The YMCA of South Hampton Roads-Crestwood Elementary School

8VAC20-780-200-A

“Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center's operation.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child contained all of the required documentation. Evidence: 1. The record for child #1 did not contain documentation of verification of child's identity and age. 2. Staff confirmed that this information was not available during this inspection.”

8VAC20-780-60-A-8

“Based on record review and interview it was determined the center did not ensure that the record for each child with a diagnosed food allergy contained a written care plan, 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: 1. The record for child #6 and #7, both with documented food allergies, did not contain a written care plan. 2. The staff confirmed that there was not written care plan in the record for these children.”

8VAC20-780-280-B

“Based on observation an interview it was determined the center did not ensure that all 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. Evidence: 1. There was a spray bottle of Purell Sanitizing spray on a cart in the cafeteria where children were present. 2. Staff confirmed the Purell was accessible to children in care during this inspection.”

8VAC20-780-60-A-8

“Based on record review and interview it was determined the center did not ensure they had 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. Evidence: 1. Staff #1 reported that two children(# 6 and #7) in care have food allergies but they do not have written care plans. 2. The records for child #6 and #7 contained documentation of peanut allergies but did not contain written care plans.”

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that the record for each child enrolled contained all of the required information. Evidence: 1. The record for child #1 did not contain a home phone number for their mother and a work phone number for their father. 2. The record for child #4 did not contain a home phone number for their mother. 3. Staff confirmed child #1 and #4 were in care during this inspection.”

8VAC20-780-40-M

“Based on record review and interview it was determined the center did not maintain 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 is to be accessible to all staff who work with children, dated and kept confidential in each room or area where children are present. Evidence: 1. Staff #1 reported that two children(# 6 and #7) in care have food allergies but they do not have written list of this. 2. The records for child #6 and #7 contained documentation of peanut allergies but there was no list for staff at the center.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of cardiopulmonary resuscitation (CPR) certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of first aid certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

8VAC20-780-560-F

“Based on observation it was determined the center did not ensure that a one week menu of foods served is posted. Evidence: 1. There was no menu posted during this inspection. 2. Staff confirmed the menu was not posted.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not 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 record for child #3 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-200-A

“Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center's operation.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled had a record at the center that contained the required documentation. Evidence: 1. At the time of record review there was no record available for child #3(enrolled 9/6/22). 2. Staff confirmed that they did not have access to parent contact or any other information for child #3 during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined that the center did not ensure that all staff obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section at least every two years from the date of the first initial screening or testing. Evidence: 1. There was no updated TB screening in the record for staff #1. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-400-A

“Based on observation and interview it was determined all staff at the center did not interact with all of the children in care in a manner that provided help, comfort, and support. Evidence: 1. Shortly after children arrived to the program Staff #1 was observed telling a group of children to put their backpacks on the table. In the presence of the entire group of children in care staff #1 said ?I don?t know what it’s going to take for y?all to get it, everyone else has?. A few minutes later staff #1 was observed standing in front of a group of approximately 3-4 boys seated at a cafeteria table. Staff #1 was speaking in a raised, stern, voice tone that could be heard across the cafeteria by all the children in care. Staff #1 told the group of boys they were not allowed to go to the gym because they did not put their backpacks on the table. The other children in care had stopped their activities and were watching/listening to the interaction. The 3 children involved were visibly upset and tearful. 2. After staff #1 left the cafeteria child #5 asked to speak to this inspector and explained that staff #1 "is always rude with us and tries to get us in trouble every day". He stated that child #6 was crying because they were not able to go to the gym and staff #1 told him to ?stop crying?. 3. Child #4 reported that staff #1 ?snatched his Chromebook? from him. 4. Child #6 reported that he feels like staff #1 ?picks on him and tries to make him mad so he will get in trouble?. Child #6 further reported that when staff #1 was talking to them at the table before they left the cafeteria, they asked child #6 "are you smart?" when child #6 responded "yes, I am" then staff #1 said "if you were smart you would stop hanging out with child #4, #5, and #7". Two of the children were crying when sharing this information with this inspector. 5. Staff confirmed that staff #1 provokes this group of children daily.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: 1. The record for child #3 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of cardiopulmonary resuscitation (CPR) certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. within 90 days of employment. Evidence: 1. The record for staff #2(hired 2/17/22) did not contain documentation of first aid certification, as appropriate to the age of the children in care within 90 days of employment. 2. Staff confirmed this was not available during this inspection.”

