VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc. of VA's Blue Ridge-Kirk Family YMCA
520 Church Street
Roanoke, VA 24016
(540) 342-9622

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

Inspection Date: July 3, 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 7/3/2023. There were 18 children, ages 3-5 years and 3 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 3 staff records were reviewed. The children were observed during swim time. The inspector arrived for the inspection at 10:20am and departed the center at 12:12pm. 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 #:	8VAC20-780-160-A
Description:	Based on the review of three staff records, the center failed to ensure each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children . Evidence: 1. Staff 3 start date was 06/12/2023 and on the day of the inspection was observed working with children and did not have documentation of a negative tuberculosis screening.
Plan of Correction:	Provider will obtain a tuberculosis screening for staff.
Standard #:	8VAC20-780-160-B
Description:	Based on the review of three staff records, the center failed to ensure acceptable forms of documentation of tuberculosis screening are a clearance statement signed by a physician, the physician?s designee or an official of the local health department. Evidence: 2. Staff 1 most recent tuberculosis screening was dated 8/5/2021 and on the day of the inspection did not include a physician?s signature.
Plan of Correction:	Provider will obtain a signed tuberculosis screening for staff.
Standard #:	8VAC20-780-240-B
Description:	Based on the review of three staff records, the center failed to ensure that staff shall complete orientation training prior to the staff person working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 3 start date was 06/12/2023 and on the day of the inspection orientation training was not documented.
Plan of Correction:	Provider will document orientation training for staff.
Standard #:	8VAC20-780-550-C
Description:	Based on observation and discussion with staff, the center failed to ensure that emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of the building. Evidence: There was no map showing emergency evacuation and shelter-in-place posted at the center in the lower level purple classroom.
Plan of Correction:	Provider will post emergency evacuation map in lower level room.
Standard #:	8VAC20-780-550-G
Description:	Based on discussion with staff, the center failed to ensure that documentation shall be maintained of emergency evacuations, shelter-in-place and lockdown drills. Evidence: Emergency drills were not documented on the day of the inspection.
Plan of Correction:	Provider will document emergency evacuation drills when completed.