Young Men's Christian Assoc. of VA's Blue Ridge-Kirk Family YMCA
520 Church Street
Roanoke, VA 24016
(540) 342-9622
Current Inspector: James R Basham (804) 588-2370
Inspection Date: July 15, 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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
- Comments:
-
An unannounced monitoring inspection was conducted on 7/11/2022. There were 57 children, ages 3 -12 years and 14 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records and 5 staff records were reviewed. The children were observed during lunch time. The inspector arrived for the inspection at 11:45am and departed the center at 4:00pm.
Discussion on standards related to medication authorization forms.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
- Violations:
-
Standard #: 8VAC20-770-60-B Description: Based on review of five staff?s records, the center failed to ensure that an employee was not employed until the center had the person?s completed sworn statement or affirmation.
Evidence: Staff #3 was hired on 10/26/2021 and on the day of the inspection did not have the required sworn statement or affirmation completed.Plan of Correction: Provider will have staff fill out a sworn statement and place in the records.
Standard #: 8VAC20-770-60-C-2 Description: Based on review of five staff?s records, the center failed to ensure that there was documentation of a completed search of the central registry within 30 days of employment.
Evidence: Staff #2, hired on 8/21/2000, record showed the search of the central registry form was submitted on 4/9/2021 and on the day of the inspection did not have the required central registry results documented.Plan of Correction: Provider will ensure a central registry form is submitted and results are documented.
Standard #: 8VAC20-780-130-A Description: Based on review of five children?s records, the center failed to ensure that all immunization records were obtained prior to attendance.
Evidence: Child #4 first date of attendance was 6/13/2022 and on the day of the inspection did not have the required immunization record.Plan of Correction: Provider will obtain from a parent an immunization record.
Standard #: 8VAC20-780-140-A Description: Based on review of five children?s records, the center failed to ensure that all physical examination records were obtained before the child?s attendance or within 30 days after attendance.
Evidence: Child #4 first date of attendance was 6/13/2022 and on the day of the inspection did not have the required physical examination record.Plan of Correction: Provider will obtain from the parent a physical examination record.
Standard #: 8VAC20-780-150-B Description: Based on review of five children?s records, the center failed to ensure that all physical examination records obtained were signed by a physician.
Evidence: Child #1 first date of attendance was 6/13/2022 and on the day of the inspection the physical examination that was in the child?s record was not signed by a physician.Plan of Correction: Provider will obtain from the parent a physical examination signed by a physician.
Standard #: 8VAC20-780-60-A Description: Based on review of five children?s records, the center failed to ensure that all records were complete.
Evidence:
1. Child #4 first date of attendance was 6/13/2022 and on the day of the inspection did not have a physician?s name listed.Plan of Correction: Provider will have the parent document the physicians name.
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.
