The YMCA Of South Hampton Roads-B. M. Williams

8VAC20-780-350-B-4

“Based on observation and interview the center failed to ensure that required ratios are followed. Evidence: 1 - At approximately 4pm there were 29 children ages three to five years old with two staff where three are required. 2 - Staff #1 and #2 stated that they were aware that the group was out of ratio and that they needed another staff person.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain staff record as required. Evidence: 1 - There is not any documentation of name, address, verification of age requirement, job title, and date of employment or emergency contact for Staff #3. 2 - Staff #1 confirmed that there was any documentation for Staff #3 in the staff information binder. 3 - Staff #3 stated that he believed another staff member had his emergency contact information.”

8VAC20-780-40-M

“Based on observation, interview and document review the center failed to ensure that allergy information is maintained as required. Evidence: 1 - The written list of all children's allergies, sensitivities, and dietary restrictions is not dated. 2 - The written information did not include the allergy plans for any of the individuals listed. 3 - Staff #1 and #2 confirmed that the written list was not dated nor were the allergy plans available with the written information.”

8VAC20-780-550-D

“Based on record review and interview the center failed to implement a monthly practice evacuation drill. Evidence: 1 - There is not any documentation that an emergency evacuation drill was conducted in September 2023. 2 - Staff #1 confirmed that there was not documentation of an emergency evacuation drill documented for the month of September 2023.”

8VAC20-780-510-L

“Based on observation the center failed to ensure that medications are stored in a locked location. Evidence: 1 - There was medication stored in an unlocked the teacher cabinet. a. The cabinet remained unlocked during the entire inspection. b. The medication were stored on mid-level shelf inside the unlocked cabinet and accessible to children in care. c. The medications observed included: Avi-Q, Benadryl and antibiotic ointment.”

8VAC20-780-550-D

“Based on record review the center failed to implement a monthly practice evacuation drill. Evidence: There was not any documentation that a practice evacuation drill was conducted during the months of September or October.”

8VAC20-780-510-L

“Based on observation the center failed to ensure that medications are stored in a locked location. Evidence: 1 - There was medication stored in an unlocked the teacher cabinet. a. The cabinet remained unlocked during the entire inspection. b. The medication were stored on mid-level shelf inside the unlocked cabinet and accessible to children in care. c. The medications observed included: Avi-Q, Benadryl and antibiotic ointment.”

8VAC20-780-550-D

“Based on record review the center failed to implement a monthly practice evacuation drill. Evidence: There was not any documentation that a practice evacuation drill was conducted during the months of September or October.”

8VAC20-780-330-B

“Based on observation the center failed to maintain resilient surface as required. Evidence: 1 ? On the preschool playground there is less than six inches of resilient surface under around and into the fall/use zone of the rock wall and climb and slide equipment. 2 - Areas of grass/weeds are growing up through the surface which negates the resiliency of the surface.”

8VAC20-780-270-A

“Based on observation the center failed to maintain equipment in safe operable condition. Evidence: There is stationary bus shaped equipment on the preschool playground that has areas of splitting, rotting and deteriorating wood and peeling paint within reach of children.”

22.1-289.035-B-4

“Based on record review the center failed to ensure that background checks are obtained within required time frames. Evidence: 1 ? The record for staff 2 did not contain documentation of out-of-state background checks as required based on information provided by the staff on the sworn disclosure statement. a. Staff 2 has a documented date of hire as April 22, 2022. b. Staff 2 was present providing direct to care to children during the inspection.”

8VAC20-780-530-A

“Based on record review the center failed to ensure that at least one staff in each classroom or area where children are present has current CPR and First Aid. Evidence: 1 ? Five out of five staff records reviewed do not have documentation of current first aid or CPR. During the inspection there was not anyone present with current CPR or first Aid a. Staff 1 has documented date of hire as September 27, 2017. b. Staff 2 has a documented date of hire as April 22, 2022.”

