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THE YMCA OF SOUTH HAMPTON ROADS - DEEP CREEK ELEMENTARY

Inspection · 2025-09-08

Date
2025-09-08
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

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 9/8/25 and completed on 10/03//25. The on-site inspection began at 2:30pm and ended at 4:55pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 73 children present and 3 staff. The inspector reviewed eight children?s records on-site. Three staff records were reviewed electronically on 9/17/25 and 9/25/25. This inspection included document review, a 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 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 10/13/25. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The criminal background check in the record for Staff #3 was completed more than two years after the employee?s hire date.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of
staff. During the inspection, 40 children under the age of 10 years old, were not in sight and
sound supervision in the cafeteria when Staff #2 exited the building to meet a bus.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-5
Repeat Violation
The required ratio for children, school age eligible up to 9 years is one staff per eighteen children. During the inspection, the required ratio was not maintained. From 2:43 to 2:53pm Staff #1 was observed supervising 33 children during a bathroom transition time. Two staff were needed to maintain the required ratio.

Staff #1 and Staff #2 were supervising 73 children (youngest child 5 years old) from 2:56pm to 3:04pm. Four staff were required.

Staff #1, Staff #2 and Staff #3 supervised 60 to 71 children between 3:15pm and 4:30pm. Four staff were required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. An evacuation drill was not practiced in June 2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place drill practiced during the 2024-2025 school year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. The record for child #1 did not contain the name, address, and phone number of two designated people, other than the parents, to call in an emergency if a parent cannot be reached.
Plan of Correction: Not available online. Contact Inspector for more information.