THE YMCA OF SOUTH HAMPTON ROADS - JAMES MONROE ELEMENTARY

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 10 days ago. The screening had not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

“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 record for Child #1, enrolled for more than 8 months, was missing the following required components: the name, address and phone number of two emergency contacts, previous daycare and schools attended by child.”

Rule 8VAC20-780-60-A.

8VAC20-780-90-A

“A signed, written agreement between the parent and the center regarding emergency care, pick up due to illness, and notification of communicable disease shall be in each child’s record by the first day of the child’s attendance. The agreement in the record for Child 1 was not signed.”

Rule 8VAC20-780-90-A.

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications, was alone with a group of school age children for approximately 15 minutes.”

Rule 8VAC20-780-340-D.

8VAC20-780-350-B-5

“The required ratio for children school age eligible up to 9 years is one staff per 18 children. Staff #1 was observed alone, supervising 32 children (youngest child 5 years old) for approximately 15 minutes.”

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

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for more than 3 months, was missing the following required components: the name, address and phone number of two emergency contacts, previous daycare and schools attended by child, and the required signed written agreements between the parent and the center.”

Rule 8VAC20-780-60-A.

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation drills that includes the identity of the person conducting the drill. The drill log for August 2024 through May 2025 did not contain the identity of the person conducting the drills.”

Rule 8VAC20-780-550-G.

8VAC20-780-560-F

“When centers choose to provide meals or snacks, the menu shall be for the current week. The posted menu was dated was not dated for the current week of May 19th-23rd. The menu was dated March 2025, 7 weeks ago.”

Rule 8VAC20-780-560-F.

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #4 did not have current certification in CPR. The certification expired twelve months ago.”

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

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in first aid appropriate to the ages of children in care. Evidence: Staff #4 did not have current certification in First Aid. The certification expired twelve months ago.”

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

8VAC20-780-130-A

“Repeat Violation Based on record review and interviews, it was determined the facility did not ensure that documentation was obtained confirming that each child in care had received immunizations as required by the State Board of Health before the child attends the center. Evidence: 1.The record for child #6 and child #7 did not contain documentation of immunizations. 2.Staff #2 confirmed the information was not in the record.”

Rule 8VAC20-780-130-A.

8VAC20-780-160-C

“Based on a record review, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. An updated TB screening for staff #1 was not completed and was overdue by two months. 2. An updated TB screening for staff #2 was not completed and was overdue by 6 days.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

“Repeat Violation Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #6 and child #7 did not contain the physicians name and phone number. 2.The record for child #6 and child #7 did not contain documentation that proof of identity was viewed. 3. Staff #2 confirmed the information was not at the center.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

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

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

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

8VAC20-780-540-E

“Repeat Violation Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building. Evidence: 1. The battery-operated radio was missing batteries and did not work. 2.Staff #1 confirmed the radio was not working.”

Rule 8VAC20-780-540-E.

Repeat Violation Based on record review and interviews, it was determined the center did not maintain and keep at the center a separate record for each child enrolled with all required information. Evidence: 1.There was no record available at the center for child #2. a.This child was present and in care during the inspection. b.Staff #1 confirmed there was no record for child #2.

“2.The record for child #5 did not contain the date of enrollment. a.Staff #1 confirmed the date enrollment was not documented.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on observation and interview, it was determined that the center did not ensure that the name, address, and telephone number of a person to be notified in an emergency was kept at the center for each staff member. Evidence: 1.During the inspection, staff were unable to provided documentation of emergency contacts for staff members.”

Rule 8VAC20-780-70.

22.1-289.011-F

“Based upon observation and staff interview, the facility has not ensured that the most recent inspection of the facility is posted in a conspicuous place on the licensed premises. Evidence: 1. Documentation of the most recent inspection was not posted. 2. Staff 1 acknowledged that the parent information board with the most recent inspection was not set up.”

Rule 22.1-289.011-F.

