YMCA of South Hampton Roads - Salem Family Center

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. In a preschool classroom there were 2 lunchboxes that were not labeled with a name. There were 5 lunch boxes that were not labeled with a current date. On the playground there were 3 water bottles that did not have a name or date on them, there were 2 bottles that did not have a date.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In the school age classrooms, strips of baseboard were peeled away from the wall. There were large chunks of crumbling drywall exposed where the baseboard had peeled away. There was chipped, peeling paint on the windowsills. There was dirt and grime between the floor tiles and streaked on the floors.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1. The health inspection was completed on 3/23/23, more than 12 months ago. An updated health inspection was due as of 3/24.2024. 2. Staff #5 confirmed that the annual inspection from the health department was not current.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1. The health inspection was completed on 3/23/23, more than 12 months ago. An updated health inspection was due as of 3/24.2024. 2. Staff #5 confirmed that the annual inspection from the health department was not current.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the facility did not ensure that the center implement ed a monthly practice evacuation drill. Evidence: 1. The emergency evacuation drill log did not include documentation that an evacuation drill was conducted in the month of May 2023. 2. The Site Coordinator confirmed there was no documentation of a practice drill in May.”

8VAC20-770-60-B

“Based on record review and interview, it was determined the facility did not ensure that a sworn statement or affirmation is obtained prior to the first day of employment or beginning to serve as a volunteer. Evidence: 1. The sworn statement for Staff #3 (hire date 10/10/2023) was completed and signed 10/17/2023. This was seven days after beginning employment. 2. The Regional Youth Director confirmed the date the sworn statement was signed was after the employee's documented start date.”

8VAC20-780-280-B

“Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Pre-K 4 classroom there was a can of Lysol disinfectant spray and a container of Clorox wipes in an unlocked cabinet. 2.The Site Coordinator confirmed the cabinet containing the cleaning materials was not locked.”

8VAC20-780-290-A-3

“Based on observation and interviews, it was determined that the facility did not ensure electrical outlets have protective covers. Evidence: In the Pre-K4 classroom there was an electrical outlet in the cubby area where children hang their belongings that did not have covers.”

8VAC20-780-510-E

“Based on record review and interview, it was determined that the facility did not ensure that medication shall Include the duration of the parent's authorization for medication, Evidence: 1. The authorization for albuterol for child #6 did not contain a start or end date to indicate the duration of the authorization. 2. The Regional Youth Director confirmed the authorization dates were not documented.”

8VAC20-780-40-M

“Based on observation and interview, it was determined the facility did not ensure that the current list of children’s allergies, sensitivities, and dietary restrictions are maintained in a way that is accessible to all staff who work with children and was kept confidential in each room or area where children are present. Evidence: The allergy list posted on the wall in the Pre-K4 classroom showed children’s names and their allergies in a manner that other people coming into the classroom could see this confidential information.”

8VAC20-790-600-D-1

“(Repeat violation) Based on a review of ten staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (date of hire 6/19/2023) and staff #10 (date of hire 7/16/2021) did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #2 (Regional Youth Director) confirmed that staff #4 and #6 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-600-D-2

“(Repeat violation) Based on a review of ten staff records, it was determined that the vendor did not ensure that all staff have current first aid certification appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (date of hire 6/19/2023) and staff #10 (date of hire 7/16/2021) did not contain documentation of current certification in first aid appropriate to the ages of children in care. 2. Staff #2 (Regional Youth Director) confirmed that staff #4 and #6 did not have current certification first aid.”

8VAC20-780-340-B Complaint related: No

“Based upon interviews, the center did not ensure that during the hours of operation, one adult on the premises shall be in charge of the administration of the center. Evidence: 1. Upon arrival the center director was not present in the center. a. The staff on duty were not clear as to which staff member was in charge during the directors absence.”

8VAC20-780-270-A Complaint related: No

“Based on observation the center did not ensure that areas and equipment inside and outside shall be maintained in a clean, safe and operable condition. Evidence: The following conditions were observed in the bathrooms used by children: 1. There were 7 holes in the bathroom wall approximately 1/4-1/2? wide with insulation exposed and on the bathroom floor. 2.There was chipped and peeling paint in several bathroom stalls. 3.The stall door in the girls' bathroom had exposed screws with sharp tips. 4.The hinge on a stall door in the boy’s bathroom was loose by approximately ??. Screws were loose and protruding from the hinge and door.”

8VAC20-780-260-B Complaint related: No

“Based upon a review of records, the center did not ensure that an annual approval from the health department was provided. Evidence: 1. When requested during the inspection, the most recent annual health department approval was not provided. a. Staff #2 stated that everything they had was posted on the board, but the annual health approval was not posted.”

