VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - Tuckahoe
9211 Patterson Avenue
Henrico, VA 23229
(804) 350-0647

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 28, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on April 28, 2021 and concluded on April 30, 2021. The director was contacted by telephone to initiate the inspection. There were 58 children present and 6 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 4 children?s records and 4 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. 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. 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 #:	22VAC40-185-60-A
Description:	Based on a review of records on April 29, 2021, the provider did not ensure that each child's record contained the required information. Evidence: The record of Child #3 did not contain documentation of a second person to call in an emergency.
Plan of Correction:	Parent will give another emergency contact. Parent will email director the information. Parent will do mother from NY or supervisor. He has to ask supervisor if they are ok with it.
Standard #:	22VAC40-185-240-A
Description:	Based on a review of records and interview on April 30, 2021, the center did not ensure staff receive training by the end of their fist day of assuming job responsibilities. Evidence: 1. The records of Staff #1 (DOH 09/1/20), Staff #3 (DOH 1/14/21), and Staff #4 (DOH 12/8/20) did not contain documentation of orientation. 2. Administration stated they did not do orientation with staff and they weren't sure why.
Plan of Correction:	Send/Sent staff's orientation to inspector today.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of records and interview on April 30, 2021, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1 (DOH 9/1/20) contained documentation of a central registry finding dated 10/6/20. 2. Administration stated the request was mailed on 9/29/20.
Plan of Correction:	Will contact our HR department to update and get this information.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on a review of records and interview on April 30, 2021 the center did not ensure to obtain a copy of the results of a criminal history record check, sex offender registry check and child abuse and neglect registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The records of Staff #3 (DOH 1/14/21) and Staff #4 (DOH 12/8/20) did not contain documentation of results of an out-of-state criminal history record information check, sex offender registry check and child abuse and neglect registry check. Staff #3 and Staff #4 each identified living in another state in the past 5 years on the staff's Sworn Disclosure Statement. 2. Administration acknowledged the searches were not completed.
Plan of Correction:	Will contact our HR department to update and get this information.