VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - Maybeury
901 Maybeury Drive
Henrico, VA 23229
(804) 474-4405

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: June 13, 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:

A monitoring inspection was conducted on June 13, 2022 and concluded on June 16, 2022. On June 13, 2022, the licensing inspector was onsite from approximately 3:30 pm until 5:00 pm. The director assisted with the inspection. There were 25 children present, ranging in ages from six years to eleven years, with two 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 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 review of two staff records, the center did not obtain results of a central registry check request within 30 days of employment for one staff. Evidence: The record of staff #1, hired 10/25/2021, had documentation of a central registry check dated 12/01/2021 exceeding 30 days from employment. The record did not contain documentation of a follow up with the agency as to the status of the requested central registry check.
Plan of Correction:	Per the administrator: We will ensure follow-up on any background checks that are not returned within 30 days and document the status of the requested background check.
Standard #:	8VAC20-780-140-A
Description:	Based on review of three children?s records, the center did not obtain documentation of a physical for one child?s record before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record of child #2, enrolled09/08/2021, did not contain documentation of a physical exceeding 30 days from the first day of attendance
Plan of Correction:	Per the administration: I will ask the parent to provide a copy of the child's physical for the record.
Standard #:	8VAC20-780-245-L
Description:	Based on review of two staff records and interview, the center did not ensure there was always at least one staff member on duty who has obtained within the past three years instruction in performing the daily health observation of children. Evidence: The record for staff #1 and staff #2 did not contain documentation of daily health observation training for either staff. Staff #1 and Staff #2 were the only staff on duty during the inspection on 06/13/2022. The center administer stated staff #1 and staff #2 did not have daily health observation training
Plan of Correction:	Per the administrator: We will have the staff members complete the online daily health observation training.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, 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: 1. Two bottles containing cleaning materials and sanitizing agent were observed unlocked in the cafeteria where children are in care. 2. The door to the janitorial closet was ajar. Multiple container of cleaning materials were observed in the closet accessible to children in care. 3. The director stated the school?s cleaning supplies are kept unlocked as the school wants the materials accessible to school personnel.
Plan of Correction:	Per the administrator: We will talk with the school principal and develop a plan to ensure the cleaning materials are locked.
Standard #:	8VAC20-780-510-I
Description:	Based on review of medication authorizations and medication logs, the center did not ensure prescription medications were only administered provided the center has obtained written authorization from a parent or guardian. Evidence: 1. Prescription medication was administered on May 2, 2022 and documented on the medication log for child #5. The medication authorization form was signed by the child?s physician but was not signed by the parent or guardian. 2. The director acknowledged the medication had been administered without written authorization from the parent.
Plan of Correction:	Per the administrator: I will have the parent sign the medication authorization today at pick up.
Standard #:	8VAC20-780-530-A-1
Description:	Based on review of two staff records, the center did not ensure one staff held current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: The record of staff #1 contained documentation of CPR certification for adults dated 10/09/2020. The CPR certification did not include certification for child CPR.
Plan of Correction:	Per the administrator: We will have the staff member complete the CPR certification for children.