VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond - S.P.E.
4301 Fort McHenry Parkway
Glen allen, VA 23060
(804) 474-4405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 18, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated on 9/18/2023 and concluded on 9/19/2023. The inspector was on site on 9/18/2023 from approximately 2:45-3:45 pm. There were 46 children present, ranging in ages from 5 to 10 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 staff records were reviewed. Staff records were reviewed remotely on 9/19/2023. 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. 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on a review of five staff records and interview, the center did not ensure to obtain a sworn statement for one staff prior to employment as required. Evidence: 1. The record of staff #3 (date of employment: 6/25/2023) contained a sworn statement dated 6/30/2023. 2. Administration acknowledged that the record of staff #3 did not contain a sworn statement dated prior to 6/25/2023.
Plan of Correction:	Regulations reviewed with our HR team and director.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #4 (date of attendance: 8/21/2023) contained an immunization record dated 8/22/2023. 2. Administration acknowledged that the immunization report in the record was received after the first date of attendance.
Plan of Correction:	Reviewing expectations with center director.
Standard #:	8VAC20-780-70
Description:	Based on a review of five staff records and interview, the center did not ensure that two records were kept that contained the required information. Evidence: 1. The records of staff #2 (date of employment: 8/18/2023) and staff #3 (date of employment: 6/25/2023) did not contain documentation to demonstrate that the individuals possessed the certification/training required by the job position. The records did not contain the 24 hours of training required for program leaders who had a minimum of 6 months of experience and a high school diploma as the highest level of education. 2. Administration acknowledged that staff #2 and staff #3 were program leaders and that the 24 hours of training documentation was not in the records.
Plan of Correction:	All training hours will be completed by staff to ensure requirements are met.