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Young Men's Christian Association of Greater Richmond-Spring Run
13901 North Spring Run Road
Midlothian, VA 23112
(804) 474-4405

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Aug. 4, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
n/a

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.

An initial inspection was initiated on August 4, 2021 and concluded on August 16, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 0 children present and 1 staff present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total 2 staff records were reviewed.

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. 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 #: 22VAC40-185-420-A
Description: Based on a review of the center's policies and procedures, the center did not ensure that information given to parents prior to enrollment was complete.
Evidence: The parent handbook did not address the following required policies and procedures: 1. The hours/days of operation and a phone number where parent's can leave a message for staff. Administration stated the parent handbook was still being worked on. 2. The center's policies for the arrival and departure of children did not include policies addressing when a child is not picked up for an emergency situation, including but not limited to, inclement weather or natural disasters. Administration acknowledged it needed to be added. 3. The center's established lines of authority for staff. Administration acknowledged the list was not provided.

Plan of Correction: We have updated our board and parent information packet. We have updated our emergency action plan to inform next steps if children are not picked up. We have introduced line of communications in our EAP.

Standard #: 22VAC40-185-550-A
Description: Based on a review of the emergency preparedness plan, the facility did not obtain documentation that the plan had been developed in consultation with local or state authorities.
Evidence: 1. The emergency preparedness plan did not have documentation of being reviewed by the local or state authorities.
2. Administration acknowledged the review was not available at the time of inspection.

Plan of Correction: We have updated our board and parent information packet. We have updated our emergency action plan to inform next steps if children are not picked up. We have introduced line of communications in our EAP.

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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