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The YMCA of South Hampton Roads-Great Bridge/Hickory

Inspection · 2024-07-23

Date
2024-07-23
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on July 23, 2024. The on-site inspection began at 11:20am and ended at 4:00pm. The inspector reviewed compliance in the areas listed above. There were 108 children present and 22 staff. The inspector reviewed 11 children?s records and 10 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. 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 August16, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-3
Based on record review, observation, and interview the center did not ensure that child abuse and neglect search requests were obtained prior to employment.
Evidence:
1.The records for Staff #2 and Staff #3 did not contain out of state child abuse and neglect search requests.
a. Both staff members were observed working the day of the inspection.
2.Staff #1 (program director) confirmed that the out of state child abuse and neglect search requests were not obtained for Staff #2 and Staff #3.
Plan of Correction: Out of State Background Checks for Staff #2 and Staff #3 will be submitted for review
Standard 8VAC20-780-160-A
Repeat Violation
Based on record review the center did not ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for Staff #3 (hired 6/2024) did not contain proof that documentation of a negative TB screening was submitted at the time of employment and prior to coming into contact with children.
a. Staff #3 was observed working at the time of the inspection.
Plan of Correction: Staff #3 will obtain a negative tuberculosis (TB) screening immediately.
Standard 8VAC20-780-260-B
Based on record review the center did not ensure that annual approval from the health
department was provided.
Evidence:
1.There was no documentation of a health department environmental sanitation report for
the center within the past year.
a. The environmental sanitation report reviewed by the inspector was dated for
6/21/21.
2. Staff #1 (program director) confirmed that this is the last health inspection on file.
Plan of Correction: The Director of Health & Safety for the YMCA has contacted the Department of Health for an inspection to be conducted.
Standard 8VAC20-780-550-C
Based on record review the center did not ensure that emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.
Evidence:
1.The emergency map posted at the facility included evacuation procedures but did not include the required area for shelter in place on the map.
Plan of Correction: Emergency Maps with accurate and up-to-date information will be posted and announced to team members.
Standard 8VAC20-780-60-A
Repeat Violation
Based on record review the center did not ensure that children?s records have all the required information.
Evidence:
1.The records for Child #1, Child #2, Child #3, Child #4 and Child #5 were missing the name of the previous child day care and schools attended by the children.
Plan of Correction: Children's records listed N/A as previous day care center/schools attended. A note has been made for upper level leaders to require this information during the registration process.