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THE YMCA OF SOUTH HAMPTON ROADS - INDIAN RIVER FAMILY YMCA

Inspection · 2023-11-13

Date
2023-11-13
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was conducted on 11/13/2023. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Inspector reviewed a sample of children and staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

4
Standard 22.1-289.035-B-4
Based on a record review the center did not ensure all required background checks were completed for each staff.
Evidence:
Staff #4, hired 10/09/2022 indicated living outside the state of Virginia on a sworn statement of affirmation dated 09/22/2022. The center did not have criminal record check, central registry check or a sex offender check for the state indicated on the statement. The director confirmed the checks had not been requested.
Plan of Correction: The required background checks will be requested for Staff #3 and copies of the requests will be maintained int he record.
Standard 8VAC20-780-270-A
Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition.
Evidence:
1. There was peeling paint and unfinished plaster on the walls of the rooms used for care of the children.
2. About 12 white plastic baskets used to store the children's were broken and pieces of the plastic were seen on the floor.
3. The mini basketball hoop had missing screws at the hinges, making it unstable.
Plan of Correction: A work order will be placed for the paint. New baskets have been ordered and the basketball hoop will be removed until fixed.
Standard 8VAC20-780-550-C
Based on observation and interview the center did not ensure the emergency evacuation and shelter-in-place procedures or maps were be posted in a location conspicuous to staff and children on each floor of each building.

Evidence:
The center staff were unable to locate where the emergency procedures were located and were not posted in a location conspicuous to staff and children on each floor of each building.
Plan of Correction: The most recenter emergency plans will be posted on the parent board in a place where both staff and children can find it. It will also be kept downstairs with a member of management. A meeting will be held to ensure all staff know the plan and where to access the procedures.
Standard 8VAC20-780-70
Based on a record review the center did not ensure all required information was kept for each staff person.
Evidence:
Staff #1, hired 12/09/2022, did not have documentation of at least 2 references checked prior to employment.
Plan of Correction: Two references will be obtained and verified for Staff #1.
View original record on Virginia Department of Social Services