Boys & Girls Clubs of Metro Richmond
2409 Bainbridge Street
Richmond, VA 23225
(804) 230-0757
Current Inspector: Lauren Bickford (540) 280-0742
Inspection Date: June 5, 2023 and June 13, 2023
Complaint Related: No
- Areas Reviewed:
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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:
-
A monitoring inspection was conducted on 06/05/2023 from approximately 1:30 p.m. to 4:00 summer programing for children starts 06/12/2023. The inspector reviewed compliance in the p.m. There were no children present. Five staff were present preparing for summer camp. The areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five child (5) records were reviewed and five (5) staff records were reviewed off-site 06/13/2023. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 06/21/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
- Violations:
-
Standard #: 22.1-289.035-B-2 Description: Based on record review, the provider failed to ensure all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment.
Evidence:
The record for S5, employed 06/27/2022, did not contain results of a national criminal background check prior to employment. The results are dated 06/28/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22.1-289.035-B-4 Description: Based on record review, the provider did not ensure one of five staff records contained documentation of out of state child abuse and neglect search.
Evidence:
The record for S5, employed 06/27/2022 did not document an out of state child abuse and neglect search request. The Sworn Statement or Affirmation for S5 indicated that the staff member has lived outside the Commonwealth within the 5 years prior to employment.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: Based on staff record review, the provider failed to have central registry findings within 30 days of employment.
Evidence:
The record for S1, employed 06/15/2022 did not contain findings of a central registry search within 30 days of employment. The results are dated 07/19/2022.
The record for S3, employed 08/30/2022 did not contain findings of a central registry search within 30 days of employment. The results are dated 10/06/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Three staff did not submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children:
Evidence:
The record for S3, employed 08/30/2022, contained a screening completed 09/05/2022.
The record for S5, employed, 06/27/202, contained a screening completed 7/2/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-J Description: Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence:
Program Director reported that the injury prevention procedures have not been updated.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: Based on child record review, the provider failed to ensure that three of five records contained the required information for each child enrolled.
Evidence:
The record for C1 did not contain document the name and phone number of the child?s physician.
The record for C4 and C5 did not contain documentation of a second designated person to call in an emergency if a parent cannot be reached.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-270-A Description: Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition.
Evidence:
Multiple ceiling tile in the facility were damaged and were sagging from the frame.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-G Description: Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation includes required information.
Evidence:
The emergency drill documentation dated January 2023 ? May 2023 did not document: the method used for notification of the drill; the number of staff participating; the number of children participating; any special conditions simulated; and problems encountered, if any.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-P Description: Based on review of written record of children?s serious and minor injuries, the provider failed to ensure the record includes required information.
Evidence:
Injury reports dated 06/10/2022, 11/29/2022, 11/01/2022, 12/13/22, and 02/23/2023 did not document the date and time when parents were notified.Plan of Correction: Not available online. Contact Inspector for more information.
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.
