VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Mens Christian Association of Greater Richmond-Swift Creek
15800 Hampton Park Drive
Chesterfield, VA 23832
(804) 474-4405

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Dec. 15, 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 12/15/2022. The inspector was on site at the center from approximately 4:30pm to 6:30pm. There were 19 children in attendance and a total of 3 staff present. Interviews were held with staff throughout the inspection, and the inspector interacted with children in the classroom when appropriate. Five children?s records and five employee records were reviewed during this inspection. There were violations found during today?s inspection. See the violation notice for more details.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review, the center did not ensure one of five staff records contained documentation of criminal history record results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #1 (employment date: 9/6/2022) had documentation of out-of-state criminal history record results and a child abuse and neglect search request dated 12/9/2022.
Plan of Correction:	we found the missed out of state and placed a request immediately. moving forward we have created a process with HR to make sure all out of states are done timely
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center did not ensure two of five staff records contained documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #3 (employment date: 5/25/2021) had documentation of a completed sworn statement or affirmation dated 10/18/2021. 2. The record of staff #4 (employment date: 4/11/2022) had documentation of an incomplete sworn statement or affirmation dated 3/23/2022. The staff?s record also had documentation of a completed sworn statement or affirmation dated 9/28/2022.
Plan of Correction:	we have fixed this process moving forward with all new hire staff documents and background checks
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center did not ensure one 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: 11/29/2022) did not have documentation of a physical examination.
Plan of Correction:	we will reach out to the parent to correct all documents before school is back in session
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: 11/29/2022) did not have documentation of the following: child information, parent information, two required emergency contacts, 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. 2. The record of child #3 (enrollment date: 8/22/2022) did not have documentation of the required two emergency contacts. 3. The record of child #4 (enrollment date: 8/22/2022) did not have documentation of the required two emergency contacts. 4. The record of child #5 (enrollment date: 8/22/2022) did not have documentation of the required two emergency contacts.
Plan of Correction:	we will reach out to ask for the allergy care plan, and create a process for checking to make sure all staff with allergies have an allergy care plan
Standard #:	8VAC20-780-60-A-7
Description:	Based on record review, the center did not ensure to obtain documentation of a written allergy care plan for each child with a diagnosed food allergy. Evidence: 1. The record of child # 3 (enrollment date: 8/23/2022) did not have documentation of a written allergy care plan. The child?s record and the center?s allergy list both indicated that the child had a diagnosed food allergy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on record review, the center did not ensure two of five 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 #3 (employment date: 5/25/21) had documentation of orientation training dated 10/18/2021. 2. The record of staff #5 (employment date: 5/12/21) had documentation of orientation training dated 6/21/2021.
Plan of Correction:	we have fixed this, and moving forward will make sure all staffs required trainings are documented correctly.
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 two unlocked cleaners located on the classroom counter within the reach of children in care.
Plan of Correction:	we will ensure all hazardous materials are locked away from children
Standard #:	8VAC20-780-550-D
Description:	Based on record review, the center did not ensure to implement a monthly practice evacuation drill. Evidence: The center did not have documentation showing that monthly practice evacuation drills were complemented during the months of October and November of 2022.
Plan of Correction:	we will ensure all required drills are done timely and efficiently, creating a plan each month to make sure this is done.
Standard #:	8VAC20-780-550-D
Description:	Based on record review, the center did not ensure to implement a monthly practice evacuation drill. Evidence: The center did not have documentation showing that monthly practice evacuation drills were complemented during the months of October and November of 2022.
Plan of Correction:	we will ensure all required drills are done timely and efficiently, creating a plan each month to make sure this is done.
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 ensure more consistent cleaning before and after snack.