8VAC20-780-560-G Complaint related: Yes

“Based on observation the center did not ensure that when food is brought from home the food container shall be dated and clearly labeled in a way that identifies the owner. Evidence: In the pre-k classroom there were 5 lunch boxes that had no dates on them, nor any names to identify the owner.”

8VAC20-780-450-A Complaint related: Yes

“Based on observation and interview the center did not ensure that cribs, cots, mats and beds used by children other than infants shall have linens that consist of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. There were 6 cots in use that did not have the required linens. a. In the preschool room 2 children did not have a bottom cover on the cot. b. In the pre-k room 3 children did not have a bottom cover on the cot. c. In the pre-k room 1 child did not have a top or bottom cover on the cot. 2. Staff #3 confirmed that several cots in use by children did not have either a top or bottom cover.”

8VAC20-780-245-A

“Based on a review of three staff records, it was determined that the facility did not ensure that all staff had a minimum of 16 hours of training appropriate to their job responsibilities. Evidence: The records for all staff did not include documentation of ongoing training.”

8VAC20-780-70

“Based on review of three staff records, it was determined that the facility did not ensure that all information was present in each staff member's record. Evidence: Staff #1did not have telephone number or address for the staff member's emergency contact person.”

8VAC20-780-270-A

“Based on inspection of the facility, it was determined that the facility did not ensure that all areas were clean, safe and operable. Evidence: The vinyl covered chairs in the lobby have areas where the vinyl has torn or been worn away leaving areas that can not be appropriately cleaned and/or sanitized.”

22.1-289.035-B-2

“Based on review of three staff records, it was determined that the facility did not ensure that all background checks were updated every five years. Evidence: The fingerprints for staff #3 were dated 1/24/18, and were, therefore, over five years old.”

8VAC20-780-245-A

“Based on a review of three staff records, it was determined that the facility did not ensure that all staff had a minimum of 16 hours of training appropriate to their job responsibilities. Evidence: The records for all staff did not include documentation of ongoing training.”

8VAC20-780-70

“Based on review of three staff records, it was determined that the facility did not ensure that all information was present in each staff member's record. Evidence: Staff #1did not have telephone number or address for the staff member's emergency contact person.”

8VAC20-780-270-A

“Based on inspection of the facility, it was determined that the facility did not ensure that all areas were clean, safe and operable. Evidence: The vinyl covered chairs in the lobby have areas where the vinyl has torn or been worn away leaving areas that can not be appropriately cleaned and/or sanitized.”

22.1-289.035-B-2

“Based on review of three staff records, it was determined that the facility did not ensure that all background checks were updated every five years. Evidence: The fingerprints for staff #3 were dated 1/24/18, and were, therefore, over five years old.”

8VAC20-790-600-D-2

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 2. Staff #6 (Program Administrator) confirmed that staff #4 did not have a current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #6 (Program Administrator) confirmed that staff #4 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. None of the lunch boxes in the School Age room were dated. 2. Staff #6 (Program Administrator) acknowledged that the lunch boxes were not labeled with the date.”

8VAC20-770-60-C-2

“Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #4 (date of hire 8/22/20) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #5 (date of hire 5/24/05) did not contain documentation of a completed search of the central registry finding. 3. Staff #6 (Program Administrator) reviewed the records for the staff #4 and staff #5, and confirmed that the search of the central registry finding was not available for viewing during the inspection.”

8VAC20-780-240-A

“Based on a review of five staff records, it was determined that the facility did not ensure that all staff complete the the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #4 did not contain documentation to demonstrate that staff #4 had completed the Virginia Department of Education-sponsored orientation course (Virginia Preservice Health and Safety Training) within 90 calendar days of employment. 2. Staff #6 (Program Administrator) confirmed that staff #4 had not complete the Virginia Department of Education-sponsored orientation course (Virginia Preservice Health and Safety Training) within 90 calendar days of employment.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items. Evidence: 1. The first aid kit for the bus *used for transporting the children to and from school on a daily basis did not include all of the required items. 2. Staff #6 (Program Administrator) confirmed the first aid kit for the bus did not contain all of the required items.”

8VAC20-780-550-K

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. The document prepared and maintained on the center's bus did not include the routes frequently driven by center staff when picking up children from the local public schools. 2. Staff #6 (Program Administrator) confirmed that the routes frequently driven were not maintained on the bus.”

8VAC20-790-600-D-2

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 2. Staff #6 (Program Administrator) confirmed that staff #4 did not have a current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #6 (Program Administrator) confirmed that staff #4 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. None of the lunch boxes in the School Age room were dated. 2. Staff #6 (Program Administrator) acknowledged that the lunch boxes were not labeled with the date.”

8VAC20-770-60-C-2

“Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #4 (date of hire 8/22/20) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #5 (date of hire 5/24/05) did not contain documentation of a completed search of the central registry finding. 3. Staff #6 (Program Administrator) reviewed the records for the staff #4 and staff #5, and confirmed that the search of the central registry finding was not available for viewing during the inspection.”

