VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Great Bridge/Hickory Family YMCA
633 South Battlefield Boulevard
Chesapeake, VA 23322
(757) 546-9622

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: July 23, 2024

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) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Technical assistance was provided in the following areas: 8VAC20-780-550 Procedures for emergencies. Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on July 23, 2024. The on-site inspection began at 11:20am and ended at 4:00pm. The inspector reviewed compliance in the areas listed above. There were 108 children present and 22 staff. The inspector reviewed 11 children?s records and 10 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August16, 2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-3
Description:	Based on record review, observation, and interview the center did not ensure that child abuse and neglect search requests were obtained prior to employment. Evidence: 1.The records for Staff #2 and Staff #3 did not contain out of state child abuse and neglect search requests. a. Both staff members were observed working the day of the inspection. 2.Staff #1 (program director) confirmed that the out of state child abuse and neglect search requests were not obtained for Staff #2 and Staff #3.
Plan of Correction:	Out of State Background Checks for Staff #2 and Staff #3 will be submitted for review
Standard #:	8VAC20-780-160-A
Description:	Repeat Violation Based on record review the center did not ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff #3 (hired 6/2024) did not contain proof that documentation of a negative TB screening was submitted at the time of employment and prior to coming into contact with children. a. Staff #3 was observed working at the time of the inspection.
Plan of Correction:	Staff #3 will obtain a negative tuberculosis (TB) screening immediately.
Standard #:	8VAC20-780-60-A
Description:	Repeat Violation Based on record review the center did not ensure that children?s records have all the required information. Evidence: 1.The records for Child #1, Child #2, Child #3, Child #4 and Child #5 were missing the name of the previous child day care and schools attended by the children.
Plan of Correction:	Children's records listed N/A as previous day care center/schools attended. A note has been made for upper level leaders to require this information during the registration process.
Standard #:	8VAC20-780-260-B
Description:	Based on record review the center did not ensure that annual approval from the health department was provided. Evidence: 1.There was no documentation of a health department environmental sanitation report for the center within the past year. a. The environmental sanitation report reviewed by the inspector was dated for 6/21/21. 2. Staff #1 (program director) confirmed that this is the last health inspection on file.
Plan of Correction:	The Director of Health & Safety for the YMCA has contacted the Department of Health for an inspection to be conducted.
Standard #:	8VAC20-780-550-C
Description:	Based on record review the center did not ensure that emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: 1.The emergency map posted at the facility included evacuation procedures but did not include the required area for shelter in place on the map.
Plan of Correction:	Emergency Maps with accurate and up-to-date information will be posted and announced to team members.