Young Men’s Christian Association of the Virginia Peninsulas-Tom

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2, did not have a copy of the results of a search of the central registry in the file.”

Rule 22.1-289.035-B-3.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #10.”

Rule 8VAC20-780-140-A.

After the first license, annual approval from the health department shall be provided.

“The center did not have a current health inspection, the last date inspection was June 30. 2025.”

Rule 8VAC20-780-260-B.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In the Preschool classroom, the kitchen cabinet was unlocked containing multiple cleaners, and disinfectants with warning labels, ?Keep out of reach of children,? within reach of children. In the Toddler’s bathroom, the floor cleaning device had cleaning solution with the warning labels, “Keep out of reach of children,” within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in the classrooms did not have a current date.”

Rule 8VAC20-780-40-M.

Staff shall wash hands with soap and running water before and after a diaper change.

“Staff #4 did not wash hands after changing a child’s diaper and prior to contact with another children in care.”

Rule 8VAC20-780-500-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due 1 month ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-80-A

“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. There were 8 children in care and they were not checked in on the written log and signed in after arrival time on the electronic device.”

Rule 8VAC20-780-80-A.

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.

“The kitchen area door was open containing multiple cleaning and sanitizing supplies, one with the warning label “keep out of reach of children”.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-80-A

“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. There were 80 children check in on attendance device and 68 children in care.”

Rule 8VAC20-780-80-A. From a complaint.

In order to promote the child’s physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide needed help, comfort, support and:

“Child #1 appeared visibly distressed, was observed crying, and repeatedly rubbed their eye area during multiple classroom transitions and activities. Staff did not offer comfort or assistance to the child during these times.”

Rule 8VAC20-780-400-A. From a complaint.

The staff to children ratios are required whenever children are in care. School age eligible up to 9 years -ratio 1:18.

“In Huddle 1 there was one staff with 34 children in care in the multipurpose room at the center.”

Rule 8VAC20-780-350-B-5. From a complaint.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #4, Staff#6, Staff#8 who had been working for 1 month, did not have a central registry results of the search requested.”

Rule 22.1-289.035-B-3.

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.

“Child#1, Child#2, Child#6, Child#8, Child#10 who had been attending for over 1 month, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #Child#1, Child#2, Child#6, Child#10 who had been enrolled for over 1 months.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #6 who has been employed for one month, and there was no documentation in the file.”

Rule 8VAC20-780-160-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The wooden barrier surround the playground equipment was cracked in multiple areas. There were multiple protruding nails on the walking trail leading to the outdoor playground areas. The plastic bin containing play equipment was cracked in multiple areas.”

Rule 8VAC20-780-270-A.

8VAC20-780-430-K

“Provision shall be made for an individual place for each child’s personal belongings. In each of the school age groups, there multiple Children’s personal belongings being shared in one basket or travel wagon.”

Rule 8VAC20-780-430-K.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #2, who has been employed for 3 months, and no has documentation for verification. Staff#3, who is currently working and no has documentation for verification.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #3, who was actively working with children during the inspection, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2, who had been employed for three months, did not have documentation of central registry search requested. Staff #3, who was working with children, did not have documentation of central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff#1 did not have central registry search results during the inspection and has been employed for 1 year and 3 months.”

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

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. Child #6 and Child#8, who had been attending for 11 days, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, who had been enrolled for seven months.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 had no documentation and was present and working with children during the inspection.”

Rule 8VAC20-780-160-A.

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. The were multiple visible cracks on the flooring tiles in the toddler classroom.”

Rule 8VAC20-780-270-A.

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 container of cleaner solution was kept in the toddler bathroom nearby the toilet with warning labels, ?Keep out of reach of children,? unlocked in the toddler bathroom, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“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, enrolled for seven months, was missing the following required components: address, of two designated people to call in an emergency if a parent cannot be reached. The record for Child#6, enrolled for 11 days, complete address, of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The following staff records shall be kept for each staff person.

Rule 8VAC20-780-70.

22.1-289.035-B-3

“The center must obtain a copy of the results of a search of the central registry. Staff#1, who had been employed for 10 weeks did not have a copy of the results of the search of the central registry. Staff#3, who had been employed for 11 weeks did not have a copy of the results of the search of the central registry.”

Rule 22.1-289.035-B-3.

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.

“Child #4 and Child#5 who were present during the inspection, did not have documentation for immunization records on file.”

Rule 8VAC20-780-130-A.

The center shall ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The preschool area swings had visible rusting in multiple areas occupied by the children in care.”

Rule 8VAC20-780-270-A.

