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The YMCA of South Hampton Roads - Western Branch Primary School

Inspection · 2023-10-24

Date
2023-10-24
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was initiated and concluded on October 24, 2023. There were 38 children in care with two staff at onset of the inspection, 2:46pm. Children in care ranged in age from 5 - 8 years old. A third staff arrived at 3:25pm. Children's and staff records were reviewed for all required information on-site. Full staff record review was completed on September 11, 2023 at the central location. Children were observed in teacher and self-directed activities. Emergency equipment, first aid kit, annual inspections and required posting were reviewed. Violations regarding ratio and onsite staff records were observed, discussed with the program director and appear on the violation notice.

Violations

2
Standard 8VAC20-780-350-B-5
Based on observation and interview the center failed to ensure that ratio requirements are followed.
Evidence
1 - At 2:26pm there were 38 children in care with two staff where three staff were required.
a. Children present ranged in age from five to eight years old
2 - Attendance records documented that from 2:10pm there were 39 children present with two staff were three were required.
Plan of Correction: Youth Development Director
will ensure the facility is staffed
with the proper number of staff
to remain in ratio for the entire
program. If a staff member is
going to be late or not present
at all, we will activate our
substitute plan.
Standard 8VAC20-780-70
Based on record review and interview the center failed to ensure that staff records are maintained at the center as required.
Evidence:
1 - There was not any staff record available for Staff #2 at the center during the inspection.
a. Staff #2 was present providing direct to children enrolled in the program.
2 - Staff #1 confirmed that required staff information was not available for Staff #2 during the inspection.
Plan of Correction: All staff present at the
school site will complete a
site orientation form which
includes emergency
contacts.