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Young Men's Christian Association of South Hampton Roads-Suffolk
2769 Godwin Boulevard
Suffolk, VA 23434
(757) 934-9622

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: March 9, 2022

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 (22VAC40-191)

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was conducted on March 9, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were five children present with two 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 four child records and four staff records were reviewed.

CHOOSE ONE:
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.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on review, facility did not ensure 1 of 4 staff records has a completed central registry search within 30 days of beginning employment.

Evidence: The record for staff #3 (start date 9/16/2021) did not have a completed central registry search. Staff stated it was determined the central registry search was missing from the staff record and one was submitted 1/28/2022.

Plan of Correction: Staff will follow up with the central registry unit to check on the status of the search.

Standard #: 8VAC20-780-60-A
Description: Based on review, facility did not ensure 2 of 4 children's records have documentation of required information.

Evidence: The following was found during record review:
1. The records for child #1 (start date 9/7/2021) and child #2 (start date 11/1/2021) did not have complete parent employment information.
2. The record for child #2 (start date 11/1/2021) did not have complete parent home information.

Plan of Correction: Staff will have parents hand write information onto printed copy of child's record and information will be uploaded into the system.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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