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Young Men's Christian Association of the Virginia Peninsulas-Tom

Inspection · 2024-11-18

Date
2024-11-18
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

VAC20-780 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
8VAC20-820 THE LICENSE.
22.1 Background Checks Code; carbon monoxide detectors

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on November 18, 2024 and
completed on November 19, 2024 as a part of the licensure period. The on-site inspection began at 8:04 am and ended at 11:41 am. The inspector reviewed compliance in the areas listed above. There were three separate groups to include 83 school age children, 33 preschool children, and 18 infant and toddlers present and 12 staff. The inspector reviewed/requested 10 children's records
and 5 staff records electronically on November 19, 2024. This inspection included document review, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or
law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on December 6, 2024 A POC submitted after this date will not appear on the public website

Violations

7
Standard 22.1-289.035-B-3
The center must obtain a copy of the results of a search of the central registry.
Staff#1, who had been employed for 10 weeks did not have a copy of the results of the search of the central registry.
Staff#3, who had been employed for 11 weeks did not have a copy of the results of the search of the central registry.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #4 and Child#5 who were present during the inspection, did not have documentation for immunization records on file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
The center shall ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

The preschool area swings had visible rusting in multiple areas occupied by the children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Hazardous substance such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

A bottle of dishwashing liquid with the warning label," keep out of reach of children," was unlocked in the preschool classroom, within reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-G
If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

There were two substitute containers missing the contents in the kitchen area located in the school age area.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-2
The required ratio for children age 16 to 24 month is one staff per five children. Staff#1, Staff#2, Staff#3 were observed supervision eighteen children (youngest child 19 months) from approximately 11:40am-12:20 pm
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person.
Staff#5who was actively working at the center, did not have a record submitted for review during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.