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Young Men's Christian Association of South Hampton Roads-Suffolk
2769 Godwin Boulevard
Suffolk, VA 23434
(757) 934-9622

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 10, 2023

Complaint Related: 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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Comments:
A monitoring inspection was initiated on May 10, 2023 and concluded on May 11, 2023. There were thirty-six children present with five staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and four staff records 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:
Standard #: 22.1-289.035-B-4
Description: Based on review, facility did not ensure 1 of 4 staff has the required out of state background checks when an individual has lived outside the state of Virginia within the past 5 years.

Evidence: The record for staff #3 (start date 9/6/22) did not have a criminal history search and child abuse/neglect registry search completed for that state.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on review, facility did not ensure 1 of 5 staff have a negative tuberculosis screening.

Evidence: The record for staff #4 (start date 3/14/2022) does not have a current TB test or screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on review, facility did not ensure 2 of 5 children's records have documentation of required information.

Evidence: The following was found during review of children's records:
1. The record for child #3 (start date 6/29/22) did not have two emergency contacts other than parents.
2. There was not a record for child #5.
3. Missing information was verified by staff member in charge.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-A
Description: Based on review, facility did not ensure 2 of 5 staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

Evidence: The records for staff #1 (start date 2/19/22) and staff #2 (start date 6/10/22) did not have documentation of completing the VDOE sponsored orientation course.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-260-A
Description: Based on review, facility did not ensure there is an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence: The most recent fire inspection report available for review was dated 1/6/2022 which is more than a year old.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-260-B
Description: Based on review, facility did not ensure there is annual approval from the health department.

Evidence: The most recent health inspection available for review was dated 2/10/22 which is more than a year old.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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