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Young Men's Christian Association of South Hampton Roads BM Will
1100 North Battlefield Blvd.
Suite A
Chesapeake, VA 23320
(757) 355-2559

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 11, 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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A renewal inspection was initiated on September 11, 2023 and concluded on October 4, 2023. Staff records were reviewed at the central location on September 11th and the onsite inspection was completed on October 4th. Staff and children's records were reviewed. Children were observed in teacher and self-directed activities including meals, transitions and rest room routines. Emergency evacuation drills, emergency equipment and medication were reviewed. Violations regarding records, group size, allergy information and evacuation drills, were observed and discussed with persons in charge at the conclusion of the inspection.

Violations:
Standard #: 8VAC20-780-40-M
Description: Based on observation, interview and document review the center failed to ensure that allergy information is maintained as required.
Evidence:
1 - The written list of all children's allergies, sensitivities, and dietary restrictions is not dated.
2 - The written information did not include the allergy plans for any of the individuals listed.
3 - Staff #1 and #2 confirmed that the written list was not dated nor were the allergy plans available with the written information.

Plan of Correction: The written list containing children's allergies, sensitivities, and dietary restrictions will be typed and dated. The information will contain additional copies of the allergy plans.

Standard #: 8VAC20-780-70
Description: Based on record review and interview the center failed to maintain staff record as required.
Evidence:
1 - There is not any documentation of name, address, verification of age requirement, job title, and date of employment or emergency contact for Staff #3.
2 - Staff #1 confirmed that there was any documentation for Staff #3 in the staff information binder.
3 - Staff #3 stated that he believed another staff member had his emergency contact information.

Plan of Correction: The Site Orientation Checklist containing information regarding an employee's name, address, age verification, job title, date of employment and emergency contact information will be updated.

Standard #: 8VAC20-780-550-D
Description: Based on record review and interview the center failed to implement a monthly practice evacuation drill.
Evidence:
1 - There is not any documentation that an emergency evacuation drill was conducted in September 2023.
2 - Staff #1 confirmed that there was not documentation of an emergency evacuation drill documented for the month of September 2023.

Plan of Correction: A monthly evacuation drill is to be conducted on the 15th day of each month, or the following day the program is in operation.

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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