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YMCA of South Hampton Roads- Great Bridge Primary School

Inspection · 2024-04-23

Date
2024-04-23
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was initiated on 04/23/2024 from 4:10 pm - 5:35 pm with an onsite inspection of the program. The inspection was completed on 04/26/2024 from 10:45 am - 12:25 pm at the Greenbrier North Family YMCA for a review of staff records.

There was 45 school age children in care with 4 staff during the on-site inspection on 04/23/2024. Children were observed during afternoon program time in the cafeteria. Records were reviewed for 7 children and 4 staff. Medication and emergency supplies were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

4
Standard 8VAC20-780-160-A
Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence:
1. Staff 1, hire date 10/14/2023, lacks documentation of a TB screening.
2. Staff 2, hire date 02/29/2024, lacks documentation of a TB screening.
3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 2 who were observed supervising children during the 04/23/2024 monitoring inspection.
Plan of Correction: Administrative staff stated that if a TB screening could not be located for these staff - new screenings would be obtained within 2 weeks.
Standard 8VAC20-780-240-A
Based on record review and staff interview, the center failed to ensure that all staff have completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence:
1. Staff 1, hire date 10/4/2023, lacks documentation of completion of The Virginia Department of Education sponsored orientation course.
2. Administrative staff confirmed that staff 1 had not completed this orientation course.
Plan of Correction: Administrative staff stated that staff 1 was in the process of completing Virginia Preservice Training.
Standard 8VAC20-780-60-A
Based on record review and staff interview, the center failed to ensure that children's records contain all of the required elements.

Evidence:
1. There is no written emergency action plan from the physician of child 1 who has a diagnosed food allergy according to written information on file in the child's record.
a. Child 1 was in care during the inspection.
2. Administrative staff stated that an emergency food allergy action plan was not on file for child 1.
Plan of Correction: Administrative staff stated that an emergency action plan had been requested from the parent of child 1. The parent will be asked to provide this plan as soon as possible.
Standard 8VAC20-780-70
Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

Evidence:
1. The record for staff 2, hire date 02/29/2024, lacks documentation of two or more references as to character and reputation as well as competency;
2. The record for staff 2 lacks documentation to demonstrate that the individual possesses the training and experience required by her job position of program leader.
3. The record for staff 3 lacks documentation of the required 16 hours of annual training for the 2023 calendar year.
3. Administrative staff stated that written reference checks and documentation of qualifications could not be located for staff 2. Additionally, documentation of annual training could not be located for 2023 for staff 3.
Plan of Correction: Administrative staff stated that reference checks had been completed and all required training completed. Documentation will be located and placed in staff files.
View original record on Virginia Department of Social Services