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YMCA OF SOUTH HAMPTON ROADS - SALEM FAMILY CENTER

Inspection · 2025-10-21

Date
2025-10-21
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

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 renewal inspection was initiated and completed on 10/21/25. The on-site inspection began at 9:45am and ended at 1:45pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 15 children present and 6 staff. The inspector reviewed 7 children?s records and 7 staff records on-site. This inspection included document review, a tour of the facility, interviews, observations and measurements. 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 11/7/25. A POC submitted after this date will not appear on the public website.

Violations

10
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 findings from the most recent inspection, dated 6/23/25 were not posted.
Plan of Correction: The facility responded: The most updated licensing report is currently posted.
Standard 22.1-289.035-B-1
Repeat Violation
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3, was dated nine weeks after the first day of employment.
Plan of Correction: The facility responded: All new staff are brought in for on-boarding to ensure all paperwork is signed and orientations are complete
Standard 22.1-289.035-B-3
Repeat Violation
The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for five weeks, did not have documentation that a central registry search had been requested.
Plan of Correction: The facility responded: CRS was completed and added to the staff binder.
Standard 22.1-289.035-B-4
Repeat Violation
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for five months, did not have documentation of requesting a central registry or sex offender check from another state.
Plan of Correction: The facility responded: The out of state background check was submitted on 10/30/25.
Standard 8VAC20-780-240-B
Orientation training for staff shall be completed to include facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Staff #2, employed for 5 months, did not complete facility specific orientation. Staff #2 confirmed orientation training was not completed. Staff #3 completed orientation 9 weeks after the date of employment.
Plan of Correction: The facility responded: All new staff are brought in for onboarding to ensure all paperwork is signed and orientations are complete
Standard 8VAC20-780-270-A
Repeat Violation
The center shall ensure that areas and equipment, inside and outside, are maintained in a clean, safe and operable condition.
1. Two toilets in the boys bathroom did not flush properly.
2. A fence post on the playground had two holes approximately 4 inches long, the wood was splintering.
Plan of Correction: The facility responded: A plumber was called to ensure the toilets are in full functioning order and issues will not persist. Our facility team will be repairing the fence
Standard 8VAC20-780-340-F
Repeat Violation
Children under 10 years of age shall be within actual sight and sound supervision of staff. On 9/18/25 Staff #2 and Staff #5 were supervising children ages 5 through 8 on the playground and an adjacent field. Staff #5 left a gate ajar, and Child #1 (5 years old) exited the playground through the open gate and began to cross a residential street. Staff # 2 and Staff #5 stated they did not see Child #1 go through the gate but then saw him on the street and went to retrieve him.
Plan of Correction: The facility responded: Four new staff were hired to ensure all areas of our building have extra coverage and support.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. An evacuation drill was not practiced in September 2025.
Plan of Correction: The facility responded: Drills have been added to the calendar to ensure the team is aware of them and they will not be missed.
Standard 8VAC20-780-560-G
Repeat Violation
When food is brought from home the food container must be clearly dated. There were 2 drink containers that were not labeled with a name and date in a school-age classroom.
Plan of Correction: The facility responded: All bottles and food containers will be labeled daily upon arrival at the front desk.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person that includes all of the required information.
1. Staff #1, employed for five weeks, did not have any completed reference verifications on file.
2. Staff #2 did not have documentation of verification of age and the address of the emergency contact.
Plan of Correction: The facility responded: Staff file audit was complete to ensure all documents are present.