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YMCA of South Hampton Roads- Great Bridge Primary School

Inspection · 2025-09-23

Date
2025-09-23
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

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 09/23/2025 and completed on 09/23/2025. The on-site inspection began at 3:20 pm and ended at 4:46 pm. The inspector reviewed compliance in the areas listed above. There were 56 children present and 3 staff. A 4th staff arrived at 3:58 pm. The inspector reviewed 7 children's records on-site on 09/23/2025. 4 staff records were reviewed electronically on 09/24/2025.

The inspection included:
*Document Review
*Tour of the Facility
*Interviews
*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 10/03/2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.035-A
All employees shall undergo a background check in accordance with subsection B every five years thereafter.
The Sworn Statement or Affirmation for staff 1 was completed more than five years ago.
Plan of Correction: Follow systems in place to ensure staff files are audited frequently.
Standard 22.1-289.035-B-3
The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him.
The results of a central registry check were not on file for staff 2. Staff 2 has been employed for more than two years and was caring for children during the inspection.
Plan of Correction: Follow systems in place to ensure staff files are audited frequently.
Standard 8VAC20-780-160-A
Each staff member and shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
There was no tuberculosis screening on file for staff 2. Staff 2 has been working for more than 2 years and was observed caring for children during the inspection.
Plan of Correction: Follow systems in place to ensure staff files are audited frequently.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care and protection.
The physician written emergency action plan for 2 children in care, with diagnosed food allergies, was not available to staff.
Plan of Correction: Follow systems in place to ensure children's files are audited frequently.
Standard 8VAC20-780-340-F
Children under 10 years of age always shall be within actual sight and sound supervision of staff.
Throughout the inspection, children under the age of 10 years were observed walking to and from the outdoor play area and the cafeteria. The distance and location between the two areas does not allow for sight or sound supervision. Additionally, one set of double doors between the cafeteria and outdoor play area was closed.
Plan of Correction: Additional staff have been added to ensure coverage at this site.
Standard 8VAC20-780-350-B-5
The staff-to-child ratio for school age eligible up to 9 years is 1:18.
Two staff were supervising a total of 47 children, ages 5 years -7 years, during outdoor play. Three staff were needed to meet the required staff-to-child ratio of 1:18.
Plan of Correction: Additional staff have been added to ensure coverage at the site.
Standard 8VAC20-780-390-A
Before or after school, the center shall provide an opportunity for children to do homework or projects or hobbies in a suitable area. In the afternoon, there shall be an opportunity for large motor activities at least 25% of the time.
No activities were provided for a group of 9 children observed in the cafeteria from 3:20 pm - 4 pm. During this time the children were observed running around the cafeteria, looking out of the windows, rough housing with each other and sitting at tables with no activity. Staff 1, who was responsible for this group, was in the lobby area of the school checking children out of the program and greeting parents.
Plan of Correction: Daily schedule has been put in place to ensure student are engaged throughout the program hours.
Standard 8VAC20-780-40-M
The current written list of all children's allergies, sensitivities, and dietary restrictions shall be dated.
The allergy list was not dated.
Plan of Correction: Allergy list is now dated.
Standard 8VAC20-780-510-G
Medication shall be labeled with the child's name.
One bottle of over-the-counter medication was not labeled with the child's name.
Plan of Correction: Follow systems in place to ensure medication is audited frequently.
Standard 8VAC20-780-540-E
The following nonmedical emergency supplies shall be required: One working battery-operated radio.
The battery operated radio was not working despite multiple attempts by staff.
Plan of Correction: Functional battery operated radio has been purchased for the site.
Standard 8VAC20-780-70
Staff records shall contain all required elements.
The record for staff 2 lacked written documentation of a second reference check.
Plan of Correction: Follow systems in place to ensure staff files are audited frequently.