Sign in
Back
Young Men's Christian Association of the Virginia Peninsulas

Inspection · 2024-11-14

Date
2024-11-14
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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.
20 Access to minor?s records.
22.1 Early Childhood Care and Education.
63.2 Child Abuse & 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 monitoring inspection was initiated on November 14, 2024 and completed on November 14, 2024, as a part of the provisional licensure period. The on-site inspection began at 3:20 PM and ended at 4:30 PM. The inspector reviewed compliance in the areas listed above. There were nine children present and two staff. The inspector reviewed seven children?s 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 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 December 3, 2024. A POC submitted after this date will not appear on the public website.

The inspection report was amended on 11/25/2024 and 11/26/2024.

Violations

7
Standard 8VAC20-780-150-B
Systemic Deficiency
Immunization records are required to be signed by a physician, his designee, or an official of the local health department and must be obtained before the child can attend.

The immunization records for child #3, child #4, child #5, child #6, and child #7 were not signed by a physician, his designee, or an official of the local health department.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-190-A
Repeat Violation
Program directors shall be at least 21 years of age and shall meet one of the required qualifications.

1. Staff #1 and staff #2 stated that staff #3 was the Program Director for the center. Staff #3 does not meet one of the required qualifications.
2. Staff #3 does not have forty-eight semester hours of college credit from a college or university of which 12 semester hours are in child-related subjects.
3. Staff #3 was listed as Site Director on the emergency contact information posted at the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-C
Repeat Violations, Systemic Deficiency
First aid kits shall include all required contents.

The first aid kit did not contain adhesive tape.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-B
Repeat Violation
The center is required to maintain an emergency preparedness plan that contains all required components.

1. The emergency preparedness plan could not be located at the time of inspection.
2. Two separate emergency postings were observed. The first posting listed staff # 3 as the Director and person to call in an emergency. The second posting listed staff #4 as the Director and person to call in an emergency.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and include all required information.

One of two injury reports did not document any future action to prevent recurrence of the injury.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation, Systemic Deficiency
The center is required to maintain at the center a separate record for each child that contains all of the required information.

The record for child #7 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Repeat Violation, Systemic Deficiency
A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The written agreement shall be signed by the parent and include all required information.

The records for child #3, child #4, child #5, child #6 and child #7 did not contain documentation of the required written agreements between the parent and the center.
Plan of Correction: Not available online. Contact Inspector for more information.