Eastern Shore Family YMCA
26164 Lankford Highway
Onley, VA 23418
(757) 787-5601
Current Inspector: Nanette Roberts (757) 404-2322
Inspection Date: Aug. 20, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
- Technical Assistance:
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Technical assistance was provided in the following areas;
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/
- Comments:
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An unannounced, on-site renewal inspection was initiated and completed on 8/20/24. The on-site inspection began at 9:20am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 17 children present and 6 staff. The inspector reviewed 5 children?s records and 5 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 9/4/24. A POC submitted after this date will not appear on the public website.
- Violations:
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Standard #: 8VAC20-780-60-A Description: Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.
Evidence:
1. The record for child #1 did not contain the date of enrollment, parent name, address, and phone number.
a. Staff #6 confirmed the information was not in the record.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Based on a review of staff records it was determined the center did not ensure that a record was kept for each staff member with all the required information.
Evidence:
1.The record for staff #2 did not include documentation of 2 reference check.
a.Staff #6 confirmed the references were not in the record.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-245-A Description: Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1.Staff #1 (date of hire 7/13/22) had 13 hours of annual training for 2023.
2.Staff #3(date of hire 7/13/22) had no documentation of annual training for 2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-D Description: Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill.
Evidence:
1.Monthly evacuation drills were not practiced in the months of June and July 2024.
a.Staff #6 confirmed the drills were not conducted.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-F Description: Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually.
Evidence:
1, There was no documentation of an annual lockdown drill conducted in 2023-2024.
a. Staff #6 confirmed a lockdown drill was not documented.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-P Description: Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries.
Evidence:
1.There were 11 injury reports that did not contain documentation of the date, time, and method used to notify a parent of an injury.
a.Staff #6 confirmed the information was not in the record.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.
