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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:

Complaint Related: No

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of five staff records and interviews, the center did not ensure one staff obtained fingerprint results prior to hire.

Evidence: 1) The fingerprint results in the record for Staff #4, hired on 02/20/22, were dated 02/23/2022. 2) During interview, a member of management confirmed the fingerprint results were not obtained prior to hire for Staff #4.

Plan of Correction: Moving forward, staff will obtain fingerprint results prior to hire.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of five 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 #4, hired on 02/20/22, did not contain the results of a central registry finding. 2) During interviews, a member of management confirmed the results of the central finding for Staff #4 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: The center followed up with the office of background investigation. In the future, staff will document any follow up contact in regards to central registry findings.

Standard #: 8VAC20-780-160-A
Description: Based on a review of five staff records and interviews, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Evidence: 1) The most recent TB screening in the record for Staff #4, hired on 02/20/22, was dated 03/27/22. 2) During interviews, a member of management reported the documentation of a negative TB screening for Staff #4 was not obtained at the time of employment and prior to coming into contact with children.

Plan of Correction: Moving forward, staff will have a TB screening/test on file prior to employment.

Standard #: 8VAC20-780-70
Description: Based on a review of five staff records and interviews, the center did not ensure that one record contained the required information.

Evidence: 1) The record for Staff #4, hired on 02/20/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. One reference was checked on 12/17/21 and a second reference was checked on 05/18/22. 2) During interviews, a member of management acknowledged one of the references was checked after hire.

Plan of Correction: Moving forward, the center will obtain references prior to hire.

Standard #: 8VAC20-780-240-A
Description: Based on a review of five staff records and interviews, the center did not ensure one staff had completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence: 1) The Virginia Department of Education-sponsored orientation course in the record for Staff #3, hired on 01/17/22, was dated 05/11/22. 2) During interviews, a member of management reported Staff #3 did not complete the course within 90 calendar days of employment.

Plan of Correction: Moving forward, the center will ensure staff complete the required training within 90 days of employment.

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.

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