VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond -Whiteside
5401 Whiteside Road
Sandston, VA 23150
(804) 737-9622

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: May 15, 2023

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:

A monitoring inspection was initiated on May 15, 2023 and concluded on June 6, 2023. The inspector was on site from approximately 2:35pm to 5:10pm on May 15, 2023. The assistant director was available throughout the on site inspection to answer questions. There were 47 children present, ranging in ages 5 to 12 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staff qualifications and training, staffing and supervision, programming, special care and emergencies and nutrition, and special services. A total of five child records were reviewed on site. An exit interview was conducted with the assistant director on 5/15/2023 to discuss findings for the onsite inspection. An acknowledgement of inspection form was left with the assistant director. The records for five staff were reviewed remotely as complete staff records are maintained off site but available upon request. An interview was conducted with the licensing director on 6/6/2023 to discuss findings for staff records. During the inspection, the children were observed arriving to the program, preparing for and having an afternoon snack, engaged in free play and playing on the outdoor equipment. All areas of the program were inspected to include the playground area and equipment. The center is equipped with supplies and items were available to the children. 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. Please 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. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the center failed to ensure the findings of the most recent inspection were posted in a conspicuous place. Evidence: 1.The most recent inspection findings posted at the center were from a 2021 inspection. 2. During an interview, Staff #1 verified the most recent inspection findings were not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff records, the center failed to ensure that every two years from the date of the initial testing or screening, staff members obtain and submit the results of a tuberculosis test or screening. Evidence: 1.The record for Staff #1 documents a tuberculosis test dated, 04/25/2021. 2. The record for Staff #2 documents a tuberculosis test dated, 03/14/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-G
Description:	Based on record review and interview, the center did not meet the proof of child identity and age requirements as stated in 22.1-289.049 of the Code of Virginia for one child. Evidence: 1. The record for Child #1 (start date:8/29 /2022) did not contain documentation of viewing proof of the child's identity and age as required by 22.1-289.049. 2. During an interview, Staff #1 acknowledged that the center did not have proof of the child?s identity and age as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1.The record for Child #5, did not document two designated people to call in an emergency if a parent cannot be reached. 2. During an interview with Staff #1, it was acknowledged that two designated people were not documented in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on review of records and interview the center failed to provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1.The most recent fire inspection report reviewed at the center was dated 5/9/2022. 2. During an interview, Staff #1 verified that an annual fire inspection has not been conducted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on review of records and interview, the center failed to provide an annual health approval from the health department. Evidence: 1.The most recent health approval was dated 8/3/2021. 2. During an interview, Staff #1 verified that an annual health approval has not been conducted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1.The boy?s bathroom was observed to have a base board below the paper towel dispenser separating from the wall which created a gap. 2. The boy?s bathroom was observed to have a visible rusted area on the plumbing directly above the urinal. 3.The orange baseboard in the rainbow space for children was observed as separating from the wall exposing 2 nails. 4.The kitchen floor was observed as being dirty, with grey and brown stains throughout. 5.The bottom of both sides of a wooden cabinet on the floor in the kitchen was missing wood, leaving an open space on both sides. 6. There was a rusted area of approximately 12 to 16 inches in length observed on the floor near the entrance of the center. 7. The edge of the carpet in the tree wall area for children was observed as having a rip of approximately 10 inches and molding surrounding a corner of the carpet was missing pieces. 8. The outdoor concrete basketball court was observed to have cracks the length and width of the court; to include a missing area which created a tripping hazard. The 4 basketball goal posts had large rust areas at the top of each post. 9.The bottom wooden step and sides of the wood post for the steps leading to the platform for the 3 slides was missing wood and the bottom step was observed as moving while children ran up and down. One child was heard stating, ?that one moves? while walking up the stairs. 10.The 12 wooden posts for the walkway leading to the outdoor play area were observed as having chipped and rotted wood. One post had a protruding nail, causing a snag hazard. 11.The four wooden posts for the swing were observed swaying back and forth as children were using the swing. 12.The fence adjacent to the basketball courts had detached wiring with sharp edges creating a snag hazard. 13.During observation, Staff #1 acknowledged the playground area has needed repairs, and the equipment needed maintenance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observations and interview, the center did not ensure that playground equipment had resilient surfacing that complies with the minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: 1.The slides, seesaw, swing and climbing wall located on the center?s playground did not have enough resilient surfacing throughout the fall zones. 2. The center had approximately 0 to1 inch of wooden mulch, decomposed mulch and dirt in the fall zones. 3. During an interview with Staff #1, it was acknowledged that the amount of mulch was out of compliance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-400-B
Description:	Based on observation and interview, the center did not ensure constructive behavioral guidance and age appropriate guidance was provided. Evidence: 1. During the inspection, Staff #3 was heard from inside the building stating two times, ?you have lost your mind?. 2.Within a minute of Staff #3 being heard making the remark, Staff #3 entered the building holding a 5 year old child by the hand while stating, ?he has lost his mind?. The child was observed striking Staff #3 with his hand as they entered the center. 3. Staff #1 was sitting at the same table with the inspector and acknowledged hearing the comments made by Staff #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on review of drills and interview, the center failed to ensure monthly drills were practiced. Evidence: 1. Based on drills posted, the center failed to conduct a practice drill for April 2023. 2. During an interview, Staff #1 verified a drill was not conducted in April 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.