THE YMCA OF SOUTH HAMPTON ROADS - HILLTOP FAMILY YMCA

8VAC20-780-260-B

“The center is required to provide annual approval from the health department. The center’s last health inspection was dated 02/06/2025.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. There were 3 rows of metal chairs that were unsecured and leaning against the wall and a portable basketball hoop that was missing a support, both posing a tipping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-460-A

“While children are participating in swimming, at no time shall there be fewer than two staff members supervising the activity. Eleven school-age children were observed in the pool with 1 staff person (Staff A).”

Rule 8VAC20-780-460-A.

8VAC20-780-540-C

“Whenever children are in care the center is to have a first aid kit that includes all required items. The center’s first aid kit did not include antiseptic.”

Rule 8VAC20-780-540-C.

8VAC20-780-540-E

“Whenever children are in care the center is to have the required medical supplies. The center did not have a cold pack.”

Rule 8VAC20-780-540-E.

8VAC20-790-600-D-1

“Staff are required to have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, within 90 days of the date of employment. Staff A did not have a current certification in CPR. The certification expired on 10/10/2024”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Staff are required to have a current certification in first aid appropriate to the ages of children in care. Staff A did not have a current certification in First Aid. The certification expired 10/10/2024.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-160-C

“Tuberculosis (TB) tests/screenings are required at least every two years from the date of the first initial screening or testing. Staff A’s last documented TB screening was dated 09/06/2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. One of the free standing cabinets that contained 2 bottles of cleaners and a bottle of disinfectant spray were not locked.”

Rule 8VAC20-780-280-B.

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #1, Staff #2 and Staff #4, all of which who have been employed for more than 90 days did not have documentation of having a current certification in CPR.”

Rule 8VAC20-790-600-D-1.

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval have current certification first aid appropriate to the ages of children in care.

“Staff #1, Staff #2 and Staff #4, all of which who have been employed for more than 90 days did not have documentation of having a current certification in first aid.”

Rule 8VAC20-790-600-D-2.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually complete the department’s health and safety update course.

“Staff 2 who has been employed for 6 years did not have documentation of taking the required annual pre-service update training.”

Rule 8VAC20-790-600-F.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The form used to record child #2’s immunizations was not signed by the child’s physician stating he is “adequately immunized.””

Rule 8VAC20-780-130-A.

Based on record review and interview the vendor did not ensure that staff that work directly with children complete the department’s annual health and safety update course.

“Evidence: 1.Staff #1 did not have the completed annual health and safety update course in their record. 2.The program director confirmed that the annual health and safety update course was not completed for staff #1.”

Rule 8VAC20-790-600-F.

Based on observation, record review and interview the center did not ensure that all required documents be posted on the licensed premises.

“Evidence: 1.The most recent inspection findings were not posted in a conspicuous place on the licensed premises. 2.The program director confirmed that the most recent inspection findings were not posted.”

Rule 22.1-289.011-F.

Based on record review and interview the center did not ensure that each child have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1.Child #1 (enrollment date 8/26/2023) did not have a physical examination in their record. a.Child #1 was in care at the time of the inspection. 2.The program director confirmed that child #1?s record did not contain a physical examination.”

Rule 8VAC20-780-140-A.

Based on record review and interview the center did not ensure that all staff complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1.Staff #1 had 6 of 16 required hours of training in 2023. 2.The program director confirmed staff #1 did not have the required 16 total hours of required training in 2023.”

Rule 8VAC20-780-245-A.

Based on record review and interview, the center failed to obtain documentation of additional immunizations once between each child’s fourth and sixth birthdays.

“Evidence: 1. The immunization record for child 1 was not current as the documentation on file lacked documentation of required immunizations administered once between age four and six years. 2. Administrative staff confirmed that the complete immunization record for child 1 was not on file at the facility.”

Rule 8VAC20-780-130-F.

Based on record review and interview, the center failed to ensure that documentation of the required tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The TB screening for staff 1 was completed 06/06/2023 which is after her hire date of 04/04/2023. 2. Administrative staff confirmed that the TB screening had been obtained after her hire date.”

Rule 8VAC20-780-160-A.

