YMCA of South Hampton Roads- Great Bridge Primary School

8VAC20-780-60-A

“Children's records shall contain all required elements. The enrollment record for child 1 lacked a written care plan for a diagnosed food allergy which includes 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. Child 1 was in care during the inspection and written information in the record indicated that child 1 had been diagnosed with a food allergy by a medical professional.”

22.1-289.035-B-3

“Repeat Violation Authorize the child day center described in subsection A to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. The facility did not obtain the results of a central registry check for staff 1 who has been employed for more than 30 days. The results of a central registry check was not available for staff 2 who was working during the inspection.”

8VAC20-780-510-G

“Repeat Violation Medication shall be labeled with the child's name. One over-the-counter medication was not labeled with the name of child 2. Child 2 was in care during the inspection.”

8VAC20-780-390-A

“Repeat Violation Before or after school, the center shall provide an opportunity for children to do homework or projects or hobbies in a suitable area. In the afternoon, there shall be an opportunity for large motor activities at least 25% of the time. No activities were provided for several groups of children. Throughout the inspection children were observed sitting at the tables with no activity provided, standing at the doorway and window, rolling around on the floor and running around the cafeteria. The 3 staff present stood in various areas of the cafeteria and provided little engagement with children.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. The three staff present did not provide any redirection or engagement with two boys who were running around the cafeteria while jumping and lunging in a made up game of leap frog. Three girls were also observed running and sliding on the floor in a made up game of slip and slide.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was no documentation to demonstrate that staff 3 and staff 4 had completed 16 hours of annual training within the 2025 calendar year.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. Documentation to demonstrate that staff 3 possesses the education, training and experience required by the job title of program leader was not on file.”

8VAC20-780-80-B-2

“The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. A serious injury requiring outside medical attention that occurred on 11/03/2025 was not reported to the department until 11/14/2025. Staff 1 stated that the parent of child 1 notified them that the injury required medical attention on 11/04/2025.”

8VAC20-780-40-N

“The center shall develop written playground safety procedures which shall include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulation among children. 1. The written playground safety plan provided to the inspector did not include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulation among children. 2. Staff 1 and staff 2 stated this was the safety plan they had received training for when supervising children on the playground.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. 1. Child 1 fell from the monkey bars of the outdoor play structure on 10/17/2025 at approximately 3:35 pm. Child 1 landed on both hands and told staff 1 that her hands hurt. Staff 1 gave child 1 an ice pack but provided no further monitoring or follow-up. 2. Staff 1 did not notify any of the staff present that child 1 had fallen off the play structure. 3. The parent of child 1 stated when she arrived at 4:49 pm to pick-up her child she was holding her wrist and was "tearful and sad." Child 1 told her parent that her wrist hurt. 4. Child 1 required medical attention with a diagnosis of a buckle fracture to both wrists.”

8VAC20-780-550-O

“The center shall notify the parent by the end of the day of any known minor injuries. The facility did not notify the parent of child 1 of a fall that occurred during outdoor play on 10/17/2025 at approximately 3:45 pm.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. 1. Staff 1 who was supervising outdoor play on 10/17/2025, stated she did not see child 1 fall from the monkey bars of the outdoor play structure. Child 1 sustained an injury that required medical attention. a. Staff 1 stated she was not aware that child 1 had fallen from the play structure until the child came to her crying. b. Staff 2 stated she did not see child 1 fall as she was positioned on the opposite side of the playground.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Staff did not write an injury report on the day of occurrence for an injury received by child 1 on 10/17/2025.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. The most recent health and safety updated course completed by staff 1 was in 2022.”

8VAC20-790-530-C

“For each grouping of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The paper (hard copy) attendance record had not been completed when the inspector arrived nor was it completed during the inspection.”

8VAC20-780-160-A

“Each staff member and shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. There was no tuberculosis screening on file for staff 2. Staff 2 has been working for more than 2 years and was observed caring for children during the inspection.”

8VAC20-780-40-M

“The current written list of all children's allergies, sensitivities, and dietary restrictions shall be dated. The allergy list was not dated.”

8VAC20-780-70

“Staff records shall contain all required elements. The record for staff 2 lacked written documentation of a second reference check.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. The physician written emergency action plan for 2 children in care, with diagnosed food allergies, was not available to staff.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Throughout the inspection, children under the age of 10 years were observed walking to and from the outdoor play area and the cafeteria. The distance and location between the two areas does not allow for sight or sound supervision. Additionally, one set of double doors between the cafeteria and outdoor play area was closed.”

22.1-289.035-A

“All employees shall undergo a background check in accordance with subsection B every five years thereafter. The Sworn Statement or Affirmation for staff 1 was completed more than five years ago.”

8VAC20-780-350-B-5

“The staff-to-child ratio for school age eligible up to 9 years is 1:18. Two staff were supervising a total of 47 children, ages 5 years -7 years, during outdoor play. Three staff were needed to meet the required staff-to-child ratio of 1:18.”

8VAC20-780-390-A

“Before or after school, the center shall provide an opportunity for children to do homework or projects or hobbies in a suitable area. In the afternoon, there shall be an opportunity for large motor activities at least 25% of the time. No activities were provided for a group of 9 children observed in the cafeteria from 3:20 pm - 4 pm. During this time the children were observed running around the cafeteria, looking out of the windows, rough housing with each other and sitting at tables with no activity. Staff 1, who was responsible for this group, was in the lobby area of the school checking children out of the program and greeting parents.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name. One bottle of over-the-counter medication was not labeled with the child's name.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: One working battery-operated radio. The battery operated radio was not working despite multiple attempts by staff.”

