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: Oct. 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 10/17/2023 and concluded on 10/18/2023. The inspector was on site on 10/17/2023 from approximately 3:54 pm- 4:55 pm. There were 24 children present, ranging in ages from 5 to 11 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 staff records were reviewed. Staff records were reviewed remotely on 10/18/2023. 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:	REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #1 (date of attendance: 8/23/2023) did not contain an immunization record. 2. Administration acknowledged the record was not obtained.
Plan of Correction:	This will be taken care of. We will ensure moving forward that all child files are complete and comply with regulations.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to maintain a record for one child that contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/23/2023) contained one of the two required emergency contacts. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that child #1's second emergency contact was missing.
Plan of Correction:	This will be taken care of. We will ensure moving forward that all child files are complete and comply with regulations.