Youngs Men’s Christian Association of the Virginia Peninsulas- V

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7 hired 2 years ago did not have documentation of completing the training.”

Rule 8VAC20-780-240-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the Teen room, there were 2 school age/camp cabinets unlocked with cleaning solutions, rubbing alcohol, soap, borax, shaving cream and sanitizing wipes . Outside under the pavilion there was a closet that was unlocked with cleaners.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-L

“Medication, should be kept in a locked place using a safe locking method that prevents access by children. Child #2?s medication was on the check in desk not stored in a locked place. There were times no staff were at the checkout desk.”

Rule 8VAC20-780-510-L.

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts. There was no documentation provided during the inspection to confirm a lockdown drill was completed in 2025.”

Rule 8VAC20-780-550-H.

A written care plan 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 #2 did not have allergy action plan for a doctor diagnosed allergy.”

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

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 and Staff #7 updated screening was more than 2 years old have not yet been completed.”

Rule 8VAC20-780-160-C.

Repeat Violation The center is required to have employees undergo a background check every five years.

“The most recent central registry check provide by the center for staff #2 was overdue by one year and 6 months.”

Rule 22.1-289.035-A.

Repeat Violation

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 15 days ago.”

Rule 8VAC20-780-160-C.

Repeat Violation

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Record for Staff #1, does not have documentation of completing the course which is overdue by 1year and 11months months. Record for Staff #2 , does not have documentation of completing the course which is overdue by 4 years.”

Rule 8VAC20-780-240-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“The two staff present operating the morning program did not have daily health observation training.”

Rule 8VAC20-780-245-L.

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.

“In the teen room, there was a bucket on top of the cabinet with multiple hazardous substances and in cabinet unlocked there were multiple hazardous substances. The hazardous substances were labeled with Keep out of reach of children, Danger, Flammable, Caution and Warning .”

Rule 8VAC20-780-280-B.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented . This list shall be dated and kept confidential in each room or area where children are present.

“The center did not have the updated allergy list available in each area that the children were present. Center confirmed they did not post the most recent list for the school year . The list available was from Summer camp.”

Rule 8VAC20-780-40-M.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Children were observed not washing hands before snack.”

Rule 8VAC20-780-500-A.

Repeat

Rule 8VAC20-780-550-P.

Repeat Violation The center shall notify the parent by the end of the day of any known minor injuries.

“The center did not notify the parent that child#1had a minor injury.”

Rule 8VAC20-780-550-O.

Repeat Violations

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. There was not an injury report completed for child #1 on day of occurrence.”

Rule 8VAC20-780-550-P.

When staff supervise children, they always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

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

“On July 31, 2025, Child #1 and child #2 were not within actual sight and sound supervision of staff for approximately 20 minutes.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“The centers did not follow their policy for monitoring children’s arrivals and departure. The policy stated “All children must be accounted for in the program at all times. “ Child #1 and Child #2 were not accounted for in post camp.”

Rule 8VAC20-780-40-E.

The center shall notify the parent by the end of the day of any known minor injuries.

“The center confirmed the parent of child #1 was not notified of injury by the end of the day.”

Rule 8VAC20-780-550-O. From a complaint.

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

“The injury report did not have all required components completed on the day of occurence.”

Rule 8VAC20-780-550-P. From a complaint.

The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“The child #1 received outside medical treatment due to injury occurred at the center on June 30, 2025. The center did not report the outside medical treatment to the department.”

Rule 8VAC20-780-80-B-2. From a complaint.

Repeat Violation

“Current certification in first aid appropriate to the ages of children in care. Staff # 2 had adult first aid certification in record provided by center during inspection. The certification is not appropriate to ages of children in care.”

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

Repeat Violation

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 months, did not have documentation of requesting a sex offender registry check.”

Rule 22.1-289.035-B-4.

Repeat Violation

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 3 years ago. The updated screenings has not yet been completed.”

Rule 8VAC20-780-160-C.

After the first license, annual approval from the health department shall be provided for water supply, sewage disposal system; and food service, if applicable.

“The center was unable to provide documentation of annual health inspection for water supply and sewage disposal system.”

Rule 8VAC20-780-260-B.

Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“The written list provided of children’s allergies, sensitivities and dietary restriction was not dated.”

