VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Northside
4207 Old Brook Road
Richmond, VA 23227
(804) 474-4405

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: April 27, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFFQUALIFICATIONS 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. 8VAC20-820 SANCTIONS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 BACKGROUND CHECKS 22.1 EARLY CHILDHOOD CARE AND EDUCATION

Comments:

An on-site renewal inspection was conducted on April 27, 2022 and concluded on May 3, 2022. The licensing inspector was onsite from approximately 3:30 pm until 4:42 pm. The director assisted with the inspection. There were 24 children present, ranging in ages from five years to ten years, with four 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 three child records and six 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 #:	22.1-289.035-B-4
Description:	Based on review of six staff records, the center did not obtain an out of state child abuse and neglect search for one staff by the end of the 30th day of employment for each state the individual has resided in the past five years. Evidence: The record of staff #5, hired 05/12/2021, indicated staff #5 had lived out of state in the past five years. The record contained documentation that a request for an out of state child abuse and neglect search had been requested on 05/12/2022, exceeding the requirement to request an out of state child abuse and neglect search by the end of the 30th day of employment and to follow-up 45 days after request of search.
Plan of Correction:	Per the administrator: I could not locate documentation as to why the out of state background checks were not completed at the time of hire. Going forward, all background checks will be completed in the required time frame.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of six staff records and interview, the center did not obtain central registry results for one staff by the end of the 30th day of employment. Evidence: The record of staff #3, hired 07/22/2019, had documentation of a central registry check that was dated 02/09/2021, exceeding 30 days from the hire date. 2. Administration for staff records stated the central registry dated 02/09/2021 was the original central registry for staff #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	Based on review of three children?s records and interview, the center did not obtain documentation of one child?s immunizations required by the State Board of Health before the child?s attendance. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain documentation of immunizations. 2. The director stated she had not received documentation of immunizations for child #3.
Plan of Correction:	Per the director: I will contact the parent today and have her provide a copy of the immunizations for the child's record.
Standard #:	8VAC20-780-140-A
Description:	Based on review of three children?s records and interview, the center did not obtain documentation of a physical examination for one child?s record before the child?s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for child #3, enrolled 09/07/2021, did not contain documentation of a physical. 2. The director stated a physical had not been received for child #3.
Plan of Correction:	Per the director: I will contact the parent today and have her provide a copy of the physical for the child's record.
Standard #:	8VAC20-780-160-C
Description:	Based on review of six staff records, the center did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent documentation of a tuberculosis screening for staff #1, was dated 03/26/2020, exceeding the two year requirement to renew.
Plan of Correction:	Per the administrative at the home office: I will have the staff update her TB screening.
Standard #:	8VAC20-780-60-A
Description:	Based on review of three children?s records and interview, the center did not maintain and keep at the center a separate record for one child enrolled which contained all required information. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain the following required information; birthdate of child, name and phone number of child?s physician, and written agreements between parent and the center. 2. The director stated the record of child #3 was missing information and that she had requested the missing information, however the parent had not provided it.
Plan of Correction:	Per the director: I will contact the parent today and have her complete the missing information for the record.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: Multiple bottles of cleaning and disinfecting materials were observed unlocked in the kitchen area that was open to the main area used for childcare.
Plan of Correction:	Per the director: I will start locking the kitchen and keep the key out of reach of the children.