8VAC20-780-560-F

“Based on observation it was determined the center did not ensure that a one week menu of foods served is posted. Evidence: 1. There was no menu posted during this inspection. 2. Staff confirmed the menu was not posted.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not 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 record for child #3 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-200-A

“Based on observation and interview it was determined the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. The staff onsite at this staff do not meet the qualifications of Program Director. 2. Staff reported the Program Director is not on site 50 % of the center's operation.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled had a record at the center that contained the required documentation. Evidence: 1. At the time of record review there was no record available for child #3(enrolled 9/6/22). 2. Staff confirmed that they did not have access to parent contact or any other information for child #3 during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined that the center did not ensure that all staff obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section at least every two years from the date of the first initial screening or testing. Evidence: 1. There was no updated TB screening in the record for staff #1. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-400-A

“Based on observation and interview it was determined all staff at the center did not interact with all of the children in care in a manner that provided help, comfort, and support. Evidence: 1. Shortly after children arrived to the program Staff #1 was observed telling a group of children to put their backpacks on the table. In the presence of the entire group of children in care staff #1 said ?I don?t know what it’s going to take for y?all to get it, everyone else has?. A few minutes later staff #1 was observed standing in front of a group of approximately 3-4 boys seated at a cafeteria table. Staff #1 was speaking in a raised, stern, voice tone that could be heard across the cafeteria by all the children in care. Staff #1 told the group of boys they were not allowed to go to the gym because they did not put their backpacks on the table. The other children in care had stopped their activities and were watching/listening to the interaction. The 3 children involved were visibly upset and tearful. 2. After staff #1 left the cafeteria child #5 asked to speak to this inspector and explained that staff #1 "is always rude with us and tries to get us in trouble every day". He stated that child #6 was crying because they were not able to go to the gym and staff #1 told him to ?stop crying?. 3. Child #4 reported that staff #1 ?snatched his Chromebook? from him. 4. Child #6 reported that he feels like staff #1 ?picks on him and tries to make him mad so he will get in trouble?. Child #6 further reported that when staff #1 was talking to them at the table before they left the cafeteria, they asked child #6 "are you smart?" when child #6 responded "yes, I am" then staff #1 said "if you were smart you would stop hanging out with child #4, #5, and #7". Two of the children were crying when sharing this information with this inspector. 5. Staff confirmed that staff #1 provokes this group of children daily.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: 1. The record for child #3 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in cardiopulmonary resuscitation. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in first aid. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record for staff #1 (hired 12/12/2018) did not contain documentation of completing the department's annual health and safety update. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-160-A

“Based on record review it was determined the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to employment dated no more than 30 days before date of emplyment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of TB screening. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-340-F

“Based on observation it was determined that the center did not ensure children are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: Inspector observed two children in the hallway walking from the gym to the cafeteria unsupervised and then from the cafeteria to the gym. The children confirmed that they were in the YMCA program when asked by this inspector.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

8VAC20-780-90-A

“Based on record review it was determined the center did not have the required signed parental agreements between the parent and the center in each child's record by the first day of the child's attendance. Evidence: 1. The records for child #1, #2, #3, #4, and #5 did not contain the required signed parental agreements. 2. Staff confirmed these record were not available during this inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required documentation. Evidence: 1. The records for staff #1 and #2 did not contain documentation of the qualifications for their positions. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not 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 record for child #1, #2, #3, #4, and #5 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: Evidence: 1. The record for child #1, #2, #3, #4, and #5 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that there was a separate record for each child enrolled which contained all of the required information. Evidence: 1. There was no record for child #4 at the site. 2. The records for child #1, #2, #3, and #5 did not contain the first date of attendance and proof of identification and age. 3. Staff confirmed these record were not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in cardiopulmonary resuscitation. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain certification in first aid. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record for staff #1 (hired 12/12/2018) did not contain documentation of completing the department's annual health and safety update. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-160-A

“Based on record review it was determined the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to employment dated no more than 30 days before date of emplyment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of TB screening. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-340-F

“Based on observation it was determined that the center did not ensure children are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: Inspector observed two children in the hallway walking from the gym to the cafeteria unsupervised and then from the cafeteria to the gym. The children confirmed that they were in the YMCA program when asked by this inspector.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure that each staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired 2/17/22) did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed this documentation as not available during this inspection.”

