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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: April 26, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Recommended to the center to do checks in classroom making sure cabinets and drawers are locked if their are sharp objects, lighters and chemicals. Discussed with center about model forms on the website.

Comments:
An unannounced monitoring was conducted on April 26, 2023.There were 3 children present upon
arrival with 1 staff members. Additional staff and children arrived during the inspection. Children were observed children being dropped off by buses, freely playing in the gym and transition in out of multipurpose room. Five staff records and 3 children records reviewed . Licensing Inspector reviewed indoor areas, supervision, activities, equipment, emergency evacuation and sheltering-in-place drill documentation, emergency procedures and required posting. Staff records were requested to be reviewed remotley.

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 review, the licensee did not ensure to obtain documentation that each child has recieved the immunization required before the child can attend.

Evidence: Documentation of immunization was not provided during the inspection for child #1, child #2 and child #3. Staff confirmed she did not have the documents at the center.

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

Standard #: 8VAC20-780-140-A
Description: Based on record review, the licensee did not ensure that each child has a physical examination.

Evidnece: Staff #4 confirmed access to the childrens physicals and children physical were not at the site.

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

Standard #: 8VAC20-780-160-A
Description: Based on record review, the licensee did not ensure negative tuberculosis screening results are recieved time of employment.

Evidence: Staff #1 ( hire date 12/2/2022) and Staff #2 (hire date 11/03/2022) tuburculosis documentation of reults were not provided with staff record documentaiton.

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

Standard #: 8VAC20-780-40-M
Description: Based on staff interview and documentaiton review, the licensee did not ensure the center maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented. This list shall be dated and kept confidential in each room or area where children are present.

Evidence: Staff #1 confirmed the allergy list had a child listed that no longers attend . The allergy list was not updated.

Plan of Correction: Update monthly, add new registered children and monthly audit will be completed.

Standard #: 8VAC20-780-70
Description: Repeat Violation:

Based on record review, the licensee did not ensure each staff had a emergency contact information at the center that obtained name, address, and telephone number.

Evidence:
The center did not have staff emergency contact home addresses. Staff #5 did not have emergency contact information that obtained name, address, and telephone number.

Plan of Correction: Update staff required emergency contact information.

Standard #: 8VAC20-780-90--A
Description: Based on record review, the licensee did not ensure the written agreements between the parent and center in each child's record by the first day of the child's attendance .

Evidence:
The center was unable to provide documentation of written agreements between parent and center for Child #1, Child #2 and Child #3.

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

Standard #: 8VAC20-780-240-A
Description: Based on record review, the licensee did not ensure the Virginia Department of Education-sponsored orientation course were completed within 90 calendar days of employment.


Evidence:

The center did not provide documentaiton that the Virginia Department of Education-sponsored orientation course was completed with in 90 days for Staff #1 (hire date 12/2/2022) and Staff #2 .(hire date 11/03/2022) .

Plan of Correction: We will ensure all bus drovers have successfully complete Virgina Department of Education sponsered orientaiton course to meet standards.

Standard #: 8VAC20-780-260-A
Description: Repeat Violation:

Based on record review, the license did not enusre that annual fire inspection report was provided to license inspector during the inspection.

Evidence:
The center did not have a copy of the most recent annual fire inspection.

Plan of Correction: We will maintain open communication with the location and update on annual bases.

Standard #: 8VAC20-780-280-B
Description: Based on observation and staff interview, the licensee did not ensure hazordous substances is kept in locked place .

Evidence:
In the girls bathroom, their was soap that was labeled with Warning and Keep out of reach of children.

Plan of Correction: Replace the soap .

Standard #: 8VAC20-780-320-B
Description: Be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

Evidence:
In the boys restroom, it was not equipped with soap.

Plan of Correction: Have compliant handwashing access.

Standard #: 8VAC20-780-340-C
Description: Based on observation and staff interview, the licenee did not ensure there always be on premises one or more children are present one staff and immediatley available staff member who is at least 16 years of age with direct means of communication betweem the two of them .

Evidence: On April 26, 2023 , staff #1 was the only person present at the center and their was not staff immeditaley available . Confirmed with staff .

Plan of Correction: We will ensure two people present during all operating hours with both having CPR and First Aid.

Standard #: 8VAC20-780-530-A
Description: Based on record review, the licensee did note ensure thier was one staff in each area where children are present with CPR and First Aid.

Evidence:
There was not documentaiton of completions of CPR and First Aid provided for staff #5. Staff #5 was alone with children at the facility and on the bus.

Plan of Correction: We will ensure two people present during operating hours with both staff having CPR and First Aid.

Standard #: 8VAC20-780-530-C
Description: Based on observation and staff iterview, the licensee did not ensure there at least two staff members who is CPR and First Aid certified on the premises during the center

Evidence:
On April 26, 2023 , Staff #4 was the only person in the building upon arrival at 3:35pm with three children. There was not two staff members present with CPR on premise until the staff return from bus routes.

Plan of Correction: We will ensure two people present during our operating hours with both CPR and First Aid.

Standard #: 8VAC20-780-540-E
Description: Based on observation and staff interview, the licensee did not ensure their was a working battery operated flashlight.

Evidence:
Staff #1 confirmed they did not have a working battery operated flashlight.

Plan of Correction: Ensure there is a working battery operated flashlight at all times.

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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