VIRGINIA DEPARTMENT OF SOCIAL SERVICES

THE YMCA OF SOUTH HAMPTON ROADS - GRANBY ELEMENTARY
7101 Newport Avenue
Norfolk, VA 23510
(757) 622-9622

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: March 26, 2025

Complaint Related: No

Areas Reviewed:

Areas of Standards 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 During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 3/26/2025, as a part of the licensure period. The on-site inspection began at 3:40 PM and ended at 4:31 PM.. The inspector reviewed compliance in the areas listed above. There were 31 children present and 3 staff. The inspector reviewed 6 children?s records on site and 4 staff records electronically on 3/28/2025. 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on April 15, 2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Authorize the child day center, family day home, or family day system described in subsection A to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Results of background checks were not obtained for a state in which staff 2 lived within five years of being employed.
Plan of Correction:	The facility responded with the following: Youth director sent staff 2 background check off to Indiana. Youth director will ensure we receive the results
Standard #:	8VAC20-780-160-A
Description:	Repeat violation Each staff member shall submit documentation of a negative tuberculosis screening. There were no results of a tuberculosis screening for staff 4.
Plan of Correction:	The facility responded with the following: Youth director obtain tb test on 3/24/25
Standard #:	8VAC20-780-60-A
Description:	Repeat violation Each center shall maintain and keep at the center a separate record for each child that contains the last date of attendance. The record provided for child 2, whom the program director stated is no longer in attendance, did not contain the last date of attendance.
Plan of Correction:	The facility responded with the following: Youth director will conduct a binder audit every Monday to ensure paperwork and files are correct
Standard #:	8VAC20-780-70
Description:	The staff records kept for each staff person must include all required documentation. The reference checks for staff 1 are not signed and staff 4 has only one documented reference check. There was no documentation of site specific orientation training for staff 1, 3 and 4,
Plan of Correction:	The facility responded with the following: Staff references were conducted and have the signed documents. Staff 4 second reference was sent off 4/3/25. Site orientation will be done and put in a binder the same day they start at the site
Standard #:	8VAC20-780-260-A
Description:	Repeat violation The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection provided is from 2022.
Plan of Correction:	The facility responded with the following: Youth director will ensure that fire inspection is done and received before the previous inspection expires.
Standard #:	8VAC20-780-350-B-4
Description:	The staff-to-children ratio for children aged 3 years up to school age eligible is one staff person for every ten children. There were 31 children in a large group in which, the program director stated the youngest children were preschool age, in care with three staff.
Plan of Correction:	The facility responded with the following: Youth director will ensure ratio is maintain at all time within groups
Standard #:	8VAC20-780-550-D
Description:	Repeat violation The center shall implement a monthly practice evacuation drill. There were no practice evacuation drills documented in January and February 2025.
Plan of Correction:	The facility responded with the following: Youth director will ensure that fire drills will be conducted every month and recorded by checking the binder every Monday.