22.1-289.035-B-3

“The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. The results of a central registry check were not on file for staff 2. Staff 2 has been employed for more than two years and was caring for children during the inspection.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. The most recent health and safety updated course completed by staff 1 was in 2022.”

8VAC20-790-530-C

“For each grouping of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The paper (hard copy) attendance record had not been completed when the inspector arrived nor was it completed during the inspection.”

8VAC20-780-160-A

“Each staff member and shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. There was no tuberculosis screening on file for staff 2. Staff 2 has been working for more than 2 years and was observed caring for children during the inspection.”

8VAC20-780-40-M

“The current written list of all children's allergies, sensitivities, and dietary restrictions shall be dated. The allergy list was not dated.”

8VAC20-780-70

“Staff records shall contain all required elements. The record for staff 2 lacked written documentation of a second reference check.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. The physician written emergency action plan for 2 children in care, with diagnosed food allergies, was not available to staff.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Throughout the inspection, children under the age of 10 years were observed walking to and from the outdoor play area and the cafeteria. The distance and location between the two areas does not allow for sight or sound supervision. Additionally, one set of double doors between the cafeteria and outdoor play area was closed.”

22.1-289.035-A

“All employees shall undergo a background check in accordance with subsection B every five years thereafter. The Sworn Statement or Affirmation for staff 1 was completed more than five years ago.”

8VAC20-780-350-B-5

“The staff-to-child ratio for school age eligible up to 9 years is 1:18. Two staff were supervising a total of 47 children, ages 5 years -7 years, during outdoor play. Three staff were needed to meet the required staff-to-child ratio of 1:18.”

8VAC20-780-390-A

“Before or after school, the center shall provide an opportunity for children to do homework or projects or hobbies in a suitable area. In the afternoon, there shall be an opportunity for large motor activities at least 25% of the time. No activities were provided for a group of 9 children observed in the cafeteria from 3:20 pm - 4 pm. During this time the children were observed running around the cafeteria, looking out of the windows, rough housing with each other and sitting at tables with no activity. Staff 1, who was responsible for this group, was in the lobby area of the school checking children out of the program and greeting parents.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name. One bottle of over-the-counter medication was not labeled with the child's name.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: One working battery-operated radio. The battery operated radio was not working despite multiple attempts by staff.”

22.1-289.035-B-3

“The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. The results of a central registry check were not on file for staff 2. Staff 2 has been employed for more than two years and was caring for children during the inspection.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The facility conducted one shelter-in-place practice for drill for the 2023- 2024 school year.”

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 center site for staff 1. Staff 1 was present during the inspection.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The facility conducted one shelter-in-place practice for drill for the 2023- 2024 school year.”

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 center site for staff 1. Staff 1 was present during the inspection.”

8VAC20-780-160-A

“The documentation of the tuberculosis screening shall be submitted at the time of employment and shall have been completed within the last 30 calendar days of the date of employment. The tuberculosis screening for staff 1 was completed more than 30 days after the first date of employment.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. 1. During the on-site inspection on 12/06/2024 the inspector observed child 1 and child 2 return from the bathroom at approximately 4:35 pm. The location of the bathroom is not within sight and sound supervision of the cafeteria where the after school program is located. 2. The door to the cafeteria was closed and no staff were in the hallway to monitor child 1 and child 2 while they were in the bathroom.”

8VAC20-780-160-A

“The documentation of the tuberculosis screening shall be submitted at the time of employment and shall have been completed within the last 30 calendar days of the date of employment. The tuberculosis screening for staff 1 was completed more than 30 days after the first date of employment.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. 1. During the on-site inspection on 12/06/2024 the inspector observed child 1 and child 2 return from the bathroom at approximately 4:35 pm. The location of the bathroom is not within sight and sound supervision of the cafeteria where the after school program is located. 2. The door to the cafeteria was closed and no staff were in the hallway to monitor child 1 and child 2 while they were in the bathroom.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The record for staff 2, hire date 02/29/2024, lacks documentation of two or more references as to character and reputation as well as competency; 2. The record for staff 2 lacks documentation to demonstrate that the individual possesses the training and experience required by her job position of program leader. 3. The record for staff 3 lacks documentation of the required 16 hours of annual training for the 2023 calendar year. 3. Administrative staff stated that written reference checks and documentation of qualifications could not be located for staff 2. Additionally, documentation of annual training could not be located for 2023 for staff 3.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1, hire date 10/14/2023, lacks documentation of a TB screening. 2. Staff 2, hire date 02/29/2024, lacks documentation of a TB screening. 3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 2 who were observed supervising children during the 04/23/2024 monitoring inspection.”

8VAC20-780-60-A

“Based on record review and staff interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. There is no written emergency action plan from the physician of child 1 who has a diagnosed food allergy according to written information on file in the child's record. a. Child 1 was in care during the inspection. 2. Administrative staff stated that an emergency food allergy action plan was not on file for child 1.”

8VAC20-780-240-A

“Based on record review and staff interview, the center failed to ensure that all staff have completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 1, hire date 10/4/2023, lacks documentation of completion of The Virginia Department of Education sponsored orientation course. 2. Administrative staff confirmed that staff 1 had not completed this orientation course.”