The YMCA of South Hampton Roads-Crestwood Elementary School

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, did not have documentation of requesting a criminal history check or a central registry check from the state they had lived in the preceding five years. Staff #6, present during this inspection, did not have documentation of requesting a central registry check from the state they had lived in the preceding five years.”

Rule 22.1-289.035-B-4.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“During the inspection, there were no staff consistently in the corridor where the children were using the restrooms. These children were intermittently unsupervised for approximately 5-8 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-B-5

“The required ratio for children ages school age eligible up to 9 years is one staff per eighteen children. Staff #3 was observed supervising thirty children for approximately 5-10 minutes.”

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

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all of the required information.

“The injury report dated 3.3.26 for child #8 only contained one of the two required signatures. The injury report dated 3.9.26 did not contain the time, date, or method of parental notification.”

Rule 8VAC20-780-550-P.

No child shall be allowed to drink or eat while walking around.

“Child #6 and #7 were observed walking around the cafeteria eating and drinking during snack time.”

Rule 8VAC20-780-560-M.

Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #2, #3, and #6 did not have documentation of certification in CPR.”

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

Staff shall have current certification in first aid appropriate to the ages of children in care.

“Current certification in first aid appropriate to the ages of children in care.”

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

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #5, who was working during this inspection, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, present during this inspection, did not have documentation of requesting a central registry check from the state they had lived in the preceding five years.”

Rule 22.1-289.035-B-4.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #6 had no documentation of completing the course and had been employed for over two years.”

Rule 8VAC20-780-240-A.

The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown.

“The emergency preparedness plan that was on site was not up to date, it was dated August 2024 and contained information that was no longer correct.”

Rule 8VAC20-780-550-A.

Staff records kept for each staff person shall contain all of the required documentation.

“The records for staff #4 and #5 did not have date of hire. The record for staff #5 did not have verification of identity.”

Rule 8VAC20-780-70.

During the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member.

“At time of inspector’s arrival there were 25 children in care alone with staff #1. Staff #1 stated that staff #2 was in the restroom. Staff # 2 had not returned at the conclusion of this inspection, which was 45 minutes in duration.”

Rule 8VAC20-780-340-C.

When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“Staff #2 was observed supervising 25 children (youngest child 8 years old) from approximately 3:35 - 4:20 pm.”

Rule 8VAC20-780-350-C.

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.

“Child #1, who had been attending for six weeks, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

The center is required to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“There were three children with documented food allergies enrolled, staff was only aware of one of the three children having food allergies.”

Rule 8VAC20-780-40-L.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“There were three children with allergies enrolled, there was no list in the after school care area.”

Rule 8VAC20-780-40-M.

A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #3, who has been enrolled for six weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-200-A

“REPEAT VIOLATION Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center’s operation.”

Rule 8VAC20-780-200-A.

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There was a mop bucket with approximately 6” of water in the cafeteria where the children were in care.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation it was determined the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides were in a locked place using a safe locking method that prevents access by children. Evidence: 1. Sanitizing agents were unlocked in the First Aid bag during this inspection. 2. Staff confirmed that these were unlocked during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-L

“Based on observation and interview it was determined the center did not ensure all medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an epi pen in the unlocked first aid bag accessible to children in care. 2. Staff confirmed that this bag was unlocked during this inspection.”

Rule 8VAC20-780-510-L.

8VAC20-780-60-A-8

Rule 8VAC20-780-60-A-8.

8VAC20-780-200-A

“Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center’s operation.”

Rule 8VAC20-780-200-A.

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child contained all of the required documentation. Evidence: 1. The record for child #1 did not contain documentation of verification of child’s identity and age. 2. Staff confirmed that this information was not available during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

Rule 8VAC20-780-60-A-8.

