VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of South Hampton Roads-Suffolk
2769 Godwin Boulevard
Suffolk, VA 23434
(757) 934-9622

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Jan. 25, 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 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on January 25, 2023 and concluded on January 26, 2023. There were 39 children present with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's first day of attendance; or within 30 days after the first day of attendance. Evidence: The record for child #3, (first date of attendance 3-23-2015) did not include documentation of a physical.
Plan of Correction:	Staff will call parents and a follow up email will be sent to check on the status of the physicals.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #3 stated they did not have an accurate written list of children?s names listing their allergies and food sensitivities.
Plan of Correction:	The list will be created and housed inside our locked cabinet that contains our medication.
Standard #:	8VAC20-780-260-A
Description:	Based on documentation review and staff interview, the licensee shall provide documentation of an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent copy of an annual fire inspection, available for review, was dated 1-6-2022.
Plan of Correction:	A fire inspection will be scheduled and conducted before the end of the month.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and staff interview, the licensee did not ensure, to obtain all the required nonmedical emergency supplies. Evidence: Staff #3 confirmed there was not a working, battery-operated radio.
Plan of Correction:	New battery operated radios were purchased on 2/2/2023.
Standard #:	8VAC20-780-550-E
Description:	Based on review of documentation the licensee did not ensure shelter in place procedures shall be practiced a minimum of twice per year. Evidence: The center?s 2022 evacuation drill sheet did not include documentation of 2 shelter in place drills.
Plan of Correction:	A shelter in place drill will be conducted with all program participants and staff.
Standard #:	8VAC20-780-550-F
Description:	Based on review of documentation the licensee did not ensure lockdown procedures should be practiced at least annually. Evidence: The center?s 2022 evacuation drill sheet did not include documentation of an annual lockdown drill.
Plan of Correction:	A lockdown drill will be conducted with all program participants and staff.