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THE YMCA OF SOUTH HAMPTON ROADS - INDIAN RIVER FAMILY YMCA

Inspection · 2024-07-12

Date
2024-07-12
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 monitoring inspection was conducted on 07/12/2024. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Inspector reviewed 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

5
Standard 8VAC20-780-160-C
Based on a record review the center did not ensure a repeat tuberculosis(TB) screening at least every 2 years from the date of the first screening/test.

Evidence:
Staff #1's last TB test was dated 01/19/2022.
Plan of Correction: The designated person-in-charge will speak with the director about the program's cleaning schedule and ensure staff are vacuuming the floors at the end of each day and that morning staff ensures the floors are clean before children arrive the next morning.
Standard 8VAC20-780-245-A
Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training.
Evidence:
Staff #1 (hired 12/09/2022) did not have documentation of having received at least 16 hours of training in 2023.
Plan of Correction: The staff has the training however the center was unable to locate the documentation. The center will work on organizing the files in a way to easily maintain and find required items.
Standard 8VAC20-780-270-A
Based on observation the center did not ensure all areas and equipment of the center were maintained in a clean, safe and operable condition.
Evidence:
1. The window frame where children gather in the main room was broken with jagged edges and their was peeling paint on the concrete wall.
2. There was debris on the floor and carpets in the rooms used by children.
a. There were stains and dried play-doh on carpet, pieces of broken crayons, small strips
of papers, broken toy pieces, dirt and dust on the floors
b. Children were observed sitting and playing games on the floor.
Plan of Correction: A work order has already been placed for the window frame and paint.
Standard 8VAC20-780-60-A
Based on record review the center did not ensure all required information was kept for each enrolled child.
1. Child #1, who was in care at the time of inspection, did not have a file.
2. Child #3 did not have documentation of the child's first day of enrollment.
3. None of the child enrollment forms used by the center included a space to document the child's nickname.
Plan of Correction: All children's files will be reviewed to ensure all health records are kept accurate.
Standard 8VAC20-780-70
Based on a record review the center did not ensure all required information was kept for each staff person.
Evidence:
1. Staff #2, #3 and # 6 did not have documentation of their date of hire.
2. Staff #1 (hired 12/09/2022) did not have documentation of having an orientation.
3. Staff #3 did not have documentation to demonstrate that the individual possessed the education, certification, and/or experience required by the job position as a program leader.
Plan of Correction: The designation person-in-charge will go through staff files and ensure each have the required information. qualifications will be requested for staff #3 and maintained in the staff's file.
View original record on Virginia Department of Social Services