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Young Mens Christian Association of the Virginia Peninsulas-Hamp

Inspection · 2025-05-21

Date
2025-05-21
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

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
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

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 May 21, 2025 and completed on May 27, 2025, as a part of probation. The Department issued a Special Order on April 15, 2025 to place the licensee on probation for a period of twelve months; prohibit new admissions of all school aged children for a period of 30 days; require licensee to contact parents, guardians, or other responsible persons regarding health and safety violations as a result of high-risk violations. The on-site inspection began at 2:25 pm and ended at 4:09 pm. The inspector reviewed compliance in the areas listed above. There were 48 children present and 8 staff including administrator. The inspector reviewed 8 children?s records and 4 staff records on site and electronically on May 27, 2025.

This inspection included document review, interviews, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on June 11, 2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The notice of intent dated March 26, 2025 and special order, dated April 15, 2025, were not posted in a conspicuous place on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by a year and 11 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 3 months, did not have documentation of requesting a central registry check from one state and no documentation of results of central registry check from a different state.
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, Child#6, who had been attending for eight months, did not have documentation of an immunization record on file. Child#7, who had been attending for one month, did not have documentation of an immunization record on file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-E
(Repeat Violation) The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

The licensee did not ensure the center's own supervision (group management) policies and procedures were followed on May 21, 2025, when each counselor is assigned a group and required to know the names and number of every child in assigned group.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services