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The YMCA of South Hampton Roads-Great Bridge/Hickory

Inspection · 2025-06-24

Date
2025-06-24
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse and Neglect

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 and completed on 6/24/25. The on-site inspection began at 9:45am and ended at 2:20pm. The inspector reviewed compliance in the areas listed above. There were 121 children present and 14 staff. The inspector reviewed 10 children?s records and nine staff records on-site and electronically on 6/26/25. This inspection included document review, a 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/8/25. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statement for Staff #6 (employed for less than one month), was dated two weeks after their first day of employment.
Plan of Correction: The program director will ensure that the Sworn Statement of Affirmation is completed prior to the employee's hire date.
Standard 22.1-289.035-B-3
Repeat Violation
The center must request a search of the central registry prior to the employee's first day of employment..
The central registry search for Staff #3 (employed for one month) was requested two weeks after their date of employment.
Plan of Correction: The program director will ensure that the Central Registry is completed prior to the employee's hire date.
Standard 8VAC20-780-160-A
Repeat Violation
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.
The TB documentation for Staff #1 (employed for two months) and Staff #7 (employed for one month) was not submitted at the time of employment, which is required.
The TB documentation for Staff #4 (employed for five months) was not completed within the last 30 calendar days of the date of employment, which is required.
Plan of Correction: The program director will ensure that the TB screening is completed prior to
the employee's hire date.
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.
There was no documentation to show that a fire inspection had been completed within the last year.
Plan of Correction: The program director has put in a request for a fire inspection to be completed.
Standard 8VAC20-780-430-K
Repeat Violation
Provision shall be made for an individual place for each child's personal belongings.
During the time of the inspection, there were no provisions for individual places for each
child's personal belongings.
Plan of Correction: The program director has purchased additional baskets so that all children have their own individual storage for their belongings.
Standard 8VAC20-780-510-G
Repeat Violation
Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.
A prescription medication for Child #1 (enrolled for three days) was not labeled with the child's name, which is required.
Plan of Correction: The program director will retrain the authorized staff to ensure that the medication is labeled with each child's name when they are receiving it from the parent.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.
The medication authorization form for Child #2 was expired for two months at the time of the inspection. The medication was not picked up within 14 days, which is required.
Plan of Correction: The program director will ensure monthly audits are completed and contact the parent within the required timeframe for pickup.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall be kept for each staff person and contain all the required information.
The records for Staff #1 (employed for two months), Staff #2 (employed for two months), and Staff #5 (employed for four months) did not contain all information required to be in staff records.
Plan of Correction: The program director will ensure that all required information is properly
completed for each staff person.
View original record on Virginia Department of Social Services