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THE YMCA OF SOUTH HAMPTON ROADS - JAMES MONROE ELEMENTARY

Inspection · 2024-09-05

Date
2024-09-05
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

Inspector Notes

An unannounced, on-site monitoring inspection began at 4:00pm and ended at 5:00pm. The inspector reviewed compliance in the areas listed above. There were 27 children present and 4 staff. The inspector reviewed 7 children?s records and 4 staff records electronically on 9/17/2024. 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 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 9/24/24. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-130-A
Repeat Violation
Based on record review and interviews, it was determined the facility did not ensure that documentation was obtained confirming that each child in care had received immunizations as required by the State Board of Health before the child attends the center.
Evidence:
1.The record for child #6 and child #7 did not contain documentation of immunizations.
2.Staff #2 confirmed the information was not in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Based on a record review, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.
Evidence:
1. An updated TB screening for staff #1 was not completed and was overdue by two months.
2. An updated TB screening for staff #2 was not completed and was overdue by 6 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation
Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.
Evidence:
1.The record for child #6 and child #7 did not contain the physicians name and phone number.
2.The record for child #6 and child #7 did not contain documentation that proof of identity was viewed.
3. Staff #2 confirmed the information was not at the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
Based on review of children?s records and interviews, it was determined that the center did not ensure that there was a written care plan for each child with a diagnosed food allergy that included instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
1.The records for child #6 and child #7 indicated both children had food allergies. Neither record contained written care plans.
2.Staff #2 confirmed the information was not at the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information.
Evidence:
1.The facility did not have emergency contact information at the center for staff #4. Staff #4 was working at the center during the inspection.
2.Staff #2 confirmed the information was not at the center.
Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services