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

Inspection · 2025-07-23

Date
2025-07-23
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 July 23, 2025 and
completed on July 31, 2025 as a part of the licensure period. The on-site inspection began at 10:00 am and ended at 12:15 am. The inspector reviewed compliance in the areas listed above. There were three separate groups to include 129 school age children, 32 preschool children, 18 toddlers present and 29 staff. The inspector reviewed/requested 10 children's records
and 10 staff records electronically on July 31, 2025. 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 October 1, 2025 A POC submitted after this date will not appear on the public website

Violations

6
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #4, Staff#6, Staff#8 who had been working for 1 month, did not have a central registry results of the search requested.
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#1, Child#2, Child#6, Child#8, Child#10 who had been attending for over 1 month, did not have documentation of an immunization record on file.
Plan of Correction: Ensure that all files are completed prior to start of program
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There was no physical examination in the record of child #Child#1, Child#2, Child#6, Child#10 who had been enrolled for over 1 months.
Plan of Correction: Provide the child's parents with school entrance forms.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.
Staff #6 who has been employed for one month, and there was no documentation in the file.
Plan of Correction: Obtain TB test results before start of work.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

The wooden barrier surround the playground equipment was cracked in multiple areas.
There were multiple protruding nails on the walking trail leading to the outdoor playground areas.
The plastic bin containing play equipment was cracked in multiple areas.
Plan of Correction: Met with maintenance to fix the violations.
Standard 8VAC20-780-430-K
Provision shall be made for an individual place for each child's personal belongings.
In each of the school age groups, there multiple Children's personal belongings being shared in one basket or travel wagon.
Plan of Correction: Each child keeps their stuff in own basket.
View original record on Virginia Department of Social Services