Rule 8VAC20-780-40-M.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills with all required information. Identify of the person conducting the drill; the date and time of the drill; the method used for notification of the drill; the number of staff participating; the number of children participating; any special conditions simulated; the time it took to complete the drill; problems encountered, if any; and for emergency evacuation drills only, weather conditions.

“The center was unable to determine if a shelter in place and lockdown drill was conducted in 2024. The drill chart provided would name the type of drill that would be conducted for the month with only one line of documentation. The staff was unable to determine if it was evacuation or shelter in place or lock down.”

Rule 8VAC20-780-550-G.

Repeat Violation

“Each center shall maintain and keep at the center a separate record for each child enrolled with all required documents and information. There was not documentation of proof identity was reviewed for Child #5. Child #5 has been enrolled for 7 months.”

Rule 8VAC20-780-60-A.

Repeat Violation

“Staff records shall be kept with all required documents. Staff #2 was hired two months ago. Staff #2 records did not have two references, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation training. Staff #5 was hired five years ago. Staff #5 record did not have documentation of two references. Staff #4 was hired 1 year ago. Staff #4 record did not have documentation of orientation completed.”

Rule 8VAC20-780-70.

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care shall be completed with in 90 days from hire.

“Staff #3 who has been activley working at the center for 7 months has not completed cardiopulmonary resuscitation (CPR).”

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

Current certification in first aid appropriate to the ages of children in care shall be completed with in 90 days from hire.

“Staff #3 who has been directly working with children at the center for 7 months has not completed first aid training.”

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

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #2 was overdue by five months. The most recent central registry check for staff #2 was overdue by eight months.”

Rule 22.1-289.035-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due 11 months ago.”

Rule 8VAC20-780-160-C.

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

“Staff #2 has been employed for 5 years and 8 months has not yet completed the course.”

Rule 8VAC20-780-240-A.

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

“Staff #4 did not have CPR training that included an in-person competency demonstration.”

Rule 8VAC20-780-530-A-1.

Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“There was not a emergency evacuation and shelter-in-place procedures or map posted conspicuous to staff and children.”

Rule 8VAC20-780-550-C.

Repeat violation

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The center did not have a record for Child #4 and Child #5 who attended the program on the date of the insepction.”

Rule 8VAC20-780-60-A.

Repeat violation

Rule 8VAC20-780-70.

Based on staff interview and documentation, the licensee did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: On June 26, 2024, during outdoor time staff were running after Child #1 (9 years old) through the neighborhood adjacent to the center. Staff #1 and Staff #2 confirmed they lost sight of child #1. The time amount was unable to be determined.”

Rule 8VAC20-780-340-F.

Based on record review and staff interview, the licensee did not ensure 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.

“Evidence: Staff #10 lived outside of Virginia in the past five years. Staff #10 lived in Texas. . The record for Staff #10 did not provide documentation of Texas Criminial record results.”

Rule 22.1-289.035-B-4.

Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.

“Evidence: Staff #8, Staff #5, Staff #10 did not have results in record of a negative TB test within 30 days prior from hire.”

Rule 8VAC20-780-160-A.

Based on observation and staff interview, the licensee did not ensure all areas and equipment of the center, outside, was maintained in a clean, safe and operable condition.

“Evidence: 1- There was multiple green picnic tables that were cracked, had sharp edges and pinching points . Pictures were taken and provided to the center. 2- Staff confirmed in one of the pavilion restroom light switch was broken . Staff uses a pen to turn on the light in the restroom. 3- A storage shed by the outdoor area is splintering and deteriorating wood is at the bottom of the shed. Children were observed passing the shed.”

Rule 8VAC20-780-270-A.

Based on observation and staff interview, the licensee did not ensure School age eligible up to 9 years- ratio 1:18.

“Evidence: Staff # 10 was with Group 8 and 9 . There was 1 staff with 22 children outside at the foam activity. Confirmed with Staff #10 the ratio. Staff # 5 was with Group 4 and 5. There was 1 staff with 25 children outside after the opening ceremonies. Confirmed with staff #5 the ratio. Staff #11 was with Group 10 and 11. There was 1 staff with 22 children in the gym on one side of the gym . Confirmed with Staff #11 the ratio.”

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

Based on observation and staff interview, the licensee did not ensure children 9 years through 12 years - ratio 1:20 (staff:children).

