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YMCA Programs at Oakridge Elementary School

Inspection · 2025-07-01

Date
2025-07-01
Complaint Related
No
Licensing Inspector
Margaret Allworth
(703) 209-3521
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 completed on 7/1/2025, as a part of an Intensive Plan of Correction (IPOC). The on-site inspection began at 9:30 am and ended at 11:15 am. The inspector reviewed compliance in the areas listed above. There were (44) children present and (6) staff. The inspector reviewed (5) children?s records and (5) 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 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 (7/8/2025). A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff #3, employed for 12 days, did not have documentation of requesting a criminal history check, central registry check and sex offender registry search from one state.
Plan of Correction: Employee background checks were completed and not placed in folder. Sent copy of criminal background check and sex offender CRS has not come back.
Standard 8VAC20-780-160-A-1
Repeat Violation
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.
Staff #1 had no documentation and had been employed for 7 days, Staff #4 had no documentation and had been employed for 7 days and staff # 5 had no documentation and had been employed for 2 days. All staff were caring for children.
Plan of Correction: 2/3 of the employees have negative TB tests. Will place documentation in employees files. 1/3 is getting one completed and will not be placed on schedule until it is completed.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Lysol wipes were found on the tables and desk in each of the 4 classrooms. Pine-sol cleaner was found in the hallway floor outside the Jr/Sr Specialty room.
Plan of Correction: Will get a place in the classroom/office where cleaning materials can be out of reach of children and locked up.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.
The list posted in the office did not include child # 2's sensitivity to a certain food, indicated in the child's record.
Plan of Correction: List will be completed for the remainder of camp and placed in Counselor's notebooks.
Standard 8VAC20-780-540-E
The following nonmedical emergency supplies shall be required.
There was no working battery operated radio or battery operated flashlight in the building.
Plan of Correction: Purchased a new radio and will replace once it is received.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for Child #4, enrolled for 1 week, was missing a complete address to include City and State.
Plan of Correction: Will have staff make sure all fields on registration paperwork is completed by parents.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and are to include dates of contact, names of persons contacted, the firms contacted, results and signature of person making the call.
Staff #1, who has been working at the center for the past 7 days, did not have any completed reference verifications on file. Staff #3, and # 4 who have been working at the center for 7 days does not have documentation of names of persons contacted, the firms contacted, and signature of person making the call. Staff # 5 who has been working at the center for the past 2 days does not have documentation of names of persons contacted, the firms contacted, and signature of person making the call.
Plan of Correction: References are completed electronically. Will print a copy of references and place in employees file.
View original record on Virginia Department of Social Services