Hazardous substance such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A bottle of dishwashing liquid with the warning label,” keep out of reach of children,” was unlocked in the preschool classroom, within reach of children.”

Rule 8VAC20-780-280-B.

If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“There were two substitute containers missing the contents in the kitchen area located in the school age area.”

Rule 8VAC20-780-280-G.

8VAC20-780-350-B-2

“The required ratio for children age 16 to 24 month is one staff per five children. Staff#1, Staff#2, Staff#3 were observed supervision eighteen children (youngest child 19 months) from approximately 11:40am-12:20 pm”

Rule 8VAC20-780-350-B-2.

8VAC20-780-70

“Staff records shall be kept for each staff person. Staff#5who was actively working at the center, did not have a record submitted for review during the inspection.”

Rule 8VAC20-780-70.

Based on record review, the licensee did not ensure background checks are completed every year.

“Evidence: Staff #6 most recent finger prints were 2/2019. Staff confirmed the background check was not completed.”

Rule 22.1-289.035-A.

Based on record review, the licensee did not ensure out of state child abuse and neglect check were completed.

“Evidence: Staff #1 first date of emplyment 06/23/2023. Staff #1 lived outside of VA in past 5 years. Staff #1 record did not contain results of the out state criminal background for New Jersey .”

Rule 22.1-289.035-B-4.

Based on record review, the licensee did not esnure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: Upon arrivial the staff present at the center did not have documentation of someone present with Daily Health observation that was obtain in the past three years.”

Rule 8VAC20-780-245-L.

Based on observation, the licensee did not ensure the playground equipment did not have appropriate resilent surfacing in the fall zone areas.

“Evidence: The preschool playground and school age playground had mulch in multiple areas has become soil causing the mulch to be only 1 to 2 inch depth. Resilent surfacing should be at least 6 inches depth. Staff confirmed resilent surfacing has been scheduled to be delivered in the next week.”

Rule 8VAC20-780-330-B.

Based on record review, the licensee did not ensure lockdown procedures shall be practiced at least annually.

“Evidence: The center did not have documentation of a lockdown conducted in 2023. Confirmed by staff.”

Rule 8VAC20-780-550-F.

Based on record review, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence with all required documentation.

“Evidence: Staff provided a 4 ouch reports (injury reports)that did not have the following information was missing: staff present, date and time when parents were notified, any future action to prevent recurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

Rule 8VAC20-780-550-P.

Based on record review the licensee did not ensure the children records contained all required information .

“Evidence: Child #1 was missing a second emergency contact .”

Rule 8VAC20-780-60-A.

Based on record review, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include

“Evidence: Child #3 and Child #4 had doctor diagnosed allergy and did not have instructions from a physician regarding the food to which the children were allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

Rule 8VAC20-780-60-A-8.

Based on observation, the licensee did not ensure all areas and equipment inside and outside be maintained in clean and safe and operable condition.

“Evidence: Outside next to the preschool playground, the wooden walkway there was 8 boards warped they could cause a tripping hazard.”

Rule 8VAC20-780-270-A.

Based on interviews and documentation, the licensee did not ensure care protection and guidance.

Rule 8VAC20-780-340-A.

Based on record review and interview, the center did not ensure to inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Evidence: The center contacted the Licensing inspector on August 4, 2023 for an incident that happened on July 31, 2023. The center was made aware on August 1, 2023, that outside medical attention had to be obtained for child #1 who was diagnosed with a mild concussion. The injury report was signed on August 1, 2023.”

Rule 8VAC20-780-80-B-2.

Based on staff interview and video footage the licensee did not ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts

“EVIDENCE : Staff #1 indicated that child #1 dumped blocks and ran off laughing like cat and mouse. Staff #1 said she grabbed child #1 and said you better help me pick them up. Child #1 tried to snatch away. Video footage of incident shows Child #1 dumped a box of blocks and ran around the room. Staff #1 is picking up the area. Child #1 goes back to the block area next to Staff #1. Staff #1 pulls child by the arm towards her.”

Rule 8VAC20-780-400-B.

Based on record review, the licensee did not ensure obtain a copy of the results of a criminal history record information check, from any state in which the individual has resided in the preceding five years.

“Evidence: Staff #6 hire date 05/08/2023 lived outside of Va in the past 5 years. Staff #6 did not have criminial background check for Pennsylvania and Arizona prior to employment.”

Rule 22.1-289.035-B-4.

Based on observation and staff interview, the license did not ensure central registry finding with in 30 days of employment.

“Evidence: Staff #5 ( hire date 03/20/2023) and Staff #9 (hire date 04/12/2023) did not have central registry results available background check during the inspection.”

