all required orientation trainings. 2. The record of staff #2 (employment date: 11/18/21) did not have documentation of all required orientation trainings.
Plan of Correction:	We are fixing our training and onboarding process to ensure all staff have sent proper documentation to licensing regarding the orientation training. We have already received this documentation from these staff.
Standard #:	8VAC20-780-240-E
Description:	Based on record review, the center did not ensure two of two staff records had documentation showing that the staff has completed first aid and CPR orientation training within 30 days of the first date of employment. 1. The record of staff #1 (employment date: 9/14/21) did not have documentation showing that the staff has completed orientation training in first aid and CPR. 2. The record of staff #2 (employment date: 11/18/21) did not have documentation showing that the staff has completed orientation training in first aid and CPR.
Plan of Correction:	We have a standard that states that all staff must be cpr/fa certified within 30 days. We will make sure this staff person gets certified immediately, and will continue to work on fixing issues with this standard. Date of correction 12/15/22
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were several unlocked cleaners located throughout the classroom, some of which were within the reach of children in care.
Plan of Correction:	We will work on purchasing locks for cleaning materials. Date of correction 12/15/22
Standard #:	8VAC20-780-560-J
Description:	Based on observation, the center did not ensure tables were cleaned and sanitized after each use for feeding. Evidence: The tables were not cleaned and sanitized after the children ate snack.
Plan of Correction:	We will remind staff to make sure we are cleaning tables before and after snack each time.