The YMCA of South Hampton Roads - Willard Model Elementary

8VAC20-780-550-A

“The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. The emergency preparedness plan available during the inspection contained outdated contact information.”

22.1-289.011-F

“The facility is required to post the most recent violation notice and inspection summary in the center. The posted inspection report is dated 12/18/24. However, the most recent inspection was completed 5/23/25 and was not posted in the center during the inspection.”

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. At approximately 4pm there were 35 children present, ages 4 to 11 years old with three staff. Furthermore, during the inspection there were 28 children present with 2 staff because one of three staff members present left the child care room to make a personal phone call.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record provided for Staff #3 did not contain documentation that the department sponsored orientation course had been completed.”

8VAC20-780-70

“The facility must maintain staff records on site and centrally as required. Staff #2 who was present during the inspection did not have any staff information kept at the center.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and completed within the last 30 days of the date of employment. The documentation submitted for Staff #2?s TB screening was not legible.”

22.1-289.011-F

“The facility is required to post the most recent violation notice and inspection summary in the center. The posted inspection report is dated 12/18/24. However, the most recent inspection was completed 5/23/25 and was not posted in the center during the inspection.”

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. At approximately 4pm there were 35 children present, ages 4 to 11 years old with three staff. Furthermore, during the inspection there were 28 children present with 2 staff because one of three staff members present left the child care room to make a personal phone call.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record provided for Staff #3 did not contain documentation that the department sponsored orientation course had been completed.”

8VAC20-780-70

“The facility must maintain staff records on site and centrally as required. Staff #2 who was present during the inspection did not have any staff information kept at the center.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and completed within the last 30 days of the date of employment. The documentation submitted for Staff #2?s TB screening was not legible.”

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their records. Two out of five records requested (Staff #3 & #4) were not made available for inspection.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 4 weeks, did not have documentation of requesting a central registry check, sex offenders or criminal background check from one state. Staff #2 did not have documentation of requesting a central registry check or criminal history check from a different state.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. One medication in the medication lock box expired 12/24.”

8VAC20-780-550-B

“Emergency communication to include establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each. The staff person listed in the emergency preparedness plan is no longer employed at this location and not been present since March 2025.”

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their records. Two out of five records requested (Staff #3 & #4) were not made available for inspection.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 4 weeks, did not have documentation of requesting a central registry check, sex offenders or criminal background check from one state. Staff #2 did not have documentation of requesting a central registry check or criminal history check from a different state.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. One medication in the medication lock box expired 12/24.”

8VAC20-780-550-B

“Emergency communication to include establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each. The staff person listed in the emergency preparedness plan is no longer employed at this location and not been present since March 2025.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the, the dosage amount, and the time or times to be given. There are two Albuterol inhalers in the medication lock box that did not have prescriptions labels on them and therefore the medication was not labeled with the child’s name, name of medication, dosage amount and time or times to be given.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the, the dosage amount, and the time or times to be given. There are two Albuterol inhalers in the medication lock box that did not have prescriptions labels on them and therefore the medication was not labeled with the child’s name, name of medication, dosage amount and time or times to be given.”

8VAC20-790-530-C

“Based on record review and interview the vendor failed to ensure that attendance records are maintained as required. Evidence: 1 - The attendance record available for review were not hard copy and did not document arrival and departure as it occurs. 2 - Staff #1 confirmed that there was not a attendance documentation in the required form.”

8VAC20-780-130-A

“Based on record review and interview the center failed to ensure that immunization documentation is obtained for each child before the child can attend the center. Evidence: 1 - There were not any immunization records available for review during the inspection for any of the children in enrolled in the program. 2 - Staff #1 stated that she did not have access to the children's immunization records at the center location.”

8VAC20-780-140-A

“Based on record review and interview the center failed to ensure that each child has documentation of physical on file before the child's attendance or within 30 days of the first day of attendance. Evidence: 1 - There were not any physical records available for review during the inspection for any of the children in enrolled in the program. 2 - Staff #1 stated that she did not have access to the children's physical records at the center location.”

8VAC20-790-530-C

“Based on record review and interview the vendor failed to ensure that attendance records are maintained as required. Evidence: 1 - The attendance record available for review were not hard copy and did not document arrival and departure as it occurs. 2 - Staff #1 confirmed that there was not a attendance documentation in the required form.”

8VAC20-780-130-A

“Based on record review and interview the center failed to ensure that immunization documentation is obtained for each child before the child can attend the center. Evidence: 1 - There were not any immunization records available for review during the inspection for any of the children in enrolled in the program. 2 - Staff #1 stated that she did not have access to the children's immunization records at the center location.”

8VAC20-780-140-A

“Based on record review and interview the center failed to ensure that each child has documentation of physical on file before the child's attendance or within 30 days of the first day of attendance. Evidence: 1 - There were not any physical records available for review during the inspection for any of the children in enrolled in the program. 2 - Staff #1 stated that she did not have access to the children's physical records at the center location.”

8VAC20-780-60-A

“Based on record review and interview the center failed to maintain children’s records as required. Evidence: 1 - The first day of attendance was not available for review and any of the four children’s records that were reviewed digitally. 2 - There was no record for child 1 available during the inspection neither digital or hard copy. 3 - Staff 1 confirms that the first date of attendance was not visible nor is there a record for child 1 digital or hard copy.”

8VAC20-780-80-A

“Based on interview and documentation review the center failed to maintain attendance documentation as required. Evidence: 1 - Attendance documentation maintained at the center consist of a check mark which indicates when the child arrives and parents write the time they pick up. 2 - Staff 1 confirmed that at no point is the time of arrival documented during the Before or After school programs.”