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THE YMCA OF SOUTH HAMPTON ROADS - DEEP CREEK ELEMENTARY

Inspection · 2022-03-10

Date
2022-03-10
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 LICENSING PROCESS.
8VAC20-770 Background Checks (22VAC40-191)

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, emails and a virtual tour of the program.
A monitoring inspection was initiated on 3/7/22 and concluded on 3/10/22. The director was contacted by email to initiate the inspection. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed two children?s records and four staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

3
Standard 8VAC20-780-160-C
Based on review of our staff records, it was determined that the facility did not ensure that each staff member had an updated tuberculosis (Tb) screening every two years from the date of the last screening.

Evidence:
The Tb screening for staff #3, who was on duty at the time of the inspection, expired "this past summer" according to the Coordinator of the program.
Plan of Correction: Staff #3 will obtain an updated Tb screening.
Standard 8VAC20-780-60-A
Based on review of two children's records it was determined that the facility did not ensure that there was a record available for each child enrolled.

Evidence:
The record was requested for child #1, who was in care at the time of the inspection, did not have a record on site.
Plan of Correction: The record in now on site.
Standard 8VAC20-780-70
Based on review of four staff records, it was determined that the facility did not ensure that all elements were present in each staff member's record.

Evidence:
The record for staff #4, who was on duty at the time of the inspection, did not contain the telephone number for the emergency contact person.
Plan of Correction: Facility will ensure that number for emergency contact person is added to the record.
View original record on Virginia Department of Social Services