VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men?s Christian Association of the Virginia Peninsulas-Mat
498 Church Street
Mathews, VA 23109
(804) 725-1488

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Jan. 9, 2023

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. 8VAC20-770 BACKGROUND CHECKS 8VAC20-820 THE LICENSE 8VAC20-780 SPECIAL SERVICES. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

Discussed and clarified the requirement for emergency contact information (2 designated people to call in an emergency if a parent cannot be reached) the contacts information includes the contacts name, address, and phone number.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A renewal inspection was initiated and concluded on January 9, 2023. There were 10 children present, ranging in ages from 8 to 11, with 2 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 3 child records and 3 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 #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.
Plan of Correction:	The director will make sure this training is included in the orientation process
Standard #:	8VAC20-780-240-A
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff #2 (date of hire 9-17-2022) did not include documentation of completing the required orientation.
Plan of Correction:	The director will ensure this course is completed within 90 days of employment
Standard #:	8VAC20-780-240-C
Description:	Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff #2 (hire date 9-17-2022) did not include information indicating orientation related to prevention of shaken baby syndrome, abusive head trauma and procedures to cope with distraught children was conducted
Plan of Correction:	The director will make sure this training is included during the orientation process