VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc of Virginia's Blue Ridge -Lexington
40 Magnolia Square
Suite 6
Lexington, VA 24450
(540) 458-0413

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: Feb. 9, 2023

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 8VAC20-790 Subsidy Regulations.

Comments:

Licensing Inspector conducted an unannounced Renewal Inspection on February 9, 2023. Upon arrival, there were 19 children ages 2-4 years old under the care of 7 staff. The Licensing Inspector reviewed 4 children?s records and 4 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289-036-B-4
Description:	Based on record review, the Licensee failed to complete out-of-state Background Checks for staff members who have lived out of the State of Virginia within 5 years prior to the date of hire. EVIDE3NCE: Licensing Inspector reviewed 4 staff records. Staff #4 indicated on their Sworn Statement that they had in fact lived out side of the State of Virginia within 5 years prior to the date of hire (10/13/2022). Required Background Checks ((tate of Alabama Interstate Child Abuse & Neglect & State of Alabama Interstate Sex Offender Registry Check) for Staff #4 were not completed. Staff #4 indicated on their Sworn Statement that they had in fact lived outside of the State of Virginia within 5 years prior to the date of hire (10/13/2022). Required Background Checks (State of Georgia Interstate Child Abuse & Neglect, State of Georgia Interstate Sex Offender Registry Check & Interstate CR Background Check) for Staff #4 were not completed.
Plan of Correction:	Center will submit documentation to the licensing inspector have been completed.
Standard #:	8VAC20-780-70
Description:	Based on record review, the Licensee failed to censure each staff record contains documentation of all requirements. EVIDENCE: Licensing Inspector reviewed 4 staff records. Record for Staff #2 (date of hire 9/29/2022) did not include documentation of 2 or more references regarding character, reputation and competency are completed before employment. Record for Staff #3 (date of hire 1/27/2023) did not include documentation of 2 or more references regarding character, reputation and competency are completed before employment. Record for Staff #4 (date of hire 10/13/2022) did not include documentation of 2 or more references regarding character, reputation and competency are completed before employment. Record for Staff #1 (date of hire 9/2/2022) did not include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Record for Staff #2(date of hire 9/29/2022)include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Record for Staff #3 (date of hire 1/27/2023) include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
Plan of Correction:	Documentation of staff information will be retrieved from staff members. Information will be maintained in the staff record.