Young Mens Christian Association of the Virginia Peninsulas-Hamp

8VAC20-780-350-B-5

“The required ratio for children school age eligible up to 9 years is one staff per eighteen children. Staff#1 was supervising thirty-one children (youngest child being six) in the gymnasium on October 31, 2024”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition. There were multiple areas of deteriorating wood on the flooring at the smaller gymnasium exit door.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On October 31, 2024, Child #1 (6 years old) left the center alone, and was found by a person unknown to the child or the center’s staff, near a softball field located behind the center. Child #1 was not supervised by staff for approximately 30 minutes. The child was returned to the center by a local agency representative. The staff were not aware that the child was gone until they were returned to the center.”

8VAC20-780-340-D

“Each group of children shall have at least one staff member who meets the qualifications of a program leader. On October 31, 2024, Staff #2 and Staff #3 were assigned to a school age group of children. Neither staff member met the qualifications of a program leader.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On October 31, 2024, Child #1 (6 years old) was not within actual sight and sound supervision of staff for approximately 30 minutes.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information. The record for Child#5 was not found for review. The child was present during the inspection.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of hand sanitizer with warning labels, "Keep out of reach of children and flammable,? were unlocked in the area where children in care were present within reach of children.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information. The record for Child#5 was not found for review. The child was present during the inspection.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of hand sanitizer with warning labels, "Keep out of reach of children and flammable,? were unlocked in the area where children in care were present within reach of children.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to obtain all background checks within the past five years. Evidence: In Staff#3's record (date of hire: 05/01/21) the last dated central registry was 07/27/18 and results of fingerprint based background check is 05/21/18. Interview with staff confirmed the documents available for review during the inspection.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substance were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Youth watch room, there was a bottle of disinfectant cleaner labeled observed on the top of the cabinet with the labels " keep out of reach of children" and "caution" with the door unlock and accessible to children in care.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to obtain all background checks within the past five years. Evidence: In Staff#3's record (date of hire: 05/01/21) the last dated central registry was 07/27/18 and results of fingerprint based background check is 05/21/18. Interview with staff confirmed the documents available for review during the inspection.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substance were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Youth watch room, there was a bottle of disinfectant cleaner labeled observed on the top of the cabinet with the labels " keep out of reach of children" and "caution" with the door unlock and accessible to children in care.”

8VAC20-780-140-A

“Based on children's record review and interview, in 1 of 7 records the center did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. In Child#3's record (start date: 08/28/23), there was no documentation of a physical examination found. 2. Interview with staff confirmed the physical examination documentation was not available for review during the inspection.”

8VAC20-780-270-A

“Based on observations and photographs, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence:1. In the large gymnasium occupied by the children in care, there were multiple tears, observed on the blue protective wall padding exposing the foam interior and accessible to the children in care. 2. Photographs of the gymnasium protective wall padding taken during the inspection.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, in 1 of 4 records the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: 1. In Staff#3's record (date of hire: 10/02/23) there was no central registry findings found. 2. Interview with staff confirmed the central registry findings were not available for review during the inspection.”

8VAC20-780-140-A

“Based on children's record review and interview, in 1 of 7 records the center did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. In Child#3's record (start date: 08/28/23), there was no documentation of a physical examination found. 2. Interview with staff confirmed the physical examination documentation was not available for review during the inspection.”

8VAC20-780-270-A

“Based on observations and photographs, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence:1. In the large gymnasium occupied by the children in care, there were multiple tears, observed on the blue protective wall padding exposing the foam interior and accessible to the children in care. 2. Photographs of the gymnasium protective wall padding taken during the inspection.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, in 1 of 4 records the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: 1. In Staff#3's record (date of hire: 10/02/23) there was no central registry findings found. 2. Interview with staff confirmed the central registry findings were not available for review during the inspection.”

