VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Assoc of Virginia's Blue Ridge - Monterey
4501 Oliver Road, NE
Roanoke, VA 24012
(540) 344-9622

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Sept. 12, 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 8VAC20-780 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 9/12/2023 for the Y After School at Monterey Elementary. There were 26 children, ages 5 -10 years and 2 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 3 staff records were reviewed. The children were observed during arrival, restroom break, handwashing and snack time. The inspector arrived for the inspection at 2:05pm and departed the center at 3:27pm. 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 #:	22.1-289.011-F
Description:	Based on observation, the center failed to ensure that the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The current license was not posted and on the day of the inspection the most recent license posted expired on 2/21/2023.
Plan of Correction:	Provider will post current license.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: The review of records for staff #2 and staff #3 showed no central registry results. 1. Staff #2 had a documented hire date of 1/25/2023. A return search of the central registry was not in the record. 2. Staff #3 had a documented hire date of 12/29/2022. A return search of the central registry was not in the record.
Plan of Correction:	Provider will submit for central registry results for staff.
Standard #:	8VAC20-780-130-A
Description:	Based on the review of five children?s records, the center failed to ensure that documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #4 start date was 8/22/2023 and on the day of the inspection did not have the immunization record documented.
Plan of Correction:	Provider will obtain immunization record from parent.
Standard #:	8VAC20-780-160-C
Description:	Based on the review of three staff?s records, the center failed to ensure that at least every two years from the date of the initial screening documentation of a follow up tuberculosis screening shall be obtained. Evidence: Staff #1 date of hire was 8/30/2021 and on the day of the inspection the most recent tuberculosis screening was dated 8/17/2021.
Plan of Correction:	Provider will schedule follow up tuberculosis screening for staff.
Standard #:	8VAC20-780-550-D
Description:	Based on observation and discussion with staff, the center failed to implement a monthly practice evacuation drill. Evidence: Documentation of monthly evacuation drills was unavailable and on the day of the inspection there have been no emergency evacuation practice drills completed during the first two months of the school year.
Plan of Correction:	Provider will conduct emergency drills monthly.