YMCA School-Age Child Care @ Larchmont Elementary

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There were no documented shelter-in-place drills conducted this year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There were no documented lock-down drills this year.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-P

“Repeat violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all required documentation. An injury record date 2/10/2026 did not include the time the parent was notified of the child’s injury. An injury record dated 2/12/2-26 did not include the date the parent was notified of the child’s injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 1 began employment on 10/8/2025. There was no documentation that staff 1 had received the required orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-40-M

“The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan. The allergy list for the facility was not current. A child with a severe peanut allergy )child 7)was listed, however the child was no longer enrolled at the facility.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries that includes all required documentation. Two injury records dated 11/3/2025 did not include the dates, times and how the parents were notified of the children’s injuries. An injury records dated 10/3/2025 and 10/21/2025 did not include the dates the parents were notified of the children’s injuries.”

Rule 8VAC20-780-550-P.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There weas no documentation of current immunizations in the record provided for child 4.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Each child shall have a physical examination before the child’s attendance or within 30 days after attending. The was no physical examination in the records provided for child 4 and child 6, both of whom who have attended for more than 30 days.”

Rule 8VAC20-780-140-A.

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before preparing or serving food or beverages. Staff 1 did not wash their hands before assisting children with the afternoon snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. The program leader stated that child 6 stopped attending in October 2024. There was medication for child 6 that was not returned to the parent nor disposed of.”

Rule 8VAC20-780-510-P.

Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR).

“Staff 2, employed for 8 months, and staff 4, employed 6 months, do not have training in first aid/CPR.”

Rule 8VAC20-780-240-E.

8VAC20-780-320-B

“Based upon observation, the facility has not ensured that each bathroom used by the children is equipped with paper towels. Evidence; There were no paper towels available in the girls’ bathroom.”

Rule 8VAC20-780-320-B.

8VAC20-780-550-P

“Based upon review of written injury records, the facility has not ensured that the written records of children’s injuries include all required information. Evidence: 1. An injury record dated 9/28/23 for child 6 did not include the time the parent was notified of the injury. 2. An injury record dated 10/9/23 for child 7 did not include the date and time the parent was notified of the injury. 3. An injury record dated 10/27/23 for child 8 did not include the time the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Based upon review of staff records and staff interview, the facility has not ensured that staff obtain the results of a negative tuberculosis screening within 30 days prior to employ. Evidence: 1. According to the record provided, staff 1 was employed on 1/4/2023. Results of a tuberculosis screening were not obtained until 2/11/2023. 2. Staff 6 verified that the results of the tuberculosis screening for staff 1 were not obtained within 30 days prior to employ.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-E

“Based upon review of staff records, the facility has not ensured that within 30 days of employmnet, staff have completed orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: The record provided for staff 4, employed on 4/22/2022, did not include documentation of training in first aid and CPR.”

Rule 8VAC20-780-240-E.

8VAC20-780-260-A

“Based upon review of records, the facility has not ensured that there is an annual fire inspection. Evidence: The most recent record of a fire inspection provided is dated 3/14/2019.”

Rule 8VAC20-780-260-A.

8VAC20-780-340-D

Rule 8VAC20-780-340-D.

8VAC20-780-550-E

“Based upon records provided, the facility has not ensured that shelter-in-place drills are conducted a minimum of twice per year. Evidence: The records provided indicated one shelter-in-place drill during the 2021/2022 school year and no shelter-in-place drills during the 2022-2023 school year.”

Rule 8VAC20-780-550-E.

8VAC20-780-60-A

“Based upon review of records, the facility has not ensured that each child’s record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. Evidence: The record provided for child 1 did not include the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR.

“Evidence: 1. Staff 1, hire date 06/21/2021, lacks CPR certification. 2. Staff 2, hire date 10/15/2021, lacks CPR certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack CPR certification.”

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

Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid.

“Evidence: 1. Staff 1, hire date 06/21/2021, lacks First Aid certification. 2. Staff 2, hire date 10/15/2021, lacks First Aid certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack First Aid certification.”

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

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

“Evidence: 1. Staff 1, hire date 10/15/2021, does not have central registry check finding.”

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

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

“Evidence: 1. The immunization record available for child 1 was missing page 2 and page 3 of the immunization record. a. Page 1 of the immunization record available does not show documentation that child 1 is current with all required immunizations. 2. Administrative staff confirmed that the complete immunization record was not available.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance.

“Evidence: 1. Child 1, enrollment date 09/09/2021, lacks documentation of a physical exam.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening within 30 days prior to employment.

“Evidence: 1. Staff 1, hire date 10/15/2021, lacks documentation of a TB screening. 2. Administrative staff confirmed that staff 1 had not obtained a TB screening.”

Rule 8VAC20-780-160-A.

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 1 lacks the following required information: a. Work number and employment for each parent”

Rule 8VAC20-780-60-A.

Based on observation and interview, the center failed to maintain the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.

“Evidence: 1. Emergency contact information was not on file at the after school site for staff 2 and staff 3 during the virtual inspection on 01/19/2022. 2. Administrative staff confirmed that staff 2 and staff 3 had not completed an emergency contact sheet for the after school site.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings from the most recent inspection, conducted on 03/23/2021, were not posted on the parent board during the virtual inspection conducted on 01/19/2022. a. The findings from the 12/02/2019 were posted.”

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