The YMCA of South Hampton Roads--Great Bridge Intermediate

8VAC20-780-130-A

“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. Staff 1 stated she did not have documentation of required immunizations for any of the 52 children in care.”

Rule 8VAC20-780-130-A.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. None of the staff present had access to any of the children’s records to include medical care plans for 2 children with diagnosed food allergies. Additionally, staff records were not made available to the inspector therefore, no verification can be determined if any of the 5 staff present have current background checks, TB screening, application training and meet staff qualifications.”

Rule 8VAC20-780-340-A.

8VAC20-780-40-H

“The sponsor shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. The Certificate of Insurance on file at the facility expired 01/01/2026.”

Rule 8VAC20-780-40-H.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements. The staff in charge, staff 1, stated she did not have a hard copy of children’s records nor did she have access to an electronic copy.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. Staff records were not available for the 5 staff present during the inspection. The name, address and phone number was not maintained on site for any of the 5 staff present during the inspection.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. 20 children in care were not signed in on the facility electronic attendance record. There was not hard copy of written attendance.”

Rule 8VAC20-780-80-A.

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance. Staff 1 stated she did not have access to the written parent agreement for any of the 52 children in care.”

Rule 8VAC20-780-90-A.

22.1-289.035-A

“All employees shall undergo a background check in accordance with subsection B prior to employment and every five years thereafter. The most recent central registry check for staff 2 was conducted on 09/03/2020.”

Rule 22.1-289.035-A.

22.1-289.035-B-3

“Repeat Violation The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. The results of a central registry check were not available for staff 3 who has been employed for more than 60 days. Staff 3 was observed working in the licensed program during the inspection.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. 5 of 6 injury reports reviewed lacked written documentation of all required elements to include time of parent notification, a second signature from staff or a parent, and future action to prevent recurrence of injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Staff records shall contain all required elements. The name, address and telephone number was not available on-site for staff 4. Staff 4 was observed working in the licensed program during the inspection.”

Rule 8VAC20-780-70.

The child day center described in subsection A to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him.

“The results of a central registry check were not on file for staff 1 who has been employed for more than 30 days. Staff 1 was observed working in the licensed program during the monitoring inspection on 10/27/2025.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The TB screening for staff 2 was completed 11 days after the first day of employment.”

Rule 8VAC20-780-160-A.

Staff records kept for each staff person shall contain all required elements.

“The record for staff 1 lacked documentation that two or more references were checked before employment. Documentation to demonstrate that staff 1 had completed orientation training was not on file. Staff 1 has been employed for more than 30 days. The record for staff 2 lacked documentation to demonstrate completion of orientation training. Staff 2 has been employed for more than 30 days.”

Rule 8VAC20-780-70.

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their records. Three staff records requested were not made available for review.”

Rule 22.1-289.018-A.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. One prescription medication, for child 1, was not labeled with the child’s name, the dosage amount, and the time to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-70

“The licensee shall maintain for all staff the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. A designated emergency contact was not maintained on site for staff 1.”

Rule 8VAC20-780-70.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The current license and most recent inspection documents were not posted when the inspector arrived.”

Rule 22.1-289.011-F.

The center shall maintain a written record of children’s serious and minor injuries in which entries include all requirement elements.

“2 of 6 injury reports reviewed lacked written documentation of the time the parent was notified of the injury. 1 of 6 injury reports reviewed lacked a parent or second staff signature.”

Rule 8VAC20-780-550-P.

All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff 1, who has been employed more than 90 days, does not have current certification in cardiopulmonary resuscitation (CPR).”

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

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

“Staff 1, who has been employed more than 90 days, does not have current certification in first aid appropriate to the ages of children in care.”

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

Repeat Violation 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.

“On-site staff could not locate documentation of required immunizations for child 1 and child 2. Child 1 and child 2 were in care during the inspection.”

Rule 8VAC20-780-130-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.

“The TB screening for staff 2 has not been updated as required as the screening was completed 25 months from the original TB screening.”

Rule 8VAC20-780-160-C.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff 1 lacked written documentation of completion of The Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff 1 and staff 3 do not have documentation of completing any training for calendar year 2023. Staff 1 and staff 3 began employment before calendar year 2023.”

Rule 8VAC20-780-245-A.

