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Boys & Girls Clubs of the Blue Ridge- Patrick Henry
1810 East Church St. Ext.
Martinsville, VA 24112
(276) 806-8277

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Dec. 7, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:
An announced monitoring inspection, to review staff records, was conducted on 12/07/2023. A total of 7 staff records were reviewed. The inspector arrived at 10:00 am and departed at 12:40 pm.

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 #: 8VAC20-780-160-A
Description: Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: The record for Staff 3 contained a documented hire date of 10/09/2023. The tuberculosis screening was dated 10/18/2023; the screening was not completed prior to contact with children.

Plan of Correction: Will ensure that TB screenings are in hand before working at a cite.

Standard #: 8VAC20-780-70
Description: Based on record review, the provider failed to ensure that staff records contain all of the elements as required by the standards.

Evidence:
1. The record for Staff 1 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 1 has a job position of program lead).
2. The record for Staff 3 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 3 has a job position of program lead).
3. The record for Staff 4 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 4 has a job position of program lead).
4. The record for Staff 5 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 5 has a job position of program lead).
5. The record for Staff 6 did not contain the following information: documentation that the individual possesses the education, certification, and experience required by the job position (Staff 6 has a job position of program lead).

Plan of Correction: Will get the information into the records.

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.

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