VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Caroline Family YMCA
17422 Library Boulevard
Ruther glen, VA 22546
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: May 14, 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. 22VAC40-191 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 05/14/2021 and concluded on 05/14/2021. The director was contacted by telephone to initiate the inspection. There were no children present at the time of the inspection. The inspector emailed the director a list of items required to complete the inspection. The inspector reviewed two children?s records and two staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) 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 the date of receipt. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). The licensing inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of records, the center did not ensure that one of two children's records reviewed was complete. Evidence: 1) The record for Child #1, enrolled on 03/01/2021, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Per the Center: "Child #1's parents were called to fix the emergency contact information with the correct name, address and phone number."
Standard #:	22VAC40-191-60-B
Description:	Based on a review of records, the center did not ensure that one of two staff had a completed sworn statement prior to hire. Evidence: 1) The record for Staff #1, hired on 02/15/2021, contained a sworn statement that was dated 02/16/2021. An employee or volunteer of a licensed or registered child welfare agency or of a family day home approved by a family day system must not be employed or provide volunteer service until the agency or home has the person's completed sworn statement or affirmation.
Plan of Correction:	Per the Center: "In the future, the CDC will ensure that staffs' sworn statements does not have a date after official hire."
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of records, the center did not ensure that one of two staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #1, hired on 02/15/2021, did not contain the results of a fingerprint based background check.
Plan of Correction:	Per the Center: "Staff #1 will schedule an appointment w/OBI to obtain results of a fingerprint background check."