Young Men’s Christian Association of South Hampton Roads-James L

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by four months.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5 has a central registry check from one state that is older than five years by four months.”

Rule 22.1-289.035-B-4.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have sufficient resilient surfacing in the fall zones under and around the equipment. The mulch measured 3” depth under the monkey bars and less than 1” depth at the foot of the slide. There should be at least 6” depth of mulch in these areas.”

Rule 8VAC20-780-330-B.

8VAC20-780-550-P

Rule 8VAC20-780-550-P.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 1 month ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-A

“(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #3, who is working with children, has not yet completed this course which is overdue by 2 years.”

Rule 8VAC20-780-240-A.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. An evacuation drill was not conducted in August 2024.”

Rule 8VAC20-780-550-D.

Repeat Violation

“Based on review and interview, facility did not ensure there is a completed central registry search dated within 30 days of beginning employment. Evidence: The records for staff #1 (start date 5/23/2023) and staff #2 (start date 5/23/2023) did not have a completed central registry search. Site Director confirmed the results letter could not be located.”

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

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

“Evidence: The tablet used for maintaining attendance of children was not operable during inspection. The written attendance log documented 7 children present when 8 children were observed present.”

Rule 8VAC20-780-80-A.

Based on review, facility did not ensure required background check is completed within 30 days of employment.

“Evidence: The record for staff #1 (start date 5/23/2023) did not have a completed central registry search.”

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

Based on review, facility did not ensure 1 of 4 staff complete required orientation training within 90 calendar days of employment.

“Evidence: The record for staff #1 (start date 5/23/2023) did not have documentation of completing the Virginia Department of Education-sponsored orientation course. Staff confirmed the training has not been completed.”

Rule 8VAC20-780-240-A.

Based on review and interview, facility did not ensure required out of state background checks are completed when a staff member has lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #4 (start date 10/3/2022) had documentation of living outside the state of Virginia within the past 5 years and there was not a completed child abuse and neglect registry for that state. Director confirmed a incorrect search request was submitted.”

Rule 22.1-289.035-B-4.

Based on observation, facility did not ensure there is required resilient surfacing in fall zones under around play equipment with climbing and/or moving parts.

“Evidence: There was approximately 2? of mulch depth under and beside the large piece of composite play equipment on the outside playground.”

Rule 8VAC20-780-330-B.

Based on review and interview, facility did not ensure there is a current written list of all children’s allergies, sensitives, and dietary restrictions kept confidential in each room or area where children are present.

“Evidence: The record for child #2 had documentation of a food allergy on the physical examination. Staff reported they did not have a written list of children’s food allergies and dietary restrictions available in each room or area.”

Rule 8VAC20-780-40-M.

Based on review, facility did not ensure 2 of 3 children’s records have documentation of required information.

“Evidence: The following was found during review of children’s records: 1. The record for child #1 (start date June 27, 2022) did not have parents? employment information. 2. The record for child #3 (start date June 27, 2022) did not have parents? employment information and a second emergency contact other than parent.”

Rule 8VAC20-780-60-A.

Based on interview, facility did not ensure there is a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children.

“Evidence: Staff reported they did not have attendance documentation for each group of children showing the children present.”

Rule 8VAC20-780-80-A.