8VAC20-780-280-B

“Based on observation an interview it was determined the center did not ensure that all 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. Evidence: 1. There was a spray bottle of Purell Sanitizing spray on a cart in the cafeteria where children were present. 2. Staff confirmed the Purell was accessible to children in care during this inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that the record for each child enrolled contained all of the required information. Evidence: 1. The record for child #1 did not contain a home phone number for their mother and a work phone number for their father. 2. The record for child #4 did not contain a home phone number for their mother. 3. Staff confirmed child #1 and #4 were in care during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

Rule 8VAC20-780-60-A-8.

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of cardiopulmonary resuscitation (CPR) certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

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

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of first aid certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

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

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #3 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: 1. The record for child #3 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“Based on record review and interview it was determined that the center did not ensure that all staff obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section at least every two years from the date of the first initial screening or testing. Evidence: 1. There was no updated TB screening in the record for staff #1. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-200-A

“Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center’s operation.”

Rule 8VAC20-780-200-A.

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

Rule 8VAC20-780-240-A.

8VAC20-780-400-A

Rule 8VAC20-780-400-A.

8VAC20-780-560-F

“Based on observation it was determined the center did not ensure that a one week menu of foods served is posted. Evidence: 1. There was no menu posted during this inspection. 2. Staff confirmed the menu was not posted.”

Rule 8VAC20-780-560-F.

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled had a record at the center that contained the required documentation. Evidence: 1. At the time of record review there was no record available for child #3(enrolled 9/6/22). 2. Staff confirmed that they did not have access to parent contact or any other information for child #3 during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in cardiopulmonary resuscitation. 2. Staff confirmed that this documentation was not available during this inspection.”

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

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in first aid. 2. Staff confirmed that this documentation was not available during this inspection.”

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

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #1, #2, #3, #4, and #5 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: Evidence: 1. The record for child #1, #2, #3, #4, and #5 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on record review it was determined the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to employment dated no more than 30 days before date of emplyment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of TB screening. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

Rule 8VAC20-780-240-A.

8VAC20-780-340-F

“Based on observation it was determined that the center did not ensure children are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: Inspector observed two children in the hallway walking from the gym to the cafeteria unsupervised and then from the cafeteria to the gym. The children confirmed that they were in the YMCA program when asked by this inspector.”

Rule 8VAC20-780-340-F.

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that there was a separate record for each child enrolled which contained all of the required information. Evidence: 1. There was no record for child #4 at the site. 2. The records for child #1, #2, #3, and #5 did not contain the first date of attendance and proof of identification and age. 3. Staff confirmed these record were not available during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required documentation. Evidence: 1. The records for staff #1 and #2 did not contain documentation of the qualifications for their positions. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-70.

8VAC20-780-90-A

“Based on record review it was determined the center did not have the required signed parental agreements between the parent and the center in each child’s record by the first day of the child’s attendance. Evidence: 1. The records for child #1, #2, #3, #4, and #5 did not contain the required signed parental agreements. 2. Staff confirmed these record were not available during this inspection.”

Rule 8VAC20-780-90-A.

22.1-289.035-B-2

“Based on record review and interview it was determined the center did not ensure that each staff member submitted to fingerprinting as required. Evidence: 1. The record for staff #1 did not contain documentation of fingerprinting. 2. Staff confirmed that the documentation was not available during the inspection.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 did not contain documentation of a central registry finding. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-160-A

“Based on record review and interview it was determined the center did not ensure staff submitted documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1. The record for staff #2(hired 9/27/21) did not contain documentation of a TB screening. 2. The record for staff #3(hired 11/4/21) did not contain documentation of a TB screening. 3. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled has all of the required components in their record: Evidence: 1. The record for child #2 (first date of attendance 9/7/21) did not contain: -Name, address, phone number, place of employment and, work phone number for parent(s) -Name, address, and phone number for the two required emergency contacts -Name(s) of school or program previously attended or concurrently attending 2. Staff confirmed that this information was not available during the inspection.”

Rule 8VAC20-780-60-A.