VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association - Camp Thunderbird
9300 Shawonodasee Road
Chesterfield, VA 23832
(804) 748-6714

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: July 21, 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, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on July 21, 2021 and concluded on July 22, 2021. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 305 children present, ranging in ages from 4 years to 12 years, with 34 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. 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 ?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 #:	22VAC40-185-240-D-5
Description:	Based on a review of records and interview, the center did not ensure there will always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Administration acknowledged Staff #1 as the only staff member with daily health observation instruction. 2. Administration stated the center's operating hours for receiving children are 7am-6pm and that Staff #1 has work hours of 8am-5pm. 3. Administration acknowledged they do not always have a staff member on duty with daily health observation during all hours children are in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A closet in the Lodge, where cleaning materials are kept was unlocked. The closet contained cleaning materials with labels stating "keep out of reach of children" and "warning." 2. Administration acknowledged the closet wasn't locked.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-550-M
Description:	Based on a review of records the center did not ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. Incident reports for Child #6, Child #7, and Child #8 did not contain documentation of any future action to prevent recurrence of the injury. 2. Incident reports for Child #6, Child #7, and Child #8 did not contain documentation of staff and parent signatures or two staff signatures.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of records the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: 1. The record of Staff #4 (DOH 5/12/21) did not contain documentation of a complete sworn statement. The staff failed to answer the questions on the statement. 2. The record of Staff #5 (DOH 6/11/21) did not contain documentation of a sworn statement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted August 28, 2020 were not posted in the facility on the date of inspection. 2. Administration acknowledged there were no posted findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on a review of records, the center did obtain results of a check of the out-of-state criminal history record search prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of Staff #6 (DOH 6/20/21) did not contain documentation of results of an out-of-state criminal history record searches and did not contain documentation that an out-of-state child abuse and neglect search was completed for three states. Staff #6 identified living in three other states in the past five years on the staff's sworn statement.
Plan of Correction:	Not available online. Contact Inspector for more information.