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Young Men's Christian Association of Greater Richmond-P. Henry
217 Ashcake Road
Ashland, VA 23220
(804) 474-4405

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Nov. 1, 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

Technical Assistance:
N/A

Comments:
A monitoring inspection was initiated on November 1, 2022 at approximately 3:45 PM to 5:40 PM. There were 40 school age children present and five staff supervising. 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 five 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 the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. 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 preventative measures

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# (804) 625-2304
heather.dapper@doe.virginia.gov

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on record review, the center did not have documentation of central registry findings for one staff member.

Evidence:
1. The record for staff # 3 (employed:6/20/22) did not contain documentation of central registry findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
1. Child #8 (start date: 6/17/22) did not have a record at the center.
2. The record for child #2 (start date: 9/07/21), did not have documentation of parent contact information, the name and number of child's physician, two designated people to call in an emergency, names of persons authorized to pick up the child, allergies and intolerance to medication and actions to take in an emergency situation, chronic physical problems and any special accommodations, and previous child day care and schools attended by the child.
3. The record for child #9 (start date: 8/16/21) and staff #10 (start date: 9/28/22), did not have documentation of two designated people to call in an emergency.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-B
Description: Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
In room #1, one container of Hydrogen Peroxide labeled "Warning" and "Keep Out of Reach of Children", one container of Rust oleum paint and primer labeled "Danger" and "flammable",
one container of Ant & Roach Killer labeled "Caution" and "Keep Out of Reach of Children", one container of Hornet and Wasp Spray labeled "Caution" and "Keep Out of Reach of Children".

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-330-B
Description: Based on observation and measurements, the center did not ensure that resilient surfacing shall comply with minimum safety standards when tested.

Evidence:
On the playground, three out of seven depth samples taken at the fall zones underneath and surrounding the equipment measured less that the required six inches.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-350-B-5
Description: Based on observation, the facility did not ensure compliance with ratios of staff to children as required.

Evidence:
1. In room #1, at approximately 3:37 PM, there was one staff member to 25 children. Staff to children ratio for school age eligible up to 9 years is 1:18.
2. Staff #2 stated that "it was just for a second".

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-D
Description: Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a monthly practice evacuation drill is completed.

Evidence:
1. The emergency drill log did not have written documentation to demonstrate that an emergency evacuation drill was completed during the months of April, May, and June 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-P
Description: Based on a review of the facility's injury reports, all required information was not documented.

Evidence:
The injury reports reviewed, did not have documentation of any future action to prevent recurrence of the injury.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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