Based on observation, staff interview and record review, the center failed to ensure that the qualified program leader shall supervise no more than two aides.

“Evidence: 1. A total of 4 staff were observed supervising a group of 50 school age children. Only one of these 4 staff ( staff 2) meets program leader qualifications according to written documentation reviewed in staff records. a. The inspector observed this group of children supervised by staff 1, staff 2, staff 3 and staff 4. These children remained with the same 4 staff throughout the inspection. 2. Administrative staff confirmed that the only program leader qualified staff for this group was staff 2.”

Rule 8VAC20-780-340-D.

Based on record review, the vendor failed to ensure that all staff shall obtain within 90 days of employment current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff 1, hire date 05/13/2022, lacked documentation of first aid certification.”

Rule 8VAC20-790-600-D-2.

Based on record review and interview, the center failed to obtain a copy of the results of 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.

“Evidence: 1. There is no central registry check on file for staff 2 for a state she has resided in within the past five years. 2. Administrative staff confirmed that the results of this out-of-state central registry check were not on file.”

Rule 22.1-289.035-B-4.

Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening that was obtained within 30 days prior to employment and before coming into contact with children.

“Evidence: 1. The TB screening for staff 1 was conducted on 06/02/2022 which is after the hire date of 05/13/2022. 2. The TB screening for staff 2 was conducted on 12/31/2021 which is more than 30 days before the hire date of 01/03/2022.”

Rule 8VAC20-780-160-A.

At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening,

“Evidence: 1. The most recent TB screening on file for staff 3 was conducted on 09/24/2020.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on interview, the center failed to ensure that during transportation of children that a list of names of the children being transported was in the transportation vehicle.

“Evidence: 1. The bus driver , returning from a local public school with a group of 14 school age children, stated she did not have the attendance sheet containing the list of names of children in the vehicle. a. The bus driver indicated she had forgotten to pick up the attendance sheet when she left to pick up the children.”

Rule 8VAC20-780-580-C.

Based on record review, the center failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The enrollment record for child 1 lacked the following information: a. Home address; b. Name of school the child is currently attending; 2. The enrollment record for child 2 lacked the following information: a. Home address for one parent; b. Work phone number and place of employment for one parent. 3. The enrollment record for child 3 lacked the following information: a. Work phone number and place of employment for parent 1. b. Work phone number for parent 2.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to obtain a copy of the results of a sex offender check from any state in which the individual has resided in the preceding five years.

“Evidence: 1. Staff 2 , hire date 03/02/2022, lacks the results of a sex offender check from the State of New York. a. Staff 2 indicated on her sworn statement she had resided in New York within the past five years. 2. Administrative staff confirmed the results of a sex offender check had not been obtained for staff 2.”

Rule 22.1-289-036-B-4.

Based on interview, the center failed to ensure that during the center’s hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator.

Rule 8VAC20-780-340-B.

Based on observation and interview the center failed to ensure that the staff-to-child ratios are required whenever children are in care: School age eligible up to 9 years- ratio 1:18 (staff:children)

“Evidence: 1. A group of 19 children, ages 6 and 7 years, were observed outside with staff 3 when the inspectior arrived at approximately 10:15 am. a. Staff 3 confirmed the ages of the children in the group and that she was responsible for 19 children during this time.”

Rule 8VAC20-780-350-B-5.

Based on record review and interview, the center failed to ensure that prescription medication shall be given to a child only with parental authorization.

“Evidence: 1. A prescription medication for child 4 lacked written authorization from the parent. a. Written authorization was obtained from the physician of child 4.”

Rule 8VAC20-780-510-B.

Based on observation, the center failed to ensure that a copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“Evidence: 1. The special order issued on 12/21/2021 and received by the licensee on 01/12/2022 was not posted.”

Rule 8VAC20-820-120-E-6.

Based on record review, the vendor failed to ensure that the tuberculosis screening for staff shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: The two TB screenings on file for staff 1 were not completed within the 30 day window required prior to employment. a. Staff 1 has a hire date of 06/03/2021. TB screening #1 was completed on 01/29/2021 and TB screening #2 was completed on 09/03/2021.”

Rule 22VAC40-665-540-A.