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YMCA School Age Child Care at Butts Road Intermediate School

Inspection · 2025-09-08

Date
2025-09-08
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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)
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 monitoring inspection was initiated on 09/08/2025 and completed on 09/08/2025. The on-site inspection began at 4:39 pm and ended at 6:20 pm. The inspector reviewed compliance in the areas listed above. There were 28 children present and 3 staff. The inspector reviewed 8 children's records on-site and 3 staff records electronically on 09/09/2025.

The inspection included:
*Document Review
*Tour of the Facility
*Interviews
*Observations

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 09/22//2025. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-2
Staff shall obtain a fingerprint background check prior to employment and contact with children.
The criminal record fingerprint background check for staff 2 was obtained 10 months after the first date of employment.
Plan of Correction: Fingerprints were obtained after the employees hire date due to transition of programs.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Documentation of required immunizations was not on file for child 1. Child 1 was in care during the inspection.
Plan of Correction: The director has implemented a plan for required documents to be retrieved before child starts program.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening staff members shall obtain and submit the results of a follow-up tuberculosis screening.
The TB screening for staff 2 was completed more than four years ago.
Plan of Correction: The director has retrieved the updated tuberculosis screening.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Staff 1, who has been employed for more than 4 years, has not completed the ten-hour Virginia Preservice training course.
Plan of Correction: The director has implemented a plan to maintain staff compliance in trainings and other safety procedures.
Standard 8VAC20-780-350-C
Repeat Violation
When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.
*School age eligible up to 9 years - 1:18
*9 years through 12 years - 1:20
There were 2 staff supervising 51 children, ages 5 years - 10 years at 2:46 pm. The 3rd staff did not arrive until approximately 3:15 pm. 3 staff were needed to meet the required staff-to-child ratio of 1:18.
Plan of Correction: The director has constructed a schedule to obtain staff to child ratio for the program operations and compliance. As the system is designed to have 4 staff at all times.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions.
The food allergies and sensitivities for child 1 were not included on the allergy list for the program. These were listed by the parent of child 1 on the enrollment form.
Plan of Correction: The director retrieved the required documents for allergy lists for all staff to have access to while in program.
Standard 8VAC20-780-550-D
Repeat Violation
The center shall implement a monthly practice evacuation drill.
There was not documentation of completion of a practice drill for May or June 2025. Staff present could not recall if a fire drill was implemented in May of June of 2025.
Plan of Correction: The director has implemented a system of fire drills reminders to maintain safety compliance within program.
Standard 8VAC20-780-60-A
Children's records shall contain all of the required elements:
The enrollment record for child 1 lacked documentation of each parent's place of employment and work phone number and the name, address and phone number of two emergency contacts
Plan of Correction: The director has implemented a plan for required documents to be retrieved before child starts program.
Standard 8VAC20-780-70
Staff records shall contain all required elements.
The name, address and phone number for an emergency contact was not maintained on-site for staff 2 and staff 3.
Plan of Correction: The two staff were given proper site orientation to update.