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: Jan. 18, 2024
Complaint Related: No
- Areas Reviewed:
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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 the center about spaces approved by licensing, asbestos posting, record keeping and hazordous substances in spaces that are not used all the time.
- Comments:
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An unannounced monitoring renewal inspection was conducted on January 18, 2024 from 3:10pm - 5:00pm the inspection was concluded on January 25, 2024. There were aproximaltey 26 children present children in the afternoon and 4 staff members. Children were being picked up from the school and being dropped off at the the program during the inspection. The gym was closed for the day. The center used two rooms for homework and activities. Outdoor area was inspected. Five staff records and five children records were reviewed. There was one medication record reviewd. The staff records were not available onsite. Staff records were requested to be completed remotley . Licensing Inspector reviewed indoor areas, supervision, activities, equipment, emergency evacuation and sheltering-in-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 #: 22.1-289.011-F Description: Based on observation and staff interview, the licensee did not ensure the most recent inspection was posted.
Evidence:
The violation notice posted was Septemeber 19, 2023 and the most recent inspection / violation notice was November 20, 2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22.1-289.035-A Description: Based on record review , the licensee did not ensure employees undergo a background check every 5 years.
Evidence:
Staff #3 fingerprint was completed on 1/16/2019 . Background checks need to be completed every 5 years.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-130-A Description: REPEAT
Based on record review, the licensee did not ensure records for each child obtained a imminization before child attends.
Evidence:
On January 18, 2023, child #5 is attending the program and there was no immunization documentation available during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: REPEAT
Based on record review, the licensee did not ensure all staff have a negative tuberculosis screening results and documentation have been completed within the last 30 calendar days of the date of employment.
Evidence: The center was unable to provide documentation of Staff #3 tuberculosis results. Staff #3 was hired 1/28/2019.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-E Description: Based on staff interview and record review, the licensee did not ensure that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.
Evidence :
1- Reviewed the policy provided by the center on methods to prevent use of outdated. medication.
2- The medication policy states "Expired medication needs to be picked up within 14 days or parents must renew authorization. If medication is not picked up, it will be disposed."
3- The medication for child #6 expired 08/27/2023. The inspection was conducted on January 18, 2024. The medication was not discard in 14 days. The center did not follow there medication policy.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: REPEAT
Based on record review, the licensee did not ensure all required documents were onsite for children records.
Evidence:
Child #5 record was not available during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: REPEAT
Based on record review, the licensee did not ensure all required documents are obtained for staff records.
Evidence:
Staff #4 emergency contact document that is required on cite did not have emergency contact address. Confirmed by person in charge.
Staff #5 did not have a emergency contact document with name, phone number and address on site. Confirmed by person in charge.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-90--A Description: REPEAT
Based on record review, the licensee did not enusure a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent.
Evidence:
During the inspection on Janaury 18, 2024, the center did not have access to electronic record and the paper record with the agreements signed by parent on site for child #3 , child #4 and child #5. Acces to children records need to be onsite electronic or paper records or comobination.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-245-A Description: Based on record review, the licensee did not ensure staff complete annually a minimum of 16 hours of training.
Evidence :
Unable to determine if 16 hours of annual training was completed for Staff #3.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-270-A Description: Based on observation and staff interview, the licensee did not ensure the area and equipment of the center inside is maintained in clean, safe and operable condition.
Evdience: The vent in the gymnasium area had vent slats missing causing sharp points on the vent.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-530-A Description: Based on record review and staff interview, the license did not ensure there was at least one staff in each classroom where child are present shall have CPR and First Aid.
On January 18, 2024, staff #4 was left alone in the classroom with children. Staff confirmed during record review staff #4 does not have CPR and First aid and a class is being scheduled.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.
