VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - S.P.E.
4301 Fort McHenry Parkway
Glen allen, VA 23060
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 20, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was initiated on 4/20/2022 and concluded on 4/25/2022. The inspector was on site from 2:20 pm-4:00 pm. There were 38 children present, ranging in ages from 5 to 11 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records, 4 staff records, and 7 board member/agent records were reviewed. Staff records were reviewed remotely. 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. Just writing the word ?corrected? is not acceptable. 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 #:	8VAC20-770-60-B
Description:	Based on a review of 4 staff records and interview, the center did not ensure 1 staff had a completed sworn statement of affirmation prior to the first date of employment as required. Evidence: 1. The record of staff #4 (DOH:8/27/2021) contained an incomplete sworn statement dated 8/18/2021. The sworn statement was missing the check marked responses to the questions. 2. Administration acknowledged that a completed sworn statement was missing from the staff's record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of 5 children's records and interview, the center did not ensure to maintain a record for 2 children that contained the required information. Evidence: 1. The records of child #1 (DOE:10/27/2021) and child #5 (DOE:10/27/2021) did not contain complete emergency contact information. Each record must contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on a review of 4 staff records and interview, the center did not ensure that 1 staff record contained documentation of the required orientation training. Evidence: 1. The record of staff #2 (DOH:9/15/2021) was missing documentation of a completed orientation training. 2. Administration acknowledged that the staff's orientation was missing from the record.
Plan of Correction:	Not available online. Contact Inspector for more information.