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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: Oct. 22, 2021

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 Physical plant.
8VAC20-780 PROGRAMS.
8VAC20-780 Special care provisions and emergencies.
8VAC20-780 SPECIAL SERVICES.
8VAC20-790 SUBSIDY REGULATIONS.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on October 22, 2021 and concluded on October 26, 2021. The site director was contacted by telephone to initiate the inspection. There were 16 children present ages six to eight years old with three staff. The inspector emailed the site director a list of items required to complete the inspection. The Inspector reviewed four children?s records and four staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 8VAC20-780-140-A
Description: Based on record review the center failed to ensure that each child has a physical report on file within the required time frames.
Evidence:
1 - The information provided for record review for child 1 did not include documentation that a physical was completed.
a. Child 1 has a documented first date of attendance as August 7, 2021.

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

Standard #: 8VAC20-780-60-A
Description: Based on record review the center failed to ensure that each child's record contains all required information.
Evidence:
1 - There was not any information provided for record review for child 4. Child 4 was listed as present and in care on October 22, 2021.
2 - The information provided for record review for child 3 did not include documentation that proof of identity was reviewed.

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

Standard #: 8VAC20-780-70
Description: Based on record review the center failed to ensure each staff records contains all required information.
Evidence:
1 - The information provided for record review for staff 1, 2, 3 and 4 did not contain written information to demonstrate that she has the education or orientation training required by the job position.
a. Staff 1 has a documented date of hire as September 15, 2021
b. Staff 2 has a documented date of hire as September 27, 2021
c. Staff 3 has a documented date of hire as September 11, 2018.
d. Staff 4 does not have a documented date of hire. However, the Sworn Disclosure on file is dated June 1, 2020
e. Furthermore, staff 1 stated that she was "just thrown in here" and could provide any information of the qualifications and abilities of the staff working under her supervision.
2 - Additionally the information provided to review the record of staff did not contain the following required information; date of hire, emergency contact information, references are not signed.
a. The Sworn Disclosure on file for staff 4 is dated June 1, 2020.

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

Standard #: 8VAC20-780-280-B
Description: Based on observation the center failed to ensure that hazardous substances are kept in a locked place.
Evidence:
1 - There are four bottles of chemicals stored on the bottom shelf of an unlocked cabinet.
2 - Staff 1 stated that she was not given keys to lock the cabinet.

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

Standard #: 8VAC20-780-280-D
Description: Based on observation the center failed to ensure that cleaning and sanitizing materials are stored in areas physically separate from utensils.
Evidence:
There are two re-useable water bottles stored next to cleaning and sanitizing materials on the bottom shelf of an unlocked cabinet.

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

Standard #: 8VAC20-780-430-B
Description: Based on observation the center failed to ensure that materials and equipment available are age and stage appropriate for the children and there is an adequate supply as appropriate for each age group of arts and crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment, and manipulative equipment.
1 - The children were observed running around the tables in the room. They were yelling and screaming and fighting of one set of manipulatives and balloons. There was not any staff intervention or redirection to appropriate activities. There were no other activities visible.
2 - Staff 1 stated that she had not received and training in classroom management.

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

Standard #: 8VAC20-780-510-L
Description: Based on observation the center failed to ensure that all medication is stored in a locked location.
Evidence:
There is medication stored and unlocked cabinet inside the first aid kit located on the bottom shelf of the unsecured cabinet.

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

Standard #: 8VAC20-780-540-B
Description: Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children.
Evidence:
During the inspection the first aid kit was stored in an unlocked cabinet on the bottom shelf.

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

Standard #: 8VAC20-780-540-C
Description: Based on observation the center failed to ensure that the first aid kit contains the required items.
Evidence:
The first aid kit did not contain any triangular bandages.

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

Standard #: 8VAC20-780-540-E
Description: Based on observation and interview the center failed to ensure that the required emergency is present and in working order.
Evidence:
When asked to see the battery operated radio and flashlight staff 1 reported there was not a battery operated radio or flashlight available for review.

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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