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THE YMCA OF SOUTH HAMPTON ROADS - HILLTOP FAMILY YMCA

Inspection · 2022-11-16

Date
2022-11-16
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.
8VAC20-770 Background Checks (8VAC20-770)
22 Checks Code, Carbon Monoxide.1 Background

Inspector Notes

An unannounced monitoring inspection was conducted on 11/16/2022 from 3:20 pm - 5:15 pm. At the time of entrance there were 17 school age children in care with 2 staff. At 4:21 pm there were 68 school age children in care with 5 staff.
Children were observed eating snack, playing games, engaged in art and doing home work.
Records were reviewed for four children and three staff.

Information gathered determined non-compliance with applicable standards and law and violations are listed on the violation notice issued to the facility.

Violations

6
Standard 22.1-289.035-B-4
Based on record review and interview, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence:
1. There is no central registry check on file for staff 2 for a state she has resided in within the past five years.
2. Administrative staff confirmed that the results of this out-of-state central registry check were not on file.
Plan of Correction: Administrative staff stated that a central registry check had been requested on 01/04/2022 however, the results had not been received. Administrative staff indicated that a new check would be requested if the results for the original check could not be located.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening that was obtained within 30 days prior to employment and before coming into contact with children.

Evidence:
1. The TB screening for staff 1 was conducted on 06/02/2022 which is after the hire date of 05/13/2022.
2. The TB screening for staff 2 was conducted on 12/31/2021 which is more than 30 days before the hire date of 01/03/2022.
Plan of Correction: Administrative staff stated that new staff will obtain a TB screening within the required time frames going forward.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening,

Evidence:
1. The most recent TB screening on file for staff 3 was conducted on 09/24/2020.
Plan of Correction: Administrative staff stated the staff 3 will obtain an updated TB screening.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence:
1. When the inspector arrived at 3:20 pm child 1, age 6 years, was observed walking down the hallway unattended by any staff. The child appeared to be walking toward the restroom then turned and walked to the water fountain.
2. The staff responsible for child 1's supervision were in the classroom which is not within sight and sound supervision of the hall way, water fountain and restrooms.
a. The hall way is located on the other side of the classroom wall preventing sight supervision.
b. The distance and noise level from the classroom prevents sound supervision of the hallway areas.
Plan of Correction: Administrative staff stated that children are to taken to the bathroom at all times by staff which includes use of the water fountain. Staff will be reminded to accompany children to the restroom / hall way areas at all times.
Standard 8VAC20-780-580-C
Based on interview, the center failed to ensure that during transportation of children that a list of names of the children being transported was in the transportation vehicle.

Evidence:
1. The bus driver , returning from a local public school with a group of 14 school age children, stated she did not have the attendance sheet containing the list of names of children in the vehicle.
a. The bus driver indicated she had forgotten to pick up the attendance sheet when she left to pick up the children.
Plan of Correction: Administrative staff stated that all bus drivers will be reminded to always take the attendance sheet with them when transporting children.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that children's records contain all of the required elements.

Evidence:
1. The enrollment record for child 1 lacked the following information:
a. Home address;
b. Name of school the child is currently attending;
2. The enrollment record for child 2 lacked the following information:
a. Home address for one parent;
b. Work phone number and place of employment for one parent.
3. The enrollment record for child 3 lacked the following information:
a. Work phone number and place of employment for parent 1.
b. Work phone number for parent 2.
Plan of Correction: Administrative staff stated that missing information will be requested from each parent.