VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Evergreen
1701 Evergreen Parkway
Midlothian, VA 23114
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 17, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated on 4/17/2023 and concluded on 4/18/2023. The inspector was on site on 4/17/2023 from approximately 3:50 pm-5:00 pm. There were 24 children present, ranging in ages from 6 to 11 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 4 staff records were reviewed. Staff records were reviewed remotely on 4/18/2023. 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 date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain an immunization record. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	we will work on fixing these asap and will work with staff on files and clarity
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five (5) children's records and interview, the center did not ensure that two (2) children had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	We will work on fixing all child files.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) were missing all required record information. Administration stated in interview that that the digital records were empty. The record of child #5 (date of enrollment: 9/21/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	we will fix this with our files
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in February and March of 2023.
Plan of Correction:	we will make sure this process is fixed before the new school year and done consistently
Standard #:	8VAC20-780-560-F
Description:	Based on observation and interview, the center did not ensure that a current dated menu was posted in a location conspicuous to parents or given to parents as required. Evidence: 1. The center was observed serving snack. A snack menu was not posted. 2. Administration acknowledged that the current menu was not posted or given to the parents.
Plan of Correction:	we will post snack schedule immediately
Standard #:	8VAC20-780-560-I
Description:	Based on observation and interview, the center did not ensure that contaminated or spoiled food was not served to children. Evidence: 1. On 4/17/2023, the children were observed eating Sunchips and applesauce. Several of the bags showed an expiration date of 4/11/2023. 2. Administration acknowledged that the chips had expired.
Plan of Correction:	We will throw out expired food and double check all items before handing out to children.