The YMCA Of South Hampton Roads - Deep Creek Central

8VAC20-780-160-C

“Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening. Staff 1's updated TB screening was completed five months after it was due.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. At the time of the inspection, there were 71 children in care, ages 5 years to 11 years, with 3 staff from approximately 3:00pm until 3:35pm. The required ratio for 5-year old's is 1 staff per 18 children. The number and ages of the children required 4 staff to be present.”

8VAC20-780-510-E

“Repeat Violation The center's procedures for administering medication shall include duration of the parent's authorization. Long-term prescription drug use may be allowed with written authorization from the child's physician and parent. There is an emergency medication being stored at the center for child 1. There is no written authorization from the parent to adminster the medication.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 2 (employed for over 2 years) and staff 3 (employed for 5 months) do not have documentation of current CPR certification.”

8VAC20-790-600-D-2

“All staff shall have current certification in first aid appropriate to the ages of children in care. Staff 2 (employed for over 2 years) and staff 3 (employed for 5 months) do not have documentation of current first aid certification.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include duration of hte parent's authorization. Long-term prescription drug use may be allowed with written authorization from the child's physician and parent. There is an emergency medication being stored at the center for child 2. There is no written authorization from the parent to adminster the medication.”

8VAC20-780-160-C

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

8VAC20-780-70

“Staff records shall contain all of the required elements. The name, address and telephone number of a person to be notified in an emergency was not on file at the site for staff 1. Staff 1 was working at the site during the inspection.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name. Medication for child 2 was onsite, but was not labeled with the child's name.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. At the time of the inspection, there were 61 children in care, ages 5 years to 11 years, with 3 staff. The required ratio for 5-year old's is 1 staff per 18 children. The number and ages of the children required 4 staff to be present.”

8VAC20-780-200-A

“A qualified program director shall regularly be on site at least 50 percent of the center's hours of operation. The qualified program director for the center is not on-site at least 50 percent of the center's hours of operation.”

8VAC20-780-240-A

“Staff are to complete the VDOE-sponsored orientation course within 90 calendar days of employment. Staff 1 has not yet completed this course, which is overdue by eight months.”

22.1-289.035-A

“Based on record review and interview, the center did not ensure that the results of a fingerprint based background check are obtained at least every five years for all staff. Evidence: 1. The most recent fingerprint based background check for staff 1 is dated 9/20/18. Staff 1 was due for an updated fingerprint based background check in September 2023. 2. Center administration confirmed that the fingerprint based background check for staff 1 is expired.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 1 (date of hire: 10/3/22) has a documented position title of program leader. The record for staff 1 does not contain the documentation to demonstrate that she possesses the experience required by the job position. 2. The record for staff 2 (date of hire: 6/7/21) has a documented position title of program leader. The record for staff 2 does not contain the documentation to demonstrate that he possesses the education required by the job position. Also, the name, address and telephone number of a person to be notified in an emergency was not available at the site for staff 2. 3. Administrative staff confirmed that the above items are missing from the records for staff 1 and staff 2.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff 1 (date of hire: 10/3/22) and staff 2 (date of hire: 6/7/21) do not contain documentation that the Virginia Department of Education-sponsored orientation course has been completed. 2. Center administration confirmed that the records for staff 1 and staff 2 are lacking documentation that the required VDOE orientation training course has been completed within the required timeframe.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Heath have been received before the child can attend the center. Evidence: 1. The record for child 1 (date of enrollment: 9/16/22) does not contain documentation of immunizations. 2. Staff 3 confirmed that the record for child 1 is lacking documentation of immunizations.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children and shall have been completed within the last 30 calendar days of employment. Evidence: 1. The record for staff 3 (date of employment: 9/28/22) does not contain documentation of a negative tuberculosis screening. Staff 3 was working with children on the date of the inspection. 2. Center administration confirmed that staff 3 was working without documentation of a negative tuberculosis screening.”

22.1-289.035-A

“Based on record review and interview, the center did not ensure that all employees hired prior to January 22, 2018 have a completed fingerprint based national criminal history record check by September 30, 2018. Evidence: 1. The record for staff 1 (date of hire: 9/22/14) does not contain documentation of a completed fingerprint based national criminal history record check. There was a completed Virginia criminal record check dated 9/22/16. a. Staff 1 stated that she completed the fingerprint based national criminal history record check in 2018 but that the results of the search were missing from her staff record. 2. The most recent documented central registry search result for staff 1 is dated 8/21/15. Staff 1 was due for an updated central registry search in August 2020. 3. Center administration confirmed that the record for staff 1 is lacking the results of a fingerprint based national criminal history record check and an updated central registry search.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. Staff 2 (date of hire: 10/23/19) has a documented position title of program director. The record for staff 2 does not contain the documentation to demonstrate that she possesses the education required by the job position. 2. Staff 3 (date of hire: 9/28/22) has a documented position title of program leader. The record for staff 2 does not contain the documentation to demonstrate that she possesses the experience required by the job position. 2. Center administration confirmed that the record for staff 2 is lacking documentation that she possesses the education required for the job position of program director and that the record for staff 3 is lacking documentation that she possessed the experience required for the job position of program leader.”

8VAC20-780-160-C

“Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent documented tuberculosis test or screening for staff 2 (date of hire: 10/23/19) is dated 6/13/20. Staff 2 was due for an updated tuberculosis screening in June 2022. 2. Center administration confirmed that the tuberculosis screening for staff 2 is expired.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 9/6/22) does not contain the name, home address and home phone number of each parent who has custody; the work phone number and place of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency when a parent cannot be reached; and, previous child day care and schools attended by the child. 2. Staff 4 confirmed that the record for child 1 is lacking the above information.”