YMCA School-Age Child Care @ Suburban Park Elementary

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The heat vent cover within reach of the children in the boys bathroom is rusted and is not securely attached to the wall creating pinch points.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap and paper towels. The children’s bathrooms were not equipped with soap and paper towels.”

Rule 8VAC20-780-320-B.

8VAC20-790-600-D-1

“All staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days. Staff 1 does not have current CPR certification.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff shall have current certification in first aid appropriate to the ages of children in care. Staff 1 does not have current first aid certification.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-260-A

“Repeat violation The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The center did not have documentation of an annual fire inspection.”

Rule 8VAC20-780-260-A.

8VAC20-780-270-A

“Repeat violation Areas and equipment of the center, inside and outside, shall be maintained in a clean and safe condition. The insulation wrapped around the water and other pipes within reach of the children in the girls bathroom is crumbling and has been pulled away exposing the pipes.”

Rule 8VAC20-780-270-A.

8VAC20-780-70

“Repeat violation The facility shall keep records for each staff person that contain all required documentation. The record for staff 5 did not contain documentation of site orientation training nor the name, address and telephone number of a person to be contacted in an emergency.”

Rule 8VAC20-780-70.

The center shall provide to the licensing representative an annual fire inspection report from the fire official.

“There was no fire inspection report within the past year.”

Rule 8VAC20-780-260-A.

Areas and equipment shall be maintained in a clean and safe condition.

“The insulation wrapping the copper pipes on the wall near the handwashing sinks in both the boys and girls bathrooms is disintegrating and peeling away from the pipes.”

Rule 8VAC20-780-270-A.

During the stated hours of operation, there shall always be on the premises when one or more children are present one staff member and an immediately available staff member with direct means of communication between the two of them.

“From 7:05 AM until 7:11 AM, staff 3 was on duty alone with 5 children before staff 5 arrived at the facility.”

Rule 8VAC20-780-340-C.

Repeat violation The center shall maintain and keep a record for each child enrolled that contains the name, address and phone number of each parent and appropriate legal paperwork when the custodial parent requests the center not to release the child to the other parent and the name, address and phone number of two persons to be contacted in an emergency if a parent cannot be reached.

“The record provided for child 1 did not include the names, addresses and phone numbers for two emergency contact persons other than the parents. The record provided for child 3 did not contain the name, address and pheon number of the father. There was no legal paperwork for the parent who was not authorized by the custodial parent to pick up child 5.”

Rule 8VAC20-780-60-A.

The staff records kept for each person shall include the verification of age, job title and date of employment.

“The record provided for staff 4 did not include the job title and date of employment. The records provided for staff 3 and 5 did not include verification of age.”

Rule 8VAC20-780-70.

8VAC20-780-130-A

“Based upon review of children’s records, the facility has not ensured that they obtain documentation that each child has received the immunizations required by the State Board of Health before the child begins attending. Evidence: The immunization record in the record provided for child 3 did not have a child’s name, nor was it signed by a physician or the physician’s designee.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based upon review of children’s records, the facility has not ensured that each child has a physical examination by or under the directions of a physician, Evidence: The record provided for child 3, who has been in attendance over 30 days, did not include the results of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“Based upon review of children’s records, the facility has not ensured that they have received the required immunizations before the child can attend. Evidence: The record provided for child 2 did not include documentation that child 2 has received the required immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. Three children’s records reviewed lacked documentation of the first day of attendance. 2. Administrative staff confirmed that enrollment dates were not documented on either the paper copy or electronic copy of children’s records.”

Rule 8VAC20-780-60-A.

Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Based on review of the parent board, the center failed to ensure that the license shall be posted in a place conspicuous to the public (? 22.1-289.011 of the Code of Virginia).

“Evidence: 1. The current license was not posted on the parent board or anywhere in the facility. 2. Staff 1 confirmed that that current license was not posted.”

Rule 8VAC20-780-40-D.

Based on observation and equipment review, the center failed to ensure that equipment available shall be age and stage appropriate for the children.

“Evidence: 1. The outdoor play structure contained a label stating: “This play equipment is designed for children 5 - 12 years old.” a. Child 2, age four years, was observed playing on this structure from approximately 5:10 pm - 5:45 pm. b. Child 2 was observed losing his balance while climbing up the ladder at approximately 5:15 pm.”

Rule 8VAC20-780-430-B.

Based on observation, the center failed to ensure that children’s hands will be washed with soap and running water or disposable wipes before eating snacks.

“Evidence: 1. Three children’s hands were not washed with soap and water or a disposable wipe before being given a glass of milk at approximately 5:49 pm. a. Milk was offered to the children immediately after coming inside from outdoor play.”