8VAC20-780-350-C

“Based on observation the center failed to ensure that when children are in ongoing mixed age groups the ratio of the youngest child present will apply to the entire group. Evidence: 1 ? From approximately 2:30pm until approximately 3:00pm there were 51 children ages four through eight years old four staff. a. Upon arrival all children where in one room as one group with three of the four staff.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain require staff information at the center. Evidence: 1 ? There is not any documentation of age, job title, date of employment or emergency contact for staff 2, 3, or 4. 2 ? Staff 1 confirmed that the information was not present in the staff binder located at the center, for staff 2, 3 or 4. 3 ? Upon record review at the central location the record for staff 1 does not contain documentation of education. a. The record for staff 2 did not contain documentation of orientation. b. The record for staff 3 does not contain documentation of orientation. c. The record for staff 5 does not contain documentation of education and training for the documented position of program leader.”

8VAC20-780-80-A

“Based on observation and interview the center failed to maintain attendance as required. Evidence: 1 - There was not an attendance document available during the inspection. 2 ? Staff 1 stated that the attendance had not been completed as children arrived to care on this day.”

8VAC20-790-600-B

“Based on record review the center failed to ensure that preservice training is completed within the required time frame. Evidence: 1 ? The record for staff 4 and 5 did not contain documentation of completion of pre-service training within the required time frames. a. The record for staff 4 contains a documented date of hire as January 11, 2022. b. The record for staff 5 contains a documented date of hire as September 25, 2018.”

8VAC20-780-330-B

“Based on observation the center failed to maintain resilient surface as required. Evidence: 1 ? On the preschool playground there is less than six inches of resilient surface under around and into the fall/use zone of the rock wall and climb and slide equipment. 2 - Areas of grass/weeds are growing up through the surface which negates the resiliency of the surface.”

8VAC20-780-270-A

“Based on observation the center failed to maintain equipment in safe operable condition. Evidence: There is stationary bus shaped equipment on the preschool playground that has areas of splitting, rotting and deteriorating wood and peeling paint within reach of children.”

22.1-289.035-B-4

“Based on record review the center failed to ensure that background checks are obtained within required time frames. Evidence: 1 ? The record for staff 2 did not contain documentation of out-of-state background checks as required based on information provided by the staff on the sworn disclosure statement. a. Staff 2 has a documented date of hire as April 22, 2022. b. Staff 2 was present providing direct to care to children during the inspection.”

8VAC20-780-530-A

“Based on record review the center failed to ensure that at least one staff in each classroom or area where children are present has current CPR and First Aid. Evidence: 1 ? Five out of five staff records reviewed do not have documentation of current first aid or CPR. During the inspection there was not anyone present with current CPR or first Aid a. Staff 1 has documented date of hire as September 27, 2017. b. Staff 2 has a documented date of hire as April 22, 2022.”

8VAC20-780-350-C

“Based on observation the center failed to ensure that when children are in ongoing mixed age groups the ratio of the youngest child present will apply to the entire group. Evidence: 1 ? From approximately 2:30pm until approximately 3:00pm there were 51 children ages four through eight years old four staff. a. Upon arrival all children where in one room as one group with three of the four staff.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain require staff information at the center. Evidence: 1 ? There is not any documentation of age, job title, date of employment or emergency contact for staff 2, 3, or 4. 2 ? Staff 1 confirmed that the information was not present in the staff binder located at the center, for staff 2, 3 or 4. 3 ? Upon record review at the central location the record for staff 1 does not contain documentation of education. a. The record for staff 2 did not contain documentation of orientation. b. The record for staff 3 does not contain documentation of orientation. c. The record for staff 5 does not contain documentation of education and training for the documented position of program leader.”

8VAC20-780-80-A

“Based on observation and interview the center failed to maintain attendance as required. Evidence: 1 - There was not an attendance document available during the inspection. 2 ? Staff 1 stated that the attendance had not been completed as children arrived to care on this day.”

