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THE YMCA OF SOUTH HAMPTON ROADS - JAMES MONROE ELEMENTARY

Inspection · 2022-02-09

Date
2022-02-09
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 LICENSE.
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, interviews and a virtual tour of the program.

A monitoring inspection was initiated on 02/09/2022 and completed on 0215/2022. The director was contacted by telephone and a virtual inspection was conducted. There were 15 children present, ranging in ages from 5 years - 12 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 children's records and 3 staff records were reviewed

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

5
Standard 8VAC20-780-130-A
Based on record review and interview, the facility failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. The immunization record for child 1, enrollment date 09/08/2021, lacked documentation of all required immunizations for a school age child.
a. The physician indicated on the immunization record that child 1 was inadequately immunized.
2. The program director confirmed this as the only immunization record on file for child 1.
Plan of Correction: The parent's of child 1 will be asked to provide a current immunization record.
Standard 8VAC20-780-245-A
Based on record review and interview, the facility failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence:
1. Staff 1, staff 2 and staff 3 obtained 2 hours of training for 2021. 16 hours are required annually.
2. The program director confirmed that staff 1, staff 2 and staff 3 failed to obtain the required 16 hours of annual training for 2021.
Plan of Correction: All staff have been provided with multiple training opportunities to ensure they obtain all required training hours for 2022.
Standard 8VAC20-780-540-E
Based on observation, the facility failed to ensure there was one working, battery-operated radio in each building used by children.

Evidence:
The battery operated was not working during the virtual inspection on 02/15/2022.
Plan of Correction: Additional / new batteries will be obtained for the radio.
Standard 8VAC20-780-60-A
Based on record review, the facility failed to ensure that children's records contain all of the required elements.

Evidence:
1. The enrollment record for child 1 lacked the work phone number and place of employment of each parent.
2. The enrollment record for child 2 lacked an address for the two designated emergency contacts.
3. The program director confirmed this information was not on file.
Plan of Correction: The parent's of child 1 and child 2 will be asked to provide missing information.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted.

Evidence:
1. The findings from the most recent inspection were not posted on the parent board.
Plan of Correction: The most recent inspection documents will be posted.
View original record on Virginia Department of Social Services