VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-C. Springs
1101 Dance Street
Richmond, VA 23220
(804) 780-6234

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Oct. 16, 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:

A monitoring inspection was conducted on October 16, 2023 from approximately 2:45 PM to 4:10PM. There were 41 children present in the center, ranging in ages from infant to school-age, with four staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and four staff records were reviewed. 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 the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should 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. Heather Dapper Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone # (804) 625-2304 heather.dapper@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: 1. The record of staff #1 contained an updated fingerprint-based national criminal background check dated 10/10/23. The repeat check was required to be completed before 09/12/23. 2. The record for staff #3 contained an updated central registry dated 11/14/22. The repeat check was required before 10/28/21. The updated sworn statement for staff #3 contained a sworn statement dated 11/22/21. The repeat statement was required before 09/21/21. 3. Administration acknowledged that the repeat background checks had not been completed in the required timeframe.
Plan of Correction:	We will ensure all repeat background checks are done timely for all staff.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center did not ensure staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: The record of staff #4 (employed: 08/29/22) did not have a completed sworn statement or affirmation prior to the first day of employment. Staff #4 did not complete In what states (other than Virginia) have you lived in the last five years and questions 1 ? 4.
Plan of Correction:	We will make sure this is corrected for staff.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1 (last TB screening/test: 04/28/21) had documentation of an updated TB screening/test on 09/11/23. 2. The record for staff #2 (last TB screening/test: 9/28/21) had documentation of an updated TB screening/test on 10/18/23. 3. The record for staff #3 (last TB screening/test: 02/20/20) had documentation of an updated TB screening/test on 03/16/2022. 4. A member of management confirmed that the staff screenings or test was not completed in the required timeframe.
Plan of Correction:	We will make sure we follow our standards for repeat TB screens.
Standard #:	8VAC20-780-210-A
Description:	Based on record review, the center failed to ensure that program leaders shall meet all the required qualifications. Evidence: 1. The record for staff #4 did not have documentation to demonstrate how staff #4 meets program leader qualifications.
Plan of Correction:	We will work on staff qualifications to ensure compliance.