8VAC20-780-90-A

“Based on record review it was determined the center did not have the required signed parental agreements between the parent and the center in each child's record by the first day of the child's attendance. Evidence: 1. The records for child #1, #2, #3, #4, and #5 did not contain the required signed parental agreements. 2. Staff confirmed these record were not available during this inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required documentation. Evidence: 1. The records for staff #1 and #2 did not contain documentation of the qualifications for their positions. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not 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 record for child #1, #2, #3, #4, and #5 did not contain immunization documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician. Evidence: Evidence: 1. The record for child #1, #2, #3, #4, and #5 did not contain physical examination documentation. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that there was a separate record for each child enrolled which contained all of the required information. Evidence: 1. There was no record for child #4 at the site. 2. The records for child #1, #2, #3, and #5 did not contain the first date of attendance and proof of identification and age. 3. Staff confirmed these record were not available during this inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled has all of the required components in their record: Evidence: 1. The record for child #2 (first date of attendance 9/7/21) did not contain: -Name, address, phone number, place of employment and, work phone number for parent(s) -Name, address, and phone number for the two required emergency contacts -Name(s) of school or program previously attended or concurrently attending 2. Staff confirmed that this information was not available during the inspection.”

22.1-289.035-B-2

“Based on record review and interview it was determined the center did not ensure that each staff member submitted to fingerprinting as required. Evidence: 1. The record for staff #1 did not contain documentation of fingerprinting. 2. Staff confirmed that the documentation was not available during the inspection.”

8VAC20-780-160-A

“Based on record review and interview it was determined the center did not ensure staff submitted documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1. The record for staff #2(hired 9/27/21) did not contain documentation of a TB screening. 2. The record for staff #3(hired 11/4/21) did not contain documentation of a TB screening. 3. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 did not contain documentation of a central registry finding. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that each child enrolled has all of the required components in their record: Evidence: 1. The record for child #2 (first date of attendance 9/7/21) did not contain: -Name, address, phone number, place of employment and, work phone number for parent(s) -Name, address, and phone number for the two required emergency contacts -Name(s) of school or program previously attended or concurrently attending 2. Staff confirmed that this information was not available during the inspection.”

22.1-289.035-B-2

“Based on record review and interview it was determined the center did not ensure that each staff member submitted to fingerprinting as required. Evidence: 1. The record for staff #1 did not contain documentation of fingerprinting. 2. Staff confirmed that the documentation was not available during the inspection.”

8VAC20-780-160-A

“Based on record review and interview it was determined the center did not ensure staff submitted documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1. The record for staff #2(hired 9/27/21) did not contain documentation of a TB screening. 2. The record for staff #3(hired 11/4/21) did not contain documentation of a TB screening. 3. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 did not contain documentation of a central registry finding. 2. Staff confirmed that this documentation was not available during this inspection.”

22VAC40-185-140-A

“Based on record review and interview it was determined the center did not ensure each child had a physical examination by or under the direction of a physician within the required time frame. Evidence: 1. The records for child #2 and child #3 did not contain documentation of a physical exams. 2. Staff confirmed that there were no physical exam documents for child #2 and child #3 available during this inspection.”

22VAC40-185-130-A

“Based on record review and interview it was determined the center did not 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 immunization record available for child #3 at the time of the inspection. Child #3 was present during the inspection. 2. Staff confirmed that these records were not available”

22VAC40-185-60-A

“Based on record review and interview it was determined the center did not ensure that there was a record for each child enrolled at the center. Evidence: 1. There were no records available for child #2 and child #3 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available.”

22VAC40-185-140-A

“Based on record review and interview it was determined the center did not ensure each child had a physical examination by or under the direction of a physician within the required time frame. Evidence: 1. The records for child #2 and child #3 did not contain documentation of a physical exams. 2. Staff confirmed that there were no physical exam documents for child #2 and child #3 available during this inspection.”

22VAC40-185-130-A

“Based on record review and interview it was determined the center did not 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 immunization record available for child #3 at the time of the inspection. Child #3 was present during the inspection. 2. Staff confirmed that these records were not available”

22VAC40-185-60-A

“Based on record review and interview it was determined the center did not ensure that there was a record for each child enrolled at the center. Evidence: 1. There were no records available for child #2 and child #3 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available.”