The YMCA of South Hampton Roads - Georgetown Primary

8VAC20-780-350-B-5

“The staff-to-children ratio for school age eligible up to 9 years of 1:18 are required whenever children are in care. There were 37 children ages 6 to 8 years old on the playground with 2 staff. The ages and number of children present required an additional staff person.”

8VAC20-780-350-G

“Staff shall be counted in the required staff-to-children ratios only when they are directly supervising children. One of two staff required to supervise 37 school age children was observed sitting on bench with her attention in a book and not directly supervising children until she was told to get up and join the children on the playground.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record for Child #2 did not contain any documentation of a physical examination. However, the documented first date of attendance is 9/1/2025.”

8VAC20-780-200-A

“The center shall 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. There was not a program director qualified staff present during the inspection. Staff present reported that the program qualified staff is present once per week for a couple hours.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #2 did not contain any immunization documentation.”

8VAC20-780-60-A

“Each center shall maintain a record for each child enrolled and contain all required information. The record for Child #1 did not contain the center’s enrollment form which is used to document the required enrollment information.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record for Child #2 did not contain any documentation of a physical examination. However, the documented first date of attendance is 9/1/2025.”

8VAC20-780-200-A

“The center shall 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. There was not a program director qualified staff present during the inspection. Staff present reported that the program qualified staff is present once per week for a couple hours.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #2 did not contain any immunization documentation.”

8VAC20-780-60-A

“Each center shall maintain a record for each child enrolled and contain all required information. The record for Child #1 did not contain the center’s enrollment form which is used to document the required enrollment information.”

8VAC20-780-70

“Staff records shall be kept and include documentation that two or more references as to character and reputation as well as competency were checked before employment. Two out of four records reviewed did not have all the required documentation for references.”

8VAC20-780-340-B

“During the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. Upon arrival no staff present was designated as being in charge of the program.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. 24 children, ages 5 ? 10 years old were in care with one staff for 5 to 7 minutes. The ages and number of children present required additional staff be present”

8VAC20-780-430-J

“Provision shall be made for an individual place for each child's personal belongings. 3 out of 4 groups of children were not provided Individual space for their belongings. Children’s belongings were piled on tables and on top each other.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present. The current allergy plan in the center is not dated.”

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their records. Two out of four records requested were not made available for inspection.”

8VAC20-780-70

“Staff records shall be kept and include documentation that two or more references as to character and reputation as well as competency were checked before employment. Two out of four records reviewed did not have all the required documentation for references.”

8VAC20-780-340-B

“During the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. Upon arrival no staff present was designated as being in charge of the program.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. 24 children, ages 5 ? 10 years old were in care with one staff for 5 to 7 minutes. The ages and number of children present required additional staff be present”

8VAC20-780-430-J

“Provision shall be made for an individual place for each child's personal belongings. 3 out of 4 groups of children were not provided Individual space for their belongings. Children’s belongings were piled on tables and on top each other.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present. The current allergy plan in the center is not dated.”

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their records. Two out of four records requested were not made available for inspection.”

8VAC20-780-240-A

“Based on record review and interview the center failed to ensure that staff complete required department training within 90 days of employment. Evidence: 1 - The record for Staff #3 did not contain any documentation that the required department training had been completed. 2 - Staff #6 confirmed that the documentation of having completed the departments required training was not present in the record of Staff #3 during the central record review.”

8VAC20-780-360-A

“Based on observation the center failed to provide age and stage appropriate activities for all age groups. 1 - From 3:30pm through 4:45pm there were not any organized activities available for children in grades first through fourth. 2 - Staff #1 stated that it was difficult to provide activities with such a large group of children.”

8VAC20-780-160-A

“Based on record review and interview the center failed to obtain documentation of a negative tuberculosis screening within required time frames. Evidence: 1 - The record for Staff #5 did not contain documentation of a tuberculosis screening 2 - Staff #5 was present providing direct to children during the inspection. 3 - Staff #6 confirmed there was not documentation of tuberculosis screening in the record for Staff #5 in the central records.”

8VAC20-780-340-A

“Based on observation when supervising children the center failed to ensure their care, protection and guidance. Evidence: 1 - Staff did not intervene when on multiple occasions between 3:30pm and 5pm children engaged in unsafe activities including hitting and pushing each other, swinging arms and backpacks at each other, climbing on chairs and chasing each other around the cafeteria tables. a.Staff only intervened when instructed to do so.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain staff records as required. Evidence: 1 - There was not any onsite record for Staff #1 or #2. Both staff present providing direct care to children during the inspection. 2 - Additionally, the record for Staff #2, #4 and #5 did not contain documentation of date of hire. 3 - Staff #6 confirmed that this information was not documented in records at the central location. 4 Staff #1 confirmed that emergency contact information was not available onsite as required.”

8VAC20-780-140-A

“Based on record review and interview the center failed to obtain documentation of a physical examination as required. Evidence: 1 - The digital record of Child #1 did not contain documentation of physical examination. 2 - Staff #1 confirmed that the digital record of Child #1 did not contain documentation of a physical examination.”

8VAC20-780-130-A

“Based on record review the center failed to obtain documentation that each child has received the required immunizations. Evidence: 1 - The record for Child #1 does not contain documentation that all required immunizations were obtained as only page two of a two page document was visible in the digital record. 2 - Staff #1 confirmed that only page 2 was of a 2 page document was available in the digital record.”