8VAC20-780-140-A

“Based on review of children's record and interview, the center did not ensure to obtain a physical examination for each child. Evidence: In Child#7's record, there was no physical examination documentation found for review. Interview with staff confirmed the physical documentation was not available for review during the inspection.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening. Evidence: In Staff#2's record (date of hire: 06/02/23), there was no documentation of a negative tuberculosis screening found. Interview with staff confirmed the documentation was not available for review.”

8VAC20-780-60-A

“Based on review of children's record and interview, the center did not ensure to obtain all information for children's records. Evidence: In Child#1's record, there was not a complete address found for one of the emergency contacts. In Child#4's record, there was no name, phone number, and address found for emergency contact #2. Interview with staff confirmed the information available for review during the inspection.”

8VAC20-780-270-A

“Based on observations and photographs, the center did not ensure all areas and equipment of the center, inside and outside maintained in a clean, safe, and operable condition. Evidence: 1. In the Youth watch room, there were multiple cracked corners on the seating area observed on two of the benches. 2. There was observation of an orange extension cord in the walkways creating a tripping hazards. 3. Observation of the playground area where there were multiple protruding screw on the barrier surrounding the playground equipment.”

8VAC20-780-280-B

“Based on observation and photograph, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Youth watch room, there was a bottle of disinfectant cleaner observed on the top of the paper towel dispenser with the labels " keep out of reach of children" and "caution". 2. Photograph of observation during the inspection.”

8VAC20-780-350-B-6

“Based on observation, the center did not ensure compliance of staff to children ratios whenever children are in care. Evidence: In the Youth watch room, there was observation of Staff#1 supervising Groups 1-4 alone with a total of 36 school age children. Interview with confirmed the assigned staff was not present in the room to provide direct supervision.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: In Staff#4's record (date of hire: 05/08/23), there was no central registry findings available for review. Interview with staff confirmed results not being available during the inspection.”

8VAC20-780-140-A

“Based on review of children's record and interview, the center did not ensure to obtain a physical examination for each child. Evidence: In Child#7's record, there was no physical examination documentation found for review. Interview with staff confirmed the physical documentation was not available for review during the inspection.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening. Evidence: In Staff#2's record (date of hire: 06/02/23), there was no documentation of a negative tuberculosis screening found. Interview with staff confirmed the documentation was not available for review.”

8VAC20-780-60-A

“Based on review of children's record and interview, the center did not ensure to obtain all information for children's records. Evidence: In Child#1's record, there was not a complete address found for one of the emergency contacts. In Child#4's record, there was no name, phone number, and address found for emergency contact #2. Interview with staff confirmed the information available for review during the inspection.”

8VAC20-780-270-A

“Based on observations and photographs, the center did not ensure all areas and equipment of the center, inside and outside maintained in a clean, safe, and operable condition. Evidence: 1. In the Youth watch room, there were multiple cracked corners on the seating area observed on two of the benches. 2. There was observation of an orange extension cord in the walkways creating a tripping hazards. 3. Observation of the playground area where there were multiple protruding screw on the barrier surrounding the playground equipment.”

8VAC20-780-280-B

“Based on observation and photograph, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Youth watch room, there was a bottle of disinfectant cleaner observed on the top of the paper towel dispenser with the labels " keep out of reach of children" and "caution". 2. Photograph of observation during the inspection.”

8VAC20-780-350-B-6

“Based on observation, the center did not ensure compliance of staff to children ratios whenever children are in care. Evidence: In the Youth watch room, there was observation of Staff#1 supervising Groups 1-4 alone with a total of 36 school age children. Interview with confirmed the assigned staff was not present in the room to provide direct supervision.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: In Staff#4's record (date of hire: 05/08/23), there was no central registry findings available for review. Interview with staff confirmed results not being available during the inspection.”

8VAC20-780-150-B

“Based on review of children's record and interview, the center did not ensure physical examination and immunization reports were signed by a physician, his designee, or an official of a local health department. Evidence: In Child#2's record (start date: 8/29/22)there were no signatures by a physician found for each report. Interview with staff confirmed available documents for review during the inspection.”