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

Based on record review and staff interview, the licensee did not ensure center obtain documentation that each child has recieved the immunization required before the child attends.

“Evidence: The center was unable to locate the child #1 immunization record.”

Rule 8VAC20-780-130-A.

Based on record review and staff interview, the licensee did not ensure a child has had a physical examination with in 30 days from start date.

“Evidence: The center was unable to locate child #6 ( start date 04/10/2023) physical .”

Rule 8VAC20-780-140-B.

Based on record review and staff interview, the licensee did not ensure at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: Staff #7 most recent tuberculosis screening was 08/05/2020.”

Rule 8VAC20-780-160-C.

Based on record review, the licensee did not ensure there was a fire inspection conducted annually.

“Evidence: The most recent fire inspection was 06/13/2022.”

Rule 8VAC20-780-260-A.

Based on record review and staff interview, the licensee did not ensure there was a health inspection completed annually.

“Evidence: The most recent health inspection provided was November 2021.”

Rule 8VAC20-780-260-B.

Based on observation and staff interview, the licensee did not ensure the food container was sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: The food containers observed during the inspection did not have a date label.”

Rule 8VAC20-780-560-G.

Based on record review and staff interview, the licensee did not ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: Child #1 had doctor diagnosed food allery to berries. The center did not have witten care plan provided by the doctor.”

Rule 8VAC20-780-60-A-8.

Based on record review and staff interview, the licensee did not ensure there was documentation of completion orientation.

“Evidence: In staff records staff #3, staff #4, staff #5, staff #7, and staff #9 their was not documentation of completion of orientaiton.”

Rule 8VAC20-780-70.

Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary reuscitiation appropriate to the ages of children in care.

“Evidence: During the inspection Staff #1 (employment date 06/16/2022) and Staff #3 (employment date 06/01/2022) did not have a current certification in CPR with in 90 days from employment.”

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

Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.

“Evidence: During the inspection Staff #1 (employment date 06/16/2022) and Staff #3 (employment date 06/1/2022) did not have a current certification in First Aid with in 90 days from employment.”

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

Based on record review and staff interview, the licensee did not ensure staff completed Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: Staff #1 employment date 06/16/2022 did not have documentation of completion of Virginia Department of Education-sponsored orientation with in 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

Based on staff interview, the licensee did not ensure the center notify the parent by the end of the day of any known minor injuries. Evidence:

“Child #1 was injured on August 1, 2022 recieved a bandaid on elbow. Staff #2 confirmed he did not notify parent of injury and or the staff in charge.”

Rule 8VAC20-780-550-O. From a complaint.

8VAC20-780-550-P

“Based on record review and staff interview, the licensee did not ensure the center maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. Evidence: Staff #1 and Staff #2 confirmed there was not an injury report for child #1 completed on the day of occurrence.”

Rule 8VAC20-780-550-P. From a complaint.

Based on record review, the licensee did not ensure all documentaiton was obtained in staff record.

“Evidence : The record for Staff #2 did not have documentation of required orientaiton for staff.”

Rule 22VAC40-185-70-A.

Based on record review, the licensee did not ensure all staff had a tuberculosis screening at least every two years from the date of the first initial screening or testing or more frequently as if recommended.

“Evidence: The document provide by the center for Staff #3 showed the most recent TB test was March 15, 2018.”

Rule 8VAC20-780-160-C.

Based on observation, the licensee did not ensure areas and equipment inside the center , is maintained in a clean, safe and operatble condition.

“Evidence: In the preschool classroom, the sink in the classroom there was a cabinet with a missing handle which had a protruding screw that was sharp and could snag skin.”

Rule 8VAC20-780-270-A.

Based on observation, the licensee did not ensure sunscreen is inaccessible to children under five years of age.

“Evidence : In the preschool classroom, there was sunscreen in Child #3’s cubby.”

Rule 8VAC20-780-520-B.

Based on record review, the licensee did not ensure the center implemented monthly practice evacuation drills.

“Evidence: There was no documentation of a evacuation drills being conducted in March and May .”

Rule 8VAC20-780-550-D.

Based on record review, observation and staff interview the licensee did not ensure menu listing foods to be served for meals and snacks during the current one-week period was dated.

“Evidence: The menu posted was for Week 2 was dated February .”

Rule 8VAC20-780-560-F.

Based on observation and staff interview, the licensee did not ensure the center inside and outside was maintained clean , safe and operable.

“Evidence: Outside on the preschool playground, the fence has multiple areas with paint peeling and flaking off the fence. In the preschool bathroom, there was peeling paint around the door frame in multiple areas.”

Rule 8VAC20-780-270-A.