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Young Men's Christian Association of the Virginia Peninsulas-St.
300 Ella Taylor Road
Yorktown, VA 23692
(757) 298-7902

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Nov. 15, 2022

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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Discussed with site director and supervisor the areas in the building that are license to be used during operating hours. Reviewed the required documentation for emergency drills and training documentation (refer to model forms). Discussed with site director that all staff who are left alone with chidren need CPR and First AId. Discussed with site director and supervisor that children records need to be accessibel during inspeciton either electronic or hard copy. Reviewed with supervisor that Orientation and VA preservice orientation are not able to be counted for 16 hours of annual training and are not able to be used for Program Lead qualificaitons.

Comments:
An unannounced monitoring was conducted on November 15, 2022 from approximately 7:20am- 9:14 am. There were 21 children present upon arrival with 3 staff members. Children were observed being picked up by public school buses and internal transpeoration, particpating in board games , eating and sitting in line for bus pick up. Three staff records and three children's records reviewed, 1 medication and 4 injury reports were reviewed . Licensing Inspector reviewed indoor areas, supervision, activities, equipment, emergency evacuation and shelterin- place drill documentation, emergency procedures and required posting.

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 #: 8VAC20-780-130-A
Description: Based on record reveiw the licensee did not ensure before the child can attend the center to obtain documentarion of immunization .

Evidence: Staff #1 confirmed they did not have the documentation of immunization for child #1, child #2 and child #3 at the facility during the inspection and did not have access hard copy or electronic copy. Staff #6 confirmed that the center did not have copy of immunization.

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

Standard #: 8VAC20-780-140-B
Description: Based on record review, the licensee did not ensure the center had documentation of child's physical examination prior to attendance.

Evidence:
Staff #1 confirmed the physical examination for child #1 and child #3 there was not hard copy or electronic copy at the facility during the inspeciton.

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

Standard #: 8VAC20-780-40-K
Description: Based on staff interview, the licensee did not ensure there was a written procedure for prevention of abusive head trauma.

Evidence:
Staff #6 during the inspection was unable to provide the written procedure for prevention of abusive head trauma. Staff #6 did confirm that they training on prevention of abusive head trauma.

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

Standard #: 8VAC20-780-60-A
Description: Based on record review, the licensee did not ensure children's record obtained all required information.

Evidence: Child #3 did not have a second emergency contact.

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

Standard #: 8VAC20-780-70
Description: Based on staff interview and record review, the licensee did not ensure there was all required staff documentation at the center.

Evidence:
Staff #1, Staff #2 and Staff #3 did not have addresses for emergency contacts.
Staff #4 and Staff #5 did not have emergency contact with name, phone number and address.

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

Standard #: 8VAC20-780-260-A
Description: Based on record review and staff interview, the licensee did not ensure annual fire inspection was provided to licenseing inspector.

Evidence: Staff #1 was unable to locate the annual fire inspection document during the inspection.

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

Standard #: 8VAC20-780-260-B
Description: Based on observation, the licensee did not ensure there was annual health inspection.

Evidence: Staff #1 was unable to locate the health inspection during the inspeciton.

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

Standard #: 8VAC20-780-280-B
Description: Based on observation and staff interview, the licensee did not ensure hazordous substances are kept in a locked place using a safe locking method that prevents access by children.

Evidence: The soap in both bathrooms were labled with keep out reach of children and warning.

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

Standard #: 8VAC20-780-510-I
Description: Based on record review the licensee did not ensure medication authorization is availabel to stafff during the entire time it is effective and the center did not obtained written authorization from a parent or guardian.

Evidence : Staff #1 was unable to locate the medication authorization signed by parent giving the center permission to administer the medication to child #4. Child #4 medication log record confirms child #4 has the medicine administered multiple times. Confirmed by Staff #1.

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

Standard #: 8VAC20-780-550-P
Description: Based on record review and staff interview, the licensee did not ensure all required information was in the written record of injuries.

Evidence:
Child #5 written injury record was missing documetnation for date of incident, time of incident, date parent was notified and two staff signatures or 1 staff signature and parent signature.

Child #6 writtern injury record was missing documentation for date of incident, time of incident, date parent was notified , time parent was notified, and two staff signatures or 1 staff signature and parent signature.

Child #7 written injury record was missing documentation for date parent was notified and action to be taken to prevent furture occurence.

Child #8 written injury record was missing docmentation date and time of incident and action to be taken to prevent furture occurence.

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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