The center’s procedures for administering medication shall include duration of the parent’s authorization for medication. Long-term prescription drug use may be allowed with written authorization from the child’s physician and parent.

“On-site staff were not able to locate a current long-term prescription medication authorization form for child 3 who was in care during the inspection and had been administered the medication.”

Rule 8VAC20-780-510-E.

Repeat Violation

“The center shall implement a monthly practice evacuation drill. The emergency log for the program does not have documentation of a fire drill for March, April, May and June of 2024.”

Rule 8VAC20-780-550-D.

Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information.

“Evidence: The staff working on-site could not locate an enrollment record for child 1 and child 2. Child 1 and child 2 were in care during the inspection.”

Rule 8VAC20-780-60-A.

Repeat Violation

Rule 8VAC20-780-90-A.

Based on record review and interview, the center failed to 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. There was no documentation of any immunization information on file for child 1 who was in care during the inspection. 2. Administrative staff stated that there was no documentation of required immunizations on file for child 1.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to implement a monthly practice evacuation drill.

“Evidence: 1. The emergency log for the program did not have documentation of a fire drill for March of 2024. 2. Administrative staff stated that a fire drill had not been conducted in March of 2024.”

Rule 8VAC20-780-550-D.

Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

“Evidence: 1. There was no enrollment record on site for child 1 who was in care during the inspection. 2 Administrative staff confirmed that an enrollment record was not available on site for child 1.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance.

“Evidence: 1. There was no written parent agreement on file for child 1 who was in care during the inspection. 2. Administrative staff stated they could not locate nor did they have a file for child 1 to include the written parent agreement.”

Rule 8VAC20-780-90-A.

Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements.

“Evidence: 1. Child 1, who was in care during the inspection, lacked an enrollment record. a. Administrative staff confirmed that an enrollment record was not available for child 1. 2. The first day of attendance was not documented in the sample size of three children’s records reviewed.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance.

“Evidence: 1. A written parent agreement was not on file for child 1 who was in care during the inspection. a. Administrative staff confirmed that a parent agreement was not available for child 1.”

Rule 8VAC20-780-90-A.

Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR.

“Evidence: 1. Staff 1, hire date 09/09/2019, lacks current certification in CPR. 2. Staff 2, hire date 09/22/2020, lacks current certification in CPR. 3. The program director confirmed that staff 1 and staff 2 did not have current CPR certification.”

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

Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid.

“Evidence: 1. Staff 1, hire date 09/09/2019, lacks current certification in first aid. 2. Staff 2, hire date 09/22/2020, lacks current certification in first aid. 3. The program director confirmed that staff 1 and staff 2 did not have current first aid certification.”

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

Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service.

“Evidence: 1. There is no central registry finding for staff 1 who has a hire date of 09/09/2019. 2. The program director confirmed that a central registry check is not on file for staff 1.”

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

Based on record review and interview, the center failed to 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. Documentation of immunizations were not on file for child 1 who began care on 09/07/2021. 2. Administrative staff verified that immunization information had not been obtained.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance.

“Evidence: 1. Child 1, enrollment date 09/07/2021, lacks documentation of a physical exam. 2. Child 3, enrollment date 09/07/2021, lacks documentation of a physical exam. 2. Administrative staff confirmed that a physical exam had not been obtained for child 1 and child”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1. Staff 2, hire date 05/31/2018, obtained 11.25 of the 16 hours required for annual training in 2021. a. The program director confirmed that staff 1 had not completed all 16 hours of training for 2021.”

Rule 8VAC20-780-245-A.

Based on medication review, the center failed to ensure that medication shall be labeled with the child’s name.

“Evidence: 1. One prescription, for child 4, lacked any name label.”

Rule 8VAC20-780-510-G.

Based on medication review, the center failed to ensure that prescription medication was maintained in the original, labeled container with the prescription label attached with the prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“Evidence: 1. One prescription medication, for child 4, was not stored in the current container with the current prescription label attached. 2. The program director stated the medication had arrived outside of the original container without the prescription label.”

Rule 8VAC20-780-510-I.

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

Rule 8VAC20-780-60-A.

Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings from the most recent inspection, conducted on 01/26/2021, were not posted. a. The findings from the 09/01/2020 were posted.”

Rule 8VAC20-820-120-E-2.