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THE YMCA OF SOUTH HAMPTON ROADS-GRASSFIELD ELEMENTARY

Inspection · 2025-03-03

Date
2025-03-03
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse and 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 and completed on 3/3/25. The on-site inspection began at 2:55pm and ended at 5:25pm. The inspector reviewed compliance in the areas listed above. There were 71 children present and five staff. The inspector reviewed six children?s records on-site(three additional children?s records electronically) and four staff records electronically on 3/7/25. This inspection included document review, a tour of the facility, interviews and 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 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 3/21/25. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
The record for Staff #2 (employed for two weeks) did not contain documentation of requesting an out of state sex offender check or an out of state child abuse and neglect search for one state, which is required. Staff #2 was observed working on the day of the inspection.
Plan of Correction: NC Background check for staff #2 was completed on 3/18/25. Process in place, moving forward Hiring Manager will ensure that all background checks will be
done at onbaording.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening.
The records for Staff #1 (employed for four months) and Staff #2 (employed for two weeks) did not contain documentation that a negative TB screening was submitted. Both staff members were observed working on the day of the inspection.
Plan of Correction: Staff have been resent to complete new TB screenings. Process put in place to ensure paperwork is filed correctly once TB has been done.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
In the record of Staff #1 (employed for four months), documentation for orientation show that orientation was completed three weeks after the date of assuming job responsibilities.
Plan of Correction: Process in place; Hiring manager will ensure all staff hired complete orientation training prior to working in ratio.
Standard 8VAC20-780-70
All the required information shall be kept for each staff person (documentation that two or more references as to character and reputation as well as competency were checked before employment).
Staff #1's references (employed for four months) show that neither of the references were not checked before employment.
Plan of Correction: References were checked but not put in file. Will make sure all files are updated with accurate information moving forward.