“Evidence: Staff #8 was with group 15 and 16. There was 1 staff with 23 children. Confirmed by staff #8. Staff #2 was with group 13 and 14. There was 1 staff with 22 children. Confirmed by staff #2.”

Rule 8VAC20-780-350-B-6.

Based on staff interview, the licensee did not ensure the center maintain current written list of all , children’s allergies, sensitivities, and dietary restrictions in a way that is accessible to all staff who work with children. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: During the inspection, the staff who were outside confirmed they did not have a written list of children’s allergies, sensitivities, and dietary restrictions in a way that is accessible to staff who work with children. In the gym the children’s allergies, sensitivities, and dietary restrictions list was posted on the wall dated March 2024.”

Rule 8VAC20-780-40-M.

Based on observation, the licensee did not ensure insect repeelent was inaccessible to children.

“Evidence : The insect repellant was sitting on the parent drop off table. Chidren were walking pass the table with the insect spray.”

Rule 8VAC20-780-520-D.

Based on record review the licensee did not ensure center maintain and keep a seperate record for each child enrolled and obtain all required information.

“Evidence: Records were requested for 10 children. No records were provided to confirm all required information/ documentation was obtained.”

Rule 8VAC20-780-60-A.

Based on record review the licensee did not ensure all staff record contained all required documentation.

“Evidence: Staff #1, Staff #2 , Staff #3, Staff #4, Staff #5, Staff #6 , Staff #7, Staff #8, Staff #10, and Staff #11 did not have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required, first aid, cardiopulmonary resuscitation, and other certifications as required by the responsibilities held by the staff member.”

Rule 8VAC20-780-70.

Based on record review, the licensee did not ensure for each group of children, the center maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: There were staff that did not have daily attendance document for there group and they were waiting for a person to provide them with the document. Documentation of arrival and depature was unable to be completed while it occurs for each child for each group.”

Rule 8VAC20-780-80-A.

Based on record review and staff interview, the licensee did not ensure staff had a central registry finding withins 30 days of employment or volunteer services.

“Evidence: Staff #3 hire date 09/26/2023. Staff #3 did not have documentation of the results with in 30 days of employment. The center documentation of follow up of results was 11/17/2023.”

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

Based on record review and staff interview, the licensee did not ensure fire inspections were completed annually.

“Evidence: The most recent fire inspection was 08/12/2022.”

Rule 8VAC20-780-260-A.

Based on record review and staff interview, the licensee did not ensure there was a health inspection completed annually.

“Evidence: The most recent health inspection was August 2022.”

Rule 8VAC20-780-260-B.

Based on observation and staff interview, the licensee did not have sheter in place procedures or maps posted in a location conspicuous to staff and children.

“Evidence: There was not shelter in place procedure or map posted in conspicous area in facility on the day of the inspection.”

Rule 8VAC20-780-550-C.

Based on record review and staff interview, the licensee did not ensure 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.

“Evidence: Staff #2 lived outside of Virginia in the past five years. Staff #2 lived in Alaska. Staff #2 hire date was 05/22/2023. Staff #1 and Staff #3 confirmed they were not able to provide documentation of Alaska Central Registry results.”

Rule 22.1-289.035-B-4.

Based on observation and staff interview, the licensee did not ensure children under 10 years of age is always within actual sight and sound supervision of staff, except staff need to only be able to hear a child who is using restroom.

“Evidence: During the tour of the facility, a 8 year old child left the gym and walked to the bathroom. Confirmed by Staff #1 that there was not a staff in actual sight and sound supervision of the 8 year old child.”

Rule 8VAC20-780-340-F.

Based on observation and staff interview, the licensee did not ensure individual space for wach child’s personal belongings.

“Evidence: In the teen room/ mulit purpose space , the children belongings were stack on top of each other in a pile. There was designated indvidual space in the room but it was not being used. Picture was taken and provided with the inspection documents.”

Rule 8VAC20-780-430-K.

Based on observation and staff interview, the licensee did not ensure children would not be drinking or eating while walking around.

“Evidence: There were multiple children outside walking around eating popsicles at the pavilion area and around the pavilion area.”

Rule 8VAC20-780-560-M.

Based on record review, the licensee did not ensure out of state criminal history name check required for non-NFF states were completed with reults prior to the 1st day of employment.