8VAC20-790-600-B

“Based on record review the center failed to ensure that preservice training is completed within the required time frame. Evidence: 1 ? The record for staff 4 and 5 did not contain documentation of completion of pre-service training within the required time frames. a. The record for staff 4 contains a documented date of hire as January 11, 2022. b. The record for staff 5 contains a documented date of hire as September 25, 2018.”

8VAC20-780-540-C

“Based on observation the center failed to ensure that the first aid kit contains the required items. Evidence: The first aid kit did not contain any triangular bandages.”

8VAC20-780-540-B

“Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: During the inspection the first aid kit was stored in an unlocked cabinet on the bottom shelf.”

8VAC20-780-540-E

“Based on observation and interview the center failed to ensure that the required emergency is present and in working order. Evidence: When asked to see the battery operated radio and flashlight staff 1 reported there was not a battery operated radio or flashlight available for review.”

8VAC20-780-510-L

“Based on observation the center failed to ensure that all medication is stored in a locked location. Evidence: There is medication stored and unlocked cabinet inside the first aid kit located on the bottom shelf of the unsecured cabinet.”

8VAC20-780-70

“Based on record review the center failed to ensure each staff records contains all required information. Evidence: 1 - The information provided for record review for staff 1, 2, 3 and 4 did not contain written information to demonstrate that she has the education or orientation training required by the job position. a. Staff 1 has a documented date of hire as September 15, 2021 b. Staff 2 has a documented date of hire as September 27, 2021 c. Staff 3 has a documented date of hire as September 11, 2018. d. Staff 4 does not have a documented date of hire. However, the Sworn Disclosure on file is dated June 1, 2020 e. Furthermore, staff 1 stated that she was "just thrown in here" and could provide any information of the qualifications and abilities of the staff working under her supervision. 2 - Additionally the information provided to review the record of staff did not contain the following required information; date of hire, emergency contact information, references are not signed. a. The Sworn Disclosure on file for staff 4 is dated June 1, 2020.”

8VAC20-780-60-A

“Based on record review the center failed to ensure that each child's record contains all required information. Evidence: 1 - There was not any information provided for record review for child 4. Child 4 was listed as present and in care on October 22, 2021. 2 - The information provided for record review for child 3 did not include documentation that proof of identity was reviewed.”

8VAC20-780-140-A

“Based on record review the center failed to ensure that each child has a physical report on file within the required time frames. Evidence: 1 - The information provided for record review for child 1 did not include documentation that a physical was completed. a. Child 1 has a documented first date of attendance as August 7, 2021.”

8VAC20-780-430-B

“Based on observation the center failed to ensure that materials and equipment available are age and stage appropriate for the children and there is an adequate supply as appropriate for each age group of arts and crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment, and manipulative equipment. 1 - The children were observed running around the tables in the room. They were yelling and screaming and fighting of one set of manipulatives and balloons. There was not any staff intervention or redirection to appropriate activities. There were no other activities visible. 2 - Staff 1 stated that she had not received and training in classroom management.”

8VAC20-780-280-D

“Based on observation the center failed to ensure that cleaning and sanitizing materials are stored in areas physically separate from utensils. Evidence: There are two re-useable water bottles stored next to cleaning and sanitizing materials on the bottom shelf of an unlocked cabinet.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that hazardous substances are kept in a locked place. Evidence: 1 - There are four bottles of chemicals stored on the bottom shelf of an unlocked cabinet. 2 - Staff 1 stated that she was not given keys to lock the cabinet.”

22VAC40-665-580-H

“Based on record review the vendor failed to ensure that staff who work directly with children shall annually attend the department's health and safety update course. Evidence: 1 - The records for staff 2,3 and 4 do not contain documentation of annual health and safety update course. a. Staff 2 has a documented date of hire as September 9, 2017. b. Staff 3 has a documented date of hire as September 11, 2018. c. Staff 4 has signed Sworn Statement that is dated June 1, 2020”

22VAC40-665-580-B

“Based on record review the vendor failed to ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1 - The record for staff 4 does not contain documentation of having completed the required preservice training. a. The record for staff 4 contains a Sworn Disclosure statement that is dated June 1, 2020.”

