VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: Sept. 6, 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

Comments:

An unannounced monitoring was conducted on September 6, 2023 from 7:45 am -8:30pm.There were 22 children present upon arrival with 2 staff members. Additional staff and children arrived during the inspection. Children were observed arrving to the center, being picked up by buses, in the hallway and freely playing in the gym . Five staff records were reviewed the children records were not available onsite . 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 #:	8VAC20-780-160-A
Description:	REPEAT/SYSTEMIC: Based on record review, the licensee did not ensure negative tuberculosis screening results are recieved time of employment. Evidence: During the inspection and previous inspection Staff #1 ( hire date 12/2/2022) and Staff #2 (hire date 11/03/2022) tuburculosis documentation of results were not provided with staff record documentation.
Plan of Correction:	All staff will be required to complete a tb screening
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION /SYSTEMIC DEFICIENCY: Based on staff interview, the licensee did not ensure the center maintain and keep at the center a record for each child enrolled. Evidence: During the inspection on Septemeber 6, 2023, Staff #1 confirmed she did not have children records on site and did not have access to review it digitally.
Plan of Correction:	Children records will be completed and stored on site.
Standard #:	8VAC20-780-240-I
Description:	Based on record review , the licensee did not ensure documentaiton of orientation training was kept by the center. Evidence: Staff #1 and Staff #2 did not have documentation of required orientation training.
Plan of Correction:	An Orientation checklist will be completed and put in staff files.
Standard #:	8VAC20-780-260-B
Description:	REPEAT Based on record reviewe and staff interview, the licensee did not ensure annual inspection was completed. Evidence: During the inspection , Staff #1 was unable to provide a update health inspection. The most recent inspection provided was 05/04/2022.
Plan of Correction:	The health inspection form will be brought onsite ans put in the licensing binder.
Standard #:	8VAC20-780-280-B
Description:	REPEAT VIOLATION /SYSTEMIC DEFICIENCY Based on observation, the licensee did not ensure hazordous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the hallway, there were hand sanitizer , soap and dish soap by the sink . All three items were labeled with keep out of reach of children and warning . In the gym, there were 7 cans of aersol spray/spray paint/chalk. The cans were labeled with Keep out of reach of children , warning and caution . In a unlocked closet in the gym, there were clothes detergent by washer machine and a cabinet with aersol cans of pesticides.
Plan of Correction:	All hazardous materials will be removed and locked away in a sealed container that children can't access.
Standard #:	8VAC20-780-340-C
Description:	Based on observation, the licenee did not ensure there always shall be on premises one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: On September 6, 2023 , staff #4 was the only person present at the center when staff #3 left for a bus route at approximatley 8:15am.
Plan of Correction:	There will always be two staff onsite, where one meets program leader qualifications.
Standard #:	8VAC20-780-430-K
Description:	Based on observation and staff interview, the licensee did not ensure there are indvidual place for each child's personal belongings. Evidence: The children belongings did not have indvidual place . Staff #1 confirmed the shelves for belongings collapsed and need to be fixed.
Plan of Correction:	Children's belongings will be put in indvidual cubbies.
Standard #:	8VAC20-780-530-C
Description:	REPEAT : 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 operating hours. Evidence: On September 6, 2023 Staff #3 left on a bus to assist transporting children to school. Staff #4 was the only person on the premises with approximatley 5 children waiting for school bus. There was not two staff members present with CPR on the premises.
Plan of Correction:	All staff will attend ASHI online and inperson trainings to recieve CPR/First Aid certification.
Standard #:	8VAC20-780-540-E
Description:	REPEAT VIOLATION Based on observation, the licensee did not ensure there was a battery operated flashlight. Evidence: Staff #1 confirmed there was not a battery operated flashlight at the center.
Plan of Correction:	A battery operated flashlight will be put on sote.