VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of South Hampton Roads George
436 Providence Road
Suite A
Chesapeake, VA 23320
(757) 355-2776

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:

An unannounced renewal inspection was initiated and concluded on September 11, 2023. There were 55 children in care ages four through 12 years old with five staff. Children were observed in teacher and self-directed activities. Children's records were reviewed onsite along with available staff emergency contact information. Staff records were reviewed at the central location on the same day. Violations regarding children's records, staff records and supervision were observed and appear on the violation notice. The violations were discussed with the administrator on site during the exit interview at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review the center failed to obtain documentation that each child has received the required immunizations. Evidence: 1 - The record for Child #1 does not contain documentation that all required immunizations were obtained as only page two of a two page document was visible in the digital record. 2 - Staff #1 confirmed that only page 2 was of a 2 page document was available in the digital record.
Plan of Correction:	Families will be required to complete all required paperwork by the Wednesday prior to the child's care beginning or they will be removed from the program. All current families have until 10/11/23 to get paperwork submitted or the child will be removed from the program.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview the center failed to obtain documentation of a physical examination as required. Evidence: 1 - The digital record of Child #1 did not contain documentation of physical examination. 2 - Staff #1 confirmed that the digital record of Child #1 did not contain documentation of a physical examination.
Plan of Correction:	Families will be required to complete all required paperwork by the Wednesday prior to the child's care beginning or they will be removed from the program. All current families have until 10/11/23 to get paperwork submitted or the child will be removed from the program.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview the center failed to obtain documentation of a negative tuberculosis screening within required time frames. Evidence: 1 - The record for Staff #5 did not contain documentation of a tuberculosis screening 2 - Staff #5 was present providing direct to children during the inspection. 3 - Staff #6 confirmed there was not documentation of tuberculosis screening in the record for Staff #5 in the central records.
Plan of Correction:	All staff will be required to get their TB screening prior to their first day on the floor. Staff needing to get their TB test will complete that immediately.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview the center failed to maintain staff records as required. Evidence: 1 - There was not any onsite record for Staff #1 or #2. Both staff present providing direct care to children during the inspection. 2 - Additionally, the record for Staff #2, #4 and #5 did not contain documentation of date of hire. 3 - Staff #6 confirmed that this information was not documented in records at the central location. 4 Staff #1 confirmed that emergency contact information was not available onsite as required.
Plan of Correction:	All staff will be required to complete the onsite orientation checklist which includes their emergency contacts. Youth Development Directors will make sure all staff files include the hire date.
Standard #:	8VAC20-780-240-A
Description:	Based on record review and interview the center failed to ensure that staff complete required department training within 90 days of employment. Evidence: 1 - The record for Staff #3 did not contain any documentation that the required department training had been completed. 2 - Staff #6 confirmed that the documentation of having completed the departments required training was not present in the record of Staff #3 during the central record review.
Plan of Correction:	All staff will complete the required trainings and it will be properly documented in their staff file by the Youth Development Director.
Standard #:	8VAC20-780-340-A
Description:	Based on observation when supervising children the center failed to ensure their care, protection and guidance. Evidence: 1 - Staff did not intervene when on multiple occasions between 3:30pm and 5pm children engaged in unsafe activities including hitting and pushing each other, swinging arms and backpacks at each other, climbing on chairs and chasing each other around the cafeteria tables. a.Staff only intervened when instructed to do so.
Plan of Correction:	Staff at the site have been retrained on behavior guidance. This topic has also been added to our November all staff training agenda.
Standard #:	8VAC20-780-360-A
Description:	Based on observation the center failed to provide age and stage appropriate activities for all age groups. 1 - From 3:30pm through 4:45pm there were not any organized activities available for children in grades first through fourth. 2 - Staff #1 stated that it was difficult to provide activities with such a large group of children.
Plan of Correction:	A schedule of activities and rotations have been created for the entirety of the afternoon. Students rotate through snack/meal, gym time, curriculum, free play, etc.