Altavista Area YMCA -Tomahawk Elementary

Repeat violation

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The records for Child #3, Child #4 and Child #5 enrolled one month, were each missing several of the required components.”

Rule 8VAC20-780-60-A.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not request a search of the child abuse and neglect registry from one state for Staff #1, who has been employed 2 years and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who meets the requirements of medication administration training.

“On 10/29/2025 for 12 minutes, Child #5, who has been prescribed emergency medication, was not in the care of a staff member that meets the requirements of medication administration training.”

Rule 8VAC20-780-245-J-3.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child 4 and Child 5 was missing the following required components: First date of attendance.”

Rule 8VAC20-780-60-A.

Based on record review and staff interviews, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: 1.The record for Child 4 documented the first date of attendance as 08/16/2023. The immunization record was dated 08/28/2023. 2.The record for Child 5 documented the first date of attendance as 08/16/2023. No immunization record was available for review. Staff 1 confirmed no immunization record was available for review.”

Rule 8VAC20-780-130-A.

Based on medication review and staff interviews, the center failed to medication shall be labeled with child’s name, the name of the medication and dosage amount, and time to times to be given.

“Evidence: The label on Medication 1 stated ?Please see attached for detailed directions?. No dosage amount or time(s) to be given was on label. Staff 1 confirmed that no detailed directions were available.”

Rule 8VAC20-780-510-G.

Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

“Evidence: The record for Child 1 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (both designated people were parents) and written agreements between the parent and the center.”

Rule 8VAC20-780-60-A.

8VAC20-780-350-B-4

Rule 8VAC20-780-350-B-4.

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child’s belongings. Evidence: Approximately 12 book bags and 8 jackets/coats were observed lying on the floor around the cafeteria table next to the door.”

Rule 8VAC20-780-430-K.