8VAC20-780-540-C

“Based on observation the center failed to ensure that the first aid kit contains the required items. Evidence: The first aid kit did not contain any triangular bandages.”

8VAC20-780-540-B

“Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: During the inspection the first aid kit was stored in an unlocked cabinet on the bottom shelf.”

8VAC20-780-540-E

“Based on observation and interview the center failed to ensure that the required emergency is present and in working order. Evidence: When asked to see the battery operated radio and flashlight staff 1 reported there was not a battery operated radio or flashlight available for review.”

8VAC20-780-510-L

“Based on observation the center failed to ensure that all medication is stored in a locked location. Evidence: There is medication stored and unlocked cabinet inside the first aid kit located on the bottom shelf of the unsecured cabinet.”

8VAC20-780-70

“Based on record review the center failed to ensure each staff records contains all required information. Evidence: 1 - The information provided for record review for staff 1, 2, 3 and 4 did not contain written information to demonstrate that she has the education or orientation training required by the job position. a. Staff 1 has a documented date of hire as September 15, 2021 b. Staff 2 has a documented date of hire as September 27, 2021 c. Staff 3 has a documented date of hire as September 11, 2018. d. Staff 4 does not have a documented date of hire. However, the Sworn Disclosure on file is dated June 1, 2020 e. Furthermore, staff 1 stated that she was "just thrown in here" and could provide any information of the qualifications and abilities of the staff working under her supervision. 2 - Additionally the information provided to review the record of staff did not contain the following required information; date of hire, emergency contact information, references are not signed. a. The Sworn Disclosure on file for staff 4 is dated June 1, 2020.”

8VAC20-780-60-A

“Based on record review the center failed to ensure that each child's record contains all required information. Evidence: 1 - There was not any information provided for record review for child 4. Child 4 was listed as present and in care on October 22, 2021. 2 - The information provided for record review for child 3 did not include documentation that proof of identity was reviewed.”

8VAC20-780-140-A

“Based on record review the center failed to ensure that each child has a physical report on file within the required time frames. Evidence: 1 - The information provided for record review for child 1 did not include documentation that a physical was completed. a. Child 1 has a documented first date of attendance as August 7, 2021.”

8VAC20-780-430-B

“Based on observation the center failed to ensure that materials and equipment available are age and stage appropriate for the children and there is an adequate supply as appropriate for each age group of arts and crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment, and manipulative equipment. 1 - The children were observed running around the tables in the room. They were yelling and screaming and fighting of one set of manipulatives and balloons. There was not any staff intervention or redirection to appropriate activities. There were no other activities visible. 2 - Staff 1 stated that she had not received and training in classroom management.”

8VAC20-780-280-D

“Based on observation the center failed to ensure that cleaning and sanitizing materials are stored in areas physically separate from utensils. Evidence: There are two re-useable water bottles stored next to cleaning and sanitizing materials on the bottom shelf of an unlocked cabinet.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that hazardous substances are kept in a locked place. Evidence: 1 - There are four bottles of chemicals stored on the bottom shelf of an unlocked cabinet. 2 - Staff 1 stated that she was not given keys to lock the cabinet.”

22VAC40-665-580-H

“Based on record review the vendor failed to ensure that staff who work directly with children shall annually attend the department's health and safety update course. Evidence: 1 - The records for staff 2,3 and 4 do not contain documentation of annual health and safety update course. a. Staff 2 has a documented date of hire as September 9, 2017. b. Staff 3 has a documented date of hire as September 11, 2018. c. Staff 4 has signed Sworn Statement that is dated June 1, 2020”

22VAC40-665-580-B

“Based on record review the vendor failed to ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1 - The record for staff 4 does not contain documentation of having completed the required preservice training. a. The record for staff 4 contains a Sworn Disclosure statement that is dated June 1, 2020.”