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Youngs Men's Christian Association of the Virginia Peninsulas- V

Inspection · 2025-03-31

Date
2025-03-31
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 renewal inspection was initiated on 03/31/2025 and completed on 4/11/2025. The on-site inspection began at 2:51pm and ended at 5:05 pm . The inspector reviewed compliance in the areas listed above. There were 18 children present and 3 staff. The inspector reviewed 5 children?s records and 5 staff records onsite. This inspection included document review, tour of the facility, interviews, observations and measurements.

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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 04/17/2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-4
Repeat Violation

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 months, did not have documentation of requesting a sex offender registry check.
Plan of Correction: The updated registry check were emailed to inspector and placed in file.
Standard 8VAC20-780-160-C
Repeat Violation

A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 3 years ago. The updated screenings has not yet been completed.
Plan of Correction: Staff #2 has resigned and file has been retired.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided for water supply, sewage disposal system; and food service, if applicable.

The center was unable to provide documentation of annual health inspection for water supply and sewage disposal system.
Plan of Correction: This is being investigated by my supervisor. The COO of OOR region as well as our center executive. TBD
Standard 8VAC20-780-40-M
Repeat Violation
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 documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

The written list provided of children's allergies, sensitivities and dietary restriction was not dated.
Plan of Correction: A new allergy list has been created and hung in our space.
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills with all required information. Identify of the person conducting the drill; the date and time of the drill; the method used for notification of the drill; the number of staff participating; the number of children participating; any special conditions simulated; the time it took to complete the drill;
problems encountered, if any; and for emergency evacuation drills only, weather conditions.

The center was unable to determine if a shelter in place and lockdown drill was conducted in 2024. The drill chart provided would name the type of drill that would be conducted for the month with only one line of documentation. The staff was unable to determine if it was evacuation or shelter in place or lock down.
Plan of Correction: We are updating our drill sheet so we are better able to record drills with the most accurate information.
Standard 8VAC20-780-60-A
Repeat Violation

Each center shall maintain and keep at the center a separate record for each child enrolled with all required documents and information.

There was not documentation of proof identity was reviewed for Child #5. Child #5 has been enrolled for 7 months.
Plan of Correction: Child #5's file has been updated.
Standard 8VAC20-780-70
Repeat Violation

Staff records shall be kept with all required documents.

Staff #2 was hired two months ago. Staff #2 records did not have two references, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation training.

Staff #5 was hired five years ago. Staff #5 record did not have documentation of two references.

Staff #4 was hired 1 year ago. Staff #4 record did not have documentation of orientation completed.
Plan of Correction: Staff #2 has resigned and file has been retired.