VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of Greater Richmond-Echo Lake
5200 Francistown Road
Glen allen, VA 23060
(804) 221-8678

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 19, 2022

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 8VAC20-770 Background Checks 20 Access to minor's records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

The licensing inspector conducted an unannounced monitoring inspection on Tuesday, April 19, 2022 from 4:10pm to approximately 5:15pm. There were a total of 18 children in care in the direct care of two staff members. The facility?s site director was present and assisted the inspector throughout the inspection. During the inspection, children were observed completing homework in their designated area in the cafeteria, having quiet, reading time in the gym, and later transitioning to free-play activities. The staff were observed having positive interactions with the children. All areas of the center including the cafeteria, gym, hallways, bathrooms, and playground were inspected. The program is equipped with toys and supplies and items were available to the children. Additional information was later submitted to the inspector and was reviewed virtually. Five children?s records and three staff records were reviewed. The information gathered during the inspection determined non-compliances with licensing standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on a review of three staff records and interview, the center did not ensure that one staff had a completed sworn statement prior to hire. Evidence: 1) The sworn statement in the record for Staff #3, hired on 11/30/21, was incomplete. 2) During interview, a member of management confirmed the sworn statement on file did not have every answer prior to hire. Staff #3 completed a new sworn statement on 04/21/22.
Plan of Correction:	A complete sworn statement was completed and filed on 04/21/22.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of three staff records and interview, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #3, hired on 11/30/21, contained a central registry finding that was dated 01/13/22. 2) During interview, a member of management confirmed the results were received more than 30 days after hire. The record did not contain documentation of any further contact.
Plan of Correction:	Documentation will be kept on file of further contact with the office of background investigation when the central registry is not received within 30 days of employment.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five children?s records and interview, the center did not ensure one child had a physical examination before the child?s attendance or within 30 days after the first day of attendance. Evidence: 1) The record for Child #2, enrolled on 09/04/21, did not contain a physical examination. 2) During interview, a member of management reported the physical examination for Child #2 has not been received.
Plan of Correction:	The physical examination was requested.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five children?s records and interview, the center did not ensure two children?s records contained all the required information. Evidence: 1) The record for Child #4, enrolled on 09/08/21, did not contain two emergency contacts. 2) The record for Child #5, enrolled on 09/09/21, did not contain two emergency contacts. 3) During interview, a member of management confirmed the records were missing two emergency contacts. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	The emergency contacts have been requested for each child.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of three staff records and interview, the center did not ensure one staff member completed a minimum of 16 hours of annual training. Evidence: 1) The record for Staff #2, hired on 09/07/18, contained 5 hours of annual training in the last annual training cycle from 09/2020-09/2021. 2) During interview, a member of management confirmed Staff #2 was missing hours of annual training.
Plan of Correction:	Documentation of annual training will be maintained by the center moving forward.
Standard #:	8VAC20-780-245-L
Description:	Based on a review of three staff records and observations, the center did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1) The record for Staff #2, hired on 09/07/18, contained a daily health observation certificate that expired on 02/18/22. 2) The record for Staff #3, hired on 11/30/21, did not contain documentation that the staff member has completed daily health observation training within the last three years. 3) Staff #2 and Staff #3 were the only staff present at the center during the inspection on 04/19/22.
Plan of Correction:	One of the staff members completed daily health observation training on 04/26/22. One staff with DHO will always be on site moving forward.