8VAC20-780-270-A

“Based on observations, the center did not ensure all areas and equipment of the center are maintained in a clean, safe, and operable condition. Evidence: The following observations were made at the center during the inspection on April 4, 2023: 1. There was multiple areas throughout the gymnasium with visible trash to include empty food and drink wrappers, movable dirt, and torn papers. 2. There was a large visible hole with the inside material exposed. 3. The pole structure nearby the basketball hoop was observed torn in multiple areas. 4. The base board molding is cracked exposing the brick in the multipurpose room.”

8VAC20-780-530-A-1

“Based on review of staff record and interview, the center did not ensure staff have a current certification in cardiopulmonary resuscitation (CPR). Evidence: In Staff#3's record (date of hire: 06/07/22), there was no current certificate for CPR found. Interview with staff confirmed the documentation was not available during the inspection.”

8VAC20-780-530-A-2

“Based on review of staff records and interview, the center did not ensure a staff have a current certification in first aid. Evidence: In Staff#3's record (date of hire: 6/07/22), there was no current first aid certificate found. Interview with staff confirmed the documentation was not available for review during the inspection.”

22.1-289.035-B-4

“Based on review of staff records and interview, the center did not ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#2's record (date of hire: 05/26/22), there was no results of an out of state central registry search found. Interview with staff confirmed the results were not available for review.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure each staff submit documentation of a negative tuberculosis screening. Evidence: In Staff#2's (date of hire: 05/26/22) and Staff#3's (date of hire: 06/07/22) records there were no TB documentation found. Interview with staff confirmed the documentation was not available for review during the inspection.”

8VAC20-780-150-B

“Based on review of children's record and interview, the center did not ensure physical examination and immunization reports were signed by a physician, his designee, or an official of a local health department. Evidence: In Child#2's record (start date: 8/29/22)there were no signatures by a physician found for each report. Interview with staff confirmed available documents for review during the inspection.”

8VAC20-780-270-A

“Based on observations, the center did not ensure all areas and equipment of the center are maintained in a clean, safe, and operable condition. Evidence: The following observations were made at the center during the inspection on April 4, 2023: 1. There was multiple areas throughout the gymnasium with visible trash to include empty food and drink wrappers, movable dirt, and torn papers. 2. There was a large visible hole with the inside material exposed. 3. The pole structure nearby the basketball hoop was observed torn in multiple areas. 4. The base board molding is cracked exposing the brick in the multipurpose room.”

8VAC20-780-530-A-1

“Based on review of staff record and interview, the center did not ensure staff have a current certification in cardiopulmonary resuscitation (CPR). Evidence: In Staff#3's record (date of hire: 06/07/22), there was no current certificate for CPR found. Interview with staff confirmed the documentation was not available during the inspection.”

8VAC20-780-530-A-2

“Based on review of staff records and interview, the center did not ensure a staff have a current certification in first aid. Evidence: In Staff#3's record (date of hire: 6/07/22), there was no current first aid certificate found. Interview with staff confirmed the documentation was not available for review during the inspection.”

22.1-289.035-B-4

“Based on review of staff records and interview, the center did not ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#2's record (date of hire: 05/26/22), there was no results of an out of state central registry search found. Interview with staff confirmed the results were not available for review.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure each staff submit documentation of a negative tuberculosis screening. Evidence: In Staff#2's (date of hire: 05/26/22) and Staff#3's (date of hire: 06/07/22) records there were no TB documentation found. Interview with staff confirmed the documentation was not available for review during the inspection.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure all staff has current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In Staff#3's record (date of hire: 03/07/22), the current CPR certificate was not found. 2.In Staff#4's record (date of hire: 5/14/18), the CPR certificate expired on 06/08/2020. 3. Interview with staff confirmed the current CPR documents were not available for review during this inspection.”

