VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Mens Christian Association of Greater Richmond-Shady Grove
11255 Nuckols Road
Glen allen, VA 23059
(804) 305-1364

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Feb. 5, 2024

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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on February 5, 2024 with the center assistant director and staff. There were 54 school age children present, with 4 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 5 child records and 5 staff records were reviewed. The children were playing outdoors, playing in the gym, and having snack. Staff files were shared electronically 2/07/2024. 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. Time of today?s inspection: 4:00 p.m. to 5:30 p.m. Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov

Violations:

Standard #:	8VAC20-780-60-A
Description:	(Repeat violation) Based on review of five children's files, the facility failed to have required information in each child's file. Evidence: Child 4 did not have documentation of the name, address, and phone number of two (non-parent) designated people to contact in an emergency if a parent cannot be reached.
Plan of Correction:	Parents will be asked to update the emergency contact information.
Standard #:	8VAC20-780-350-B-5
Description:	(Repeat violation) Based on observation and staff interview, the facility failed to maintain the required ratio of one staff for every 18 children ages "school age eligible" to 9 years. Evidence: on 2/05/2024, Staff 4 was alone with 21 children, ages 5 through 8 years. Staff 2 was alone with 19 children, ages 8 through 10 years.
Plan of Correction:	Two staff were absent today. Ratios will be maintained as required.
Standard #:	8VAC20-780-530-A-1
Description:	(Repeat violation) Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR) certification. Evidence: Staff 1 was alone with 21 school age children, but did not have documentation of current CPR certification on file. Management confirmed that CPR expired 12/04/2023. Staff 3 was alone with 14 school age children, but did not have documentation of current CPR on file. Management confirmed Staff 3 did not have CPR.
Plan of Correction:	Children will be with staff who have first aid and CPR training.
Standard #:	8VAC20-780-530-A-2
Description:	(Repeat violation) Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 was alone with 21 school age children, but did not have documentation of current first aid certification on file. Management confirmed that first aid expired 12/04/2023. Staff 3 was alone with 14 school age children, but did not have documentation of current first aid certification on file. Management confirmed Staff 3 did not have first aid.
Plan of Correction:	Children will be with staff who have first aid and CPR training.
Standard #:	8VAC20-780-550-E
Description:	Based on review of the emergency drill log, the facility failed to conduct a shelter in place drill a minimum of twice per year. Evidence: there was documentation of only one shelter in place drill in the past year.
Plan of Correction:	Two shelter in place drills will be conducted each year.