VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc of Virginia's Blue Ridge-VA Heights
1210 Amherst Street, S.W.
Roanoke, VA 24015
(540) 342-2332

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Feb. 8, 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

Comments:

An unannounced renewal inspection was conducted on 2/08/2023. There were 24 children, ages 5 -10 years and 2 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 3 children?s records and 2 staff records were reviewed. The children were observed during arrival, snack and activity center time. The inspector arrived for the inspection at 2:15pm and departed the center at 3:15pm. Discussion on standards related to approval from other agencies. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of two staff?s records, the center failed to ensure that all records were complete. Evidence: Staff #1 was hired on 9/7/2022 and on the day of the inspection did not have the required criminal history record check prior to the first day of employment.
Plan of Correction:	Provider will submit for criminal history check within 10 days.
Standard #:	22.1-289.035-B-4
Description:	Based on review of two staff?s records, the center failed to ensure that all records were complete. Evidence: 1. Staff #2 was hired on 8/23/2022 and on the day of the inspection did not have the required out of state criminal history record check and out of state sex offender registry check prior to the first day of employment. 2. Staff #2 was hired on 8/23/2022 and on the day of the inspection did not have the required out of state child abuse and neglect search request by the end of the 30th day of employment.
Plan of Correction:	Provider will submit for out of state record checks within 10 days.
Standard #:	8VAC20-780-130-A
Description:	Based on review of three children?s records, the center failed to ensure that all immunization records were obtained before the child?s first date of attendance. Evidence: Child #3 first date of attendance was 8/23/2022 and on the day of the inspection did not have the required immunization record.
Plan of Correction:	Provider will obtain immunization record.
Standard #:	8VAC20-780-60-A
Description:	Based on the review of three children?s records, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: The record for Child #2 did not contain the following information: first date of attendance.
Plan of Correction:	Provider will document first date of attendance.
Standard #:	8VAC20-780-350-B-5
Description:	Based on observation and discussion with staff, the center failed to ensure that the staff-to-children ratios specified in Table 2 are required whenever children are in care. Evidence: Staff 2 was the only staff person onsite for approximately 20 minutes after licensing staff arrived. Children ages 5-10 years began arrival in the program at 2:21PM and Staff 1 arrived at 2:41PM. Staff 2 stated Staff 1 arrives each afternoon around 2:40PM.
Plan of Correction:	Provider will ensure 2 staff are onsite when children begin arrival to the program.