Rule 8VAC20-780-500-A.

Based on record review, the center failed to ensure that the center shall maintain a written record of children’s serious and minor injuries which contain all of the required elements.

“Evidence: 1. A review of seven (7) injury reports for April 2022 found the following required information lacking: a. Three reports lacked a parent signature or second staff signature; b. Two reports lacked documentation of the method of parent notification; c. One report lacked documentation of any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

Based on interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

“Evidence: 1. Staff 1 stated he did not have a copy of the children’s records. 2. Staff 1 stated that children’s records were maintained electronically and he had not been provided access to these records.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. The written attendance record did not list the time of arrival for children in care. 2. Staff 1 verified that arrival times had not been listed for children in care.”

Rule 8VAC20-780-80-A.

Based on review of the parent board, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings from the most recent inspection on 03/15/2022 were not posted on the parent board. 2. Staff 1 confirmed that the inspection reports from the 03/15/2022 inspection were not posted on site.”

Rule 8VAC20-820-120-E-2.

Based on record review and interview, the center failed to ensure that staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. Staff 1, hire date 10/15/2021, lacks certification in CPR. a. Administrative staff confirmed that staff 1 did not have CPR certification.”

Rule 8VAC20-790-600-D-1.

Based on record review and interview, the center failed to ensure that staff have current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff 1, hire date 10/15/2021, lacks certification in First Aid. a. Administrative staff confirmed that staff 1 did not have First Aid certification.”

Rule 8VAC20-790-600-D-2.

Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff.

“Evidence: 1. Staff 1, hire date 10/15/2021, lacks the results of a central registry check. 2. Staff 2, hire date 10/12/2021, lacks the results of a central registry check. 3. Administrative staff confirmed that a central registry check had not been obtained for staff 1 and staff 2.”

Rule 8VAC20-770-60-C-2.

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 10/15/2021, lacks documentation of a TB screening. 2. Administrative staff confirmed that a TB screening was not on file for staff 1.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center failed to ensure that staff complete the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: 1. Staff 1, hire date 10/15/2021, has not completed the ten-hour Virginia Preservice Orientation training within 90 days of hire. a. Administrative staff confirmed that staff 1 had not completed this training.”

Rule 8VAC20-780-240-A.

Based on review, the center failed to ensure that the license shall be posted in a place conspicuous to the public.

“Evidence: 1. The facility failed to post the current license issued by the Virginia Department of Social Services with effective dates of 04/08/2020 - 04/07/2022. a. The facility had posted the license that expired on 04/07/2020.”

Rule 8VAC20-780-40-D.

Based on observation the center failed to ensure that the required first aid kit shall include all required elements.

“Evidence: The first aid kit lacked band-aids.”

Rule 8VAC20-780-540-C.

Based on review, the center failed to ensure that there was one working, battery-operated radio in each building used by children.

“Evidence: The battery operated radio was not working as the batteries had expired.”

Rule 8VAC20-780-540-E.

Based on record review and staff interviews, the center failed to ensure that the written record of children’s serious injuries shall be written on the day of occurrence and contain all required elements.

“Evidence: 1. Child 1 obtained a serious injury on 02/14/2022 however, the injury report was not written until 02/16/2022. 2. The injury report for this injury lacked the following required information: a. A parent signature or second staff signature; b. The injury report indicated the injury occurred on 02/16/2022 however, the injury occurred on 02/14/2022 according to all staff interviewed; c. The injury report indicated the parent was notified by telephone call on 02/16/2022 however, staff interviews indicate the parent was notified in-person on 02/14/2022.”

Rule 8VAC20-780-550-P.

Based on record review, the center failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The enrollment record for child 2 lacked the following required information: a. The work phone number for one parent’s place of employment; b. The first date of attendance. 2. The enrollment record for child 1 lacked the following required information: a. The name, address and phone number of a second emergency contact; b. The first date of attendance.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. The attendance sheet lacked the time and departure of children in care. 2. The parent sign-in sheet, which serves as an additional attendance record, did not contain the correct days and month. a. The parent sign-in sheet in use was incorrectly marked for April 2022 rather than the correct month of March 2022. b. Parent’s of children in care had been signing in since March 1, 2022 on a sign-in sheet for April 2022.”

Rule 8VAC20-780-80-A.

Based on review, the center failed to post the findings of the most recent inspection of the facility.

“Evidence: 1. The findings from the most recent inspection, conducted 03/04/2020, were not posted.”

Rule 8VAC20-820-120-E-2.