8VAC20-780-130-A

“Based upon review of children’s records, the facility has not ensured that they have obtained documentation that each child has received the required immunizations. Evidence: The five children’s records reviewed did not include documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based upon review of children’s records, the facility has not ensured that each child’s record includes documentation that the child has had a physical examination by or under the direction of a physician. Evidence: None of the five children’s records reviewed included documentation of physical examinations.”

Rule 8VAC20-780-140-A.

8VAC20-780-245-L

“Based upon review of the records for the two staff on duty during the inspection, the facility has not ensured that there is always at least one staff member on duty who has obtained within the last three years, instruction on performing the daily health observation of children. Evidence: Neither of the records for staff 1 and staff 2, on duty during the inspection, included documentation that either staff obtained training in daily health observation of children.”

Rule 8VAC20-780-245-L.

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. There were 2 spray bottles of germicidal agent on a counter by the kitchen and 3 containers of hand sanitizer on the tables throughout the cafeteria area. All containers included warning labels.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-D

“Based upon observation and staff interview, the facility has not ensured that the license is posted in a place conspicuous to the public. Evidence: 1. The facility’s license was not posted. 2. Staff 1 acknowledged that the parent board that included the facility license was not set up.”

Rule 8VAC20-780-40-D.

8VAC20-780-540-C

“Based upon review of the first aid kit, the facility has not ensured that the first aid kit includes all required supplies. Evidence: The first aid kit did not include adhesive tape.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-D

“Based upon review of records and staff interview, the facility has not ensured that monthly practice evacuation drills are implemented. Evidence: 1. There were no evacuation drills documented for March, April and May of 2023. 2. Staff 1 acknowledged that no drills were conducted in the listed months.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based upon review of records and staff interview, the facility has not ensured that shelter-in-place drills are practiced twice per year. Evidence: 1. There were no shelter-in-place drills documented for the past year. 2. Staff 1 acknowledged that there was no record of shelter-in-place drills during the past year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based upon review of records and staff interview, the facility has not ensured that lockdown drills are practiced at least annually. Evidence: 1. There was no lockdown drill documented during the past year. 2. Staff 1 acknowledged that there was no lockdown drill documented in the past year.”

Rule 8VAC20-780-550-F.

8VAC20-780-560-F

“Based upon observation and staff interview, the facility has not ensured that there is a menu posted for the current week. Evidence: 1. There was no menu posted. 2. Staff 1 acknowledged that they did not have a menu for the current week, thus it was no posted.”

Rule 8VAC20-780-560-F.

8VAC20-780-60-A

“Based upon review of children’s records, the facility has not ensured that the record for each enrolled child contains the required information. Evidence: 1. The records for child 2, child 3, child 4 and child 5 do not include the names, addresses and telephone numbers for two persons to be contacted in an emergency when the parents cannot be reached. 2. The record for child 5 does not include the required parent agreements.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based upon review of records, the facility has not ensured that staff records include documentation of how the staff person meets the requirement of the position. Evidence: The documentation of program director qualifications for staff 1 does not substantiate program director qualifications in that the transcripts did not include the required semester hours nor was there documentation of a management course or management training.”

Rule 8VAC20-780-70.

Based on record review and interview, the facility 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. The immunization record for child 1, enrollment date 09/08/2021, lacked documentation of all required immunizations for a school age child. a. The physician indicated on the immunization record that child 1 was inadequately immunized. 2. The program director confirmed this as the only immunization record on file for child 1.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the facility 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 1, staff 2 and staff 3 obtained 2 hours of training for 2021. 16 hours are required annually. 2. The program director confirmed that staff 1, staff 2 and staff 3 failed to obtain the required 16 hours of annual training for 2021.”

Rule 8VAC20-780-245-A.

Based on observation, the facility failed to ensure there was one working, battery-operated radio in each building used by children.

“Evidence: The battery operated was not working during the virtual inspection on 02/15/2022.”

Rule 8VAC20-780-540-E.

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

“Evidence: 1. The enrollment record for child 1 lacked the work phone number and place of employment of each parent. 2. The enrollment record for child 2 lacked an address for the two designated emergency contacts. 3. The program director confirmed this information was not on file.”

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.

“Evidence: 1. The findings from the most recent inspection were not posted on the parent board.”

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