8VAC20-780-240-A

“Based on record review and interview the center failed to ensure that staff complete required department training within 90 days of employment. Evidence: 1 - The record for Staff #3 did not contain any documentation that the required department training had been completed. 2 - Staff #6 confirmed that the documentation of having completed the departments required training was not present in the record of Staff #3 during the central record review.”

8VAC20-780-360-A

“Based on observation the center failed to provide age and stage appropriate activities for all age groups. 1 - From 3:30pm through 4:45pm there were not any organized activities available for children in grades first through fourth. 2 - Staff #1 stated that it was difficult to provide activities with such a large group of children.”

8VAC20-780-160-A

“Based on record review and interview the center failed to obtain documentation of a negative tuberculosis screening within required time frames. Evidence: 1 - The record for Staff #5 did not contain documentation of a tuberculosis screening 2 - Staff #5 was present providing direct to children during the inspection. 3 - Staff #6 confirmed there was not documentation of tuberculosis screening in the record for Staff #5 in the central records.”

8VAC20-780-340-A

“Based on observation when supervising children the center failed to ensure their care, protection and guidance. Evidence: 1 - Staff did not intervene when on multiple occasions between 3:30pm and 5pm children engaged in unsafe activities including hitting and pushing each other, swinging arms and backpacks at each other, climbing on chairs and chasing each other around the cafeteria tables. a.Staff only intervened when instructed to do so.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain staff records as required. Evidence: 1 - There was not any onsite record for Staff #1 or #2. Both staff present providing direct care to children during the inspection. 2 - Additionally, the record for Staff #2, #4 and #5 did not contain documentation of date of hire. 3 - Staff #6 confirmed that this information was not documented in records at the central location. 4 Staff #1 confirmed that emergency contact information was not available onsite as required.”

8VAC20-780-140-A

“Based on record review and interview the center failed to obtain documentation of a physical examination as required. Evidence: 1 - The digital record of Child #1 did not contain documentation of physical examination. 2 - Staff #1 confirmed that the digital record of Child #1 did not contain documentation of a physical examination.”

8VAC20-780-130-A

“Based on record review the center failed to obtain documentation that each child has received the required immunizations. Evidence: 1 - The record for Child #1 does not contain documentation that all required immunizations were obtained as only page two of a two page document was visible in the digital record. 2 - Staff #1 confirmed that only page 2 was of a 2 page document was available in the digital record.”

8VAC20-780-245-J-3

“Based on record review the center failed to demonstrate compliance regarding any child for who emergency medications have been prescribed will always be in the care of a staff member has medication administration training. Evidence: 1 - There was not any staff present who have been trained in any medication administration training. a. There were two children in care that require emergency medications including but not limited to Epi Pen and Albuterol.”

8VAC20-780-350-C

“Based on observation and interview the center failed to ensure that when children are in ongoing mixed age groups the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Evidence: 1 - Upon arrival there were 38 children ages four through 10 years old with two staff. 2 - Staff #1 confirmed that were only two staff present and she was not aware of additional staff coming to the location.”

8VAC20-780-540-E

“Based on observation and interview the center failed to ensure that emergency equipment is maintained at the center. Evidence: 1 - There was not a working battery operated radio available for review during the inspection 2 - There was not a working battery operated flashlight available for review during the inspection. 3 - Staff #1 stated there was a working battery operated radio or flashlight available for the inspection.”

8VAC20-780-560-F

“Based on observation the center failed to ensure that a menu listing foods to be served for meals and snacks during the current one-week period is posted. Evidence: The posted menu is labeled for the month of October.”

8VAC20-780-200-A

“Based on observation and interview the center failed to ensure that a qualified program director or back-up program director is on site 50% of the center's hours of operation. Evidence: Upon arrival Staff #1 stated that there was not anyone in charge. She further stated that there has not been a program director at the site since October 24, 2022.”

8VAC20-780-80-A

“Based on observation and interview the center failed to ensure that for each group of children the center has maintained a written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: 1 - There is not any form, written or digital, of today's attendance available for review during the inspection. 2 - Staff #1 stated that she was not able to show the attendance on her digital device and there was not written sheet. 3 - When asked for the attendance two large stacks of white enrollment forms where provided. 4 - The most recent attendance documentation available for review was dated October 10, 2022 - October 14, 2022.”

8VAC20-780-70

“Based on record review and interview the center failed to ensure that staff records are maintained as required on site. Evidence: 1 - There was not emergency contact information onsite for Staff #1 or Staff #2. a. The form available for Staff #1 is not filled out with any information other than her name. 2 - Staff #1 and #2 stated that it was Staff #2's first day working at the site.”

8VAC20-780-60-A

“Based on record review and interview the center failed to ensure that each child has record that contains all required information. Evidence: 1 - Three out of seven children records reviewed did not have any child record information on site during the inspection 2 - Staff #1 was not able to able to access children record information on the digital device.”

8VAC20-780-340-A

“Based on observation and interview the center failed to demonstrate that when staff are supervising children they will always ensure their care, protection and guidance. Evidence 1 - Upon arrival a child answered the door to the facility. The child welcomed the adult into the facility smiling and saying "whose mom are you." 2 - Throughout the inspection Staff #1 repeatedly left Staff #2 alone in the child care room. a. Staff #2 stated that today was his first day at the center. b. Staff #2 remained seated at one of two tables and interacted only with the children at those tables during the majority of the inspection. Leaving the remainder of the room unsupervised each time Staff #1 left the child care room. 3 - Throughout the inspection children of all ages were observed leaving the child care room unattended often running towards the exit doors without a staff member able to keep up with them and keep eyes on them.”