“Evidence: Staff #4 first date of emplyment 05/26/2023. Staff #4 lives outside of VA in past 5 years. Staff $4 record did not contain results of the out state criminal background prior to emplyment.”

Rule 22.1-289.035-B-4.

Based on record review, the licensee did not ensure the center obtain documentation that each child has recieved immunization prior to first day.

“Evidence: Child #6 did not have a immunization record prior to start date.”

Rule 8VAC20-780-130-A.

Based on record review and staff interview, the licensee did not ensure the tuberculosis documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence : Staff #5 tuberculosis documentation results were from 4/10/2022. Staff #5 hire date 5/29/2023. Staff #6 did not have a tuberculosis within the last 30 calendar days of the date of employment . Staff #6 hire date 05/26/2023. Staff #8 did not have a tuberculosis within the last 30 calendar days of the date of employment. Staff #8 hire date 05/30/2023.”

Rule 8VAC20-780-160-A.

Based on observation, the licensee did not ensure the allergy list is dated.

“Evidence : Staff #11 confirmed the allergy list was not dated. The allergy listed in the rooms do not have a date.”

Rule 8VAC20-780-40-M.

Based on observation and staff interview, the licensee did not ensure provision be place for each child’s personal belongings.

“Evidence: The children did not have individual space for personal belongings. The children backpacks were touching each other against the wall in the gym.”

Rule 8VAC20-780-430-K.

Based on record review, the licensee did not ensure the center adminster prescription medication with authorization.

“Evidence: Medication was given to child #1 on 6/20/2023. The center was unable to provide the medication authorization form.”

Rule 8VAC20-780-510-I.

Based on record review and staff interview, the licensee did not ensure written care plan 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.

“Evidence: Child #1 had doctor diagnosed allery but there was not documentaiton of the allergy action plan in child’s record. Confirmed with staff.”

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

Based on observation and staff interview, the licensee did not ensure the hazordous substances were kept locked using a safe locking method prevents access by children.

“Evidence : In the classroom the children were particpate in a arts and craft activiity there was chemical on counter by the sink and in the cabinet under the sink. Confirmed by staff.”

Rule 8VAC20-780-280-B.

Based on observation and staff interview, the licensee did not ensure the center follow medication policy to prevent use of outdated medication.

“Evidence: The emergency medication for child #1 expired 10/2022. The center medication policy is to give parent expired medication with in 14 days of expiration. The center confirmed the medication policy was not followed.”

Rule 8VAC20-780-510-E.

Based on record review and staff interview, the licensee did not ensure the staff records kept each staff did not contain documentation to demonstrate that the individual possesses , certification, and experience required by the job position, and orientation.

“Evidence: The center was unable to provide the following certifications during the inspection on November 23, 2022. Staff #1 record was missing CPR and First Aid and Va Preservice training certificates. Staff #2 and Staff #3 record was missing CPR and First Aid certifications. There was not a certificate for Daily Health Observation available to review during the inspection.”

Rule 8VAC20-780-70.

Based on recorrd review, the licensee did not ensure the documentation have been completed with the last 30 days of employment .

“Evidence : Staff #3 ( hire date 05/25/2022) and Staff #5 (hire date 06 /13/2022 ) TB test were completed more than 30 days before employed. The TB teste were completed in March 2022.”

Rule 8VAC20-780-160-A-2.

Based on observation, the center did not ensure provision was made for an individual place for each child’s personal belongings.

“Evidence The children’s jackets, lunch bags and back packs were gathered on picnic tables and on the ground through out camp. There was not an individual place for each child’s belongings. Confirmed by the Director.”

Rule 8VAC20-780-430-K.

Based on record review and staff interview, the licensee did not ensure for each group of children , the center mainted a written record of daily attendance that documents arrival and departutre of each child in care as it occurs.

“Evidence: During the inspection, 1 of the 2 groups in the Youth Watch room did not have daily attendance taken upon arrival and departure times. Confirmed with the director.”

Rule 8VAC20-780-80-A.

Based on interviews, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Based on interviews, the licensee did not ensure that children under the age of 10 years are in sight and sound supervision of staff.

“Evidence: 1. On September 2, 2021, Child #1 (five years old) was out of sight and sound supervision from approximately 5:40pm-6:00pm. 2. Child #1 left the outdoor play area and was located by a citizen approximately 0.5 miles away on Hampton Highway.”

Rule 8VAC20-780-340-F.