8VAC20-780-430-K

“Based on observation and interview, the center did not ensure to utilize individual place for each child's personal belongings. Evidence: During the inspection, there were multiple book bags belonging to the children in care observed on the floor areas which could cause tripping hazardous and on the bench areas. Interview with staff confirmed the basket stacked on the wall were not being utilize for children's personal belongings as intended.”

8VAC20-780-270-A

“Based on observations, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintain in a clean safe and operable condition. Evidence: 1.The center's multipurpose room was observed with cracked ceiling tiles and hanging and cracked lighting fixtures which present safety concerns during children's indoor activity time. 2. The pole structure nearby the basketball hoop was observed torn in multiple areas. 3. The base board molding is cracked exposing the brick in the multipurpose room.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain all central registry findings within 30 days of employment or volunteer service. Evidence: In Staff#3's record (date of hire: 03/07/22), there were no central registry findings found. Interview with staff confirmed the central registry findings were not available for review during this inspection.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the center's arts and crafts room, the door was observed unlocked which contained multiple disinfectant cleaners, wipes with the labels, "keep out of reach of children" and "warnings".”

8VAC20-780-160-C

“Based on review of staff records and interview, the center did not ensure all staff documentation of tuberculosis (TB) screening was completed every two years. Evidence: In Staff# 2's record (date of hire 6/18/21) the last dated TB was 08/31/20. In Staff#4's record (date of hire: 05/14/18) the last dated TB was 11/22/19. Interview with staff confirmed these were the most recent screening available during the inspection.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure all staff has current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In Staff#3's record (date of hire: 03/07/22), the current CPR certificate was not found. 2.In Staff#4's record (date of hire: 5/14/18), the CPR certificate expired on 06/08/2020. 3. Interview with staff confirmed the current CPR documents were not available for review during this inspection.”

8VAC20-780-430-K

“Based on observation and interview, the center did not ensure to utilize individual place for each child's personal belongings. Evidence: During the inspection, there were multiple book bags belonging to the children in care observed on the floor areas which could cause tripping hazardous and on the bench areas. Interview with staff confirmed the basket stacked on the wall were not being utilize for children's personal belongings as intended.”

8VAC20-780-270-A

“Based on observations, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintain in a clean safe and operable condition. Evidence: 1.The center's multipurpose room was observed with cracked ceiling tiles and hanging and cracked lighting fixtures which present safety concerns during children's indoor activity time. 2. The pole structure nearby the basketball hoop was observed torn in multiple areas. 3. The base board molding is cracked exposing the brick in the multipurpose room.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center did not ensure to obtain all central registry findings within 30 days of employment or volunteer service. Evidence: In Staff#3's record (date of hire: 03/07/22), there were no central registry findings found. Interview with staff confirmed the central registry findings were not available for review during this inspection.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the center's arts and crafts room, the door was observed unlocked which contained multiple disinfectant cleaners, wipes with the labels, "keep out of reach of children" and "warnings".”

8VAC20-780-160-C

“Based on review of staff records and interview, the center did not ensure all staff documentation of tuberculosis (TB) screening was completed every two years. Evidence: In Staff# 2's record (date of hire 6/18/21) the last dated TB was 08/31/20. In Staff#4's record (date of hire: 05/14/18) the last dated TB was 11/22/19. Interview with staff confirmed these were the most recent screening available during the inspection.”

8VAC20-780-260-B

“Based on interview with staff, the center did not ensure an annual approval from health department was completed. Evidence: Interview with staff confirmed an annual health inspection was not available for review during this inspection.”

8VAC20-780-160-A-1

“Based on review of staff record and interview, the center did not ensure to obtain all TB screening documentation at the time of employment or prior to coming into contact with children. Evidence: 1. In Staff#1's record (date of hire:1/26/22), the TB screening documentation provided for review was incomplete. 2. Interview with staff confirmed a completed TB screening was not available for review during the inspection.”

8VAC20-780-260-B

“Based on interview with staff, the center did not ensure an annual approval from health department was completed. Evidence: Interview with staff confirmed an annual health inspection was not available for review during this inspection.”