8VAC20-780-240-A

“Based on a review of five staff records, it was determined that the facility did not ensure that all staff complete the the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #4 did not contain documentation to demonstrate that staff #4 had completed the Virginia Department of Education-sponsored orientation course (Virginia Preservice Health and Safety Training) within 90 calendar days of employment. 2. Staff #6 (Program Administrator) confirmed that staff #4 had not complete the Virginia Department of Education-sponsored orientation course (Virginia Preservice Health and Safety Training) within 90 calendar days of employment.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items. Evidence: 1. The first aid kit for the bus *used for transporting the children to and from school on a daily basis did not include all of the required items. 2. Staff #6 (Program Administrator) confirmed the first aid kit for the bus did not contain all of the required items.”

8VAC20-780-550-K

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. The document prepared and maintained on the center's bus did not include the routes frequently driven by center staff when picking up children from the local public schools. 2. Staff #6 (Program Administrator) confirmed that the routes frequently driven were not maintained on the bus.”

22VAC40-665-580-E-2

“Based on a review of three staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. Evidence 1. The record for staff #2 contained a first aid certification that expired in June 2019. 2. The record for staff #2 contained a first aid certification that expired in September 2021. 3. Staff #4 (Program Director) confirmed that staff #2 and staff #3 did not have a current certification in first aid.”

22VAC40-665-580-E-1

“Based on a review of three staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence 1. The record for staff #2 contained a cardiopulmonary resuscitation (CPR) certification that expired in June 2019. 2. The record for staff #2 contained a cardiopulmonary resuscitation (CPR) certification that expired in September 2021. 3. Staff #4 (Program Director) confirmed that staff #2 and staff 33 did not have a current certification in cardiopulmonary resuscitation (CPR) .”

22VAC40-185-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. The wooden fence that surrounds the outside play area broken and missing boards along with exposed nails. 2. Staff #4 (Program Director) confirmed the fence surrounding the outside play area was not being maintained in a safe and operable condition.”

22VAC40-185-160-C

“Based on a review of three staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #2, contained documentation of TB screening that was dated 9/28/18. 2.The record for staff #3, contained documentation of TB screening that was dated 3/18/19. 3. Staff #4 (Program Director), reviewed the record for staff #2 and staff #3, and confirmed that an updated TB screening had not been received for either staff.”

22VAC40-191-60-C-2

“Based on a review of three staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (date of hire 6/27/21) did not contain documentation of a completed search of the central registry finding. 2. Staff #4 (Program Director) reviewed the record for the staff #1, and confirmed that the search of the central registry finding has not been received.”

22VAC40-185-550-H

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. There was not a document available for viewing during the inspection on the center's bus that is used for transporting the children that included the local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business. 2. Staff #4 (Program Director) confirmed that there was not a transportation document maintained on the bus that contains all of the required information..”

22VAC40-665-580-E-2

“Based on a review of three staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. Evidence 1. The record for staff #2 contained a first aid certification that expired in June 2019. 2. The record for staff #2 contained a first aid certification that expired in September 2021. 3. Staff #4 (Program Director) confirmed that staff #2 and staff #3 did not have a current certification in first aid.”

22VAC40-665-580-E-1

“Based on a review of three staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence 1. The record for staff #2 contained a cardiopulmonary resuscitation (CPR) certification that expired in June 2019. 2. The record for staff #2 contained a cardiopulmonary resuscitation (CPR) certification that expired in September 2021. 3. Staff #4 (Program Director) confirmed that staff #2 and staff 33 did not have a current certification in cardiopulmonary resuscitation (CPR) .”

22VAC40-185-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. The wooden fence that surrounds the outside play area broken and missing boards along with exposed nails. 2. Staff #4 (Program Director) confirmed the fence surrounding the outside play area was not being maintained in a safe and operable condition.”

22VAC40-185-160-C

“Based on a review of three staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #2, contained documentation of TB screening that was dated 9/28/18. 2.The record for staff #3, contained documentation of TB screening that was dated 3/18/19. 3. Staff #4 (Program Director), reviewed the record for staff #2 and staff #3, and confirmed that an updated TB screening had not been received for either staff.”

22VAC40-191-60-C-2

“Based on a review of three staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (date of hire 6/27/21) did not contain documentation of a completed search of the central registry finding. 2. Staff #4 (Program Director) reviewed the record for the staff #1, and confirmed that the search of the central registry finding has not been received.”

22VAC40-185-550-H

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. There was not a document available for viewing during the inspection on the center's bus that is used for transporting the children that included the local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business. 2. Staff #4 (Program Director) confirmed that there was not a transportation document maintained on the bus that contains all of the required information..”