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YMCA Alexandria

Inspection · 2025-08-05

Date
2025-08-05
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed above. 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 monitoring inspection was conducted on 08/05/2025 in response to a self-report received by the licensing inspector on 07/29/2025 relating to supervision. The inspector reviewed 2 chlid records and 2 staff records on-site. The inspection included document review, interviews, observations, and a tour of the facility.

Though not part of the original self-report, violations that were not reported were found related to record keeping and background checks and 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 08/27/2025. A POC submitted after this date will not appear on the public website.

Violations

10
Standard 22.1-289-036-B-4
REPEAT VIOLATION
The child day center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years.

Staff #2, employed for 1 year, did not have results of an out of state sex offender or child abuse and neglect registry search.
Plan of Correction: If applicable new hires prior to starting work will complete a new resience history form to ensure out of state checks are completed. Executive Director will review for all proposed new staff and will sign off hiring until complete.
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 record for Staff #1, employed for more than 2 months, did not contain a sworn statement.
Plan of Correction: All new hires will complete the sworn statement prior to their first day. Program director will not be allowed to place staff on schedule until the sworn statement is on file. Executive Director will verify prior to approving new staff. The hiring checklist from Virginia Licensing website integrated for use.
Standard 22.1-289.035-B-3
REPEAT VIOLATION
The center must request a search of the central registry (CPS) prior to the employees first day of employment.

The record for Staff #1, employed for more than 2 months, did not contain documentation or results of a central registry search.
Plan of Correction: Effective immediately, no staff will begin work until the CPS result is on file. The hiring checklist from Virginia Licensing website has been integrated for use with all new hires.
Standard 22.1-289.036-B-2
REPEAT VIOLATION
The center is required to obtain a completed national criminal background check prior to the employees first day of employment.

The record for Staff #1, employed for more than 2 months, did not contain results of a criminal background check.
Plan of Correction: All new hires already required to complete the national criminal prior to their first day. Program director will have to secure a copy and show executive director prior to approving new staff.
Standard 8VAC20-780-130-A
REPEAT VIOLATION
The center shall obtain documentation that each child has received immunizations required by the State Board of Health before the chid can attend the center.

The record for Child #1, enrolled for 2 weeks, did not contain immunizations.
Plan of Correction: Registrar will track new enrollments and provide itemized reports for all kids. Kids will be unable to start until all documents are complete.
Standard 8VAC20-780-140-A
Each child shall have a physical examination completed by a physician before the childs attendance or within 30 days after the first day of attendance.

The record for Child #2, enrolled for 11 months, did not contain a physical.
Plan of Correction: Registrar will track new enrollments and provide itemized reports for all kids. Kids will be unable to start unti lall documents are complete.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Staff #1, employed for more than 2 months and working with children, did not have documentation of a TB screening.
Plan of Correction: TB clearance will be required before starting employment. Executive Director will verify prior to approving new staff.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to working alone with children and no later than 7 days of the date of assuming job responsibilities.

Staff #1, employed for more than 2 months and Staff #2, employed for 1 year, did not have documentation of completing orientation.
Plan of Correction: Orientation checklist created, requiring staff and Director signatures prior within 7 days of hire. Will work with HR to ensure m onthly verify compliance.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all required information.

The record for Child #1, enrolled for 2 weeks, did not contain proof of the child's identity and age.
Plan of Correction: Registrar will track new enrollments and provide itemized reports for all kids. Kids will be unable to start until all documents are complete.
Standard 8VAC20-780-70
Staff records shall contain documentation that at least 2 references to character, reputation, and competency were checked prior to employment.

Staff #1, employed for more than 2 months, did not have documentation of references.
Plan of Correction: Current policy is that staff cannot be hired until their references are completed. Moving forward we will access the Checkster system and will print immediately as well as denote on staff audit form which will be verified by Executive Director.
View original record on Virginia Department of Social Services