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

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Dec. 30, 2021 , Jan. 3, 2022 , Jan. 7, 2022 and Jan. 13, 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)
22.1 Early Childhood Care and Education

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 12/30/2021 and concluded on 01/13/2022. 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, special care and emergencies and nutrition. A total of two child records and two 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.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on a review of two staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in record for Staff #1, hired on 04/02/19, was dated
06/11/20. 2) During interviews, a member of management confirmed the results of the central
finding for Staff #1 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff member had been continuously employed.

Plan of Correction: Moving forward, a member of management will follow up and document contact with OBI if a central registry is not received within 30 days of employment. The follow up central registry for Staff #1 will be obtained within the required time frame.

Standard #: 8VAC20-780-160-C
Description: Based on a review of two staff records and interviews, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing.

Evidence: 1) The most recent TB screening in the record for Staff #1, hired on 04/02/19, was dated 05/28/19. The TB screening expired on 05/28/21. 2) During interview, a member of management reported the TB screening for Staff #1 expired on 05/28/21 and a new one has
not been obtained.

Plan of Correction: Per the center, Staff #1 has been given until 01/31/22 to provide a new TB screening/test.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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