VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: May 3, 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 20 Access to minor's records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

The licensing inspector conducted an unannounced monitoring inspection on Tuesday, May 3rd, 2022 from 10:20am to approximately 11:00am. There were no children in care, but the program director was present during the inspection and assisted the licensing inspector. All areas of the facility where children receive care, including classrooms, hallways, the gym, bathrooms, and playground were inspected. The required postings were reviewed and found to be in compliance. During the inspection, five children?s records and five staff records were reviewed. The center is equipped with toys and supplies and items were available to the children. Additional information was later submitted to the inspector and was reviewed virtually. 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-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.