The YMCA of South Hampton Roads-School Age Child Care at Suffolk

22.1-289.035-B-2

“Centers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #8, who had been employed for a month, 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. There was not documentation of requesting a central registry search for Staff #3, Staff #5, Staff #8, Staff #9 and Staff #10. These individuals have been working for a month. The record for Staff #7, employed for two years, did not have a completed central registry search.”

Rule 22.1-289.035-B-3.

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 #8 TB was dated nine months prior to date of employment and has been employed for over a month.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 3 weeks ago and Staff #2 updated screening was due 11 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate resilient surfacing depth in fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. There was less than 1” of mulch under the jumper portion of the composite piece of play equipment on the playground.”

Rule 8VAC20-780-330-B.

8VAC20-780-430-K

“Provision shall be made for an individual place for each child’s personal belongings. Children’s backpacks, lunch bags, nap mats and linens were observed stored on top of each other on top of cubbies, in wagons and on the floor.”

Rule 8VAC20-780-430-K.

8VAC20-780-550-G

“Documentation is to be maintained of completed emergency evacuation drills. There was not documentation of May and June emergency evacuation drills and staff reported they were completed.”

Rule 8VAC20-780-550-G.

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 #1 has a diagnosed food allergy and did not have written care plan in their file. The record for Child #6 did not have two emergency contacts with address and phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

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. The written attendance was not accurate for children present in two of the three groups of children.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“All staff who work with children shall have CPR certification within 90 days of employment. The record for staff #5 did not have CPR certification and is overdue by two weeks.”

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

8VAC20-790-600-D-2

“All staff who work with children shall have first aid certification within 90 days of employment. The record for staff #5 did not have first aid certification and is overdue by two weeks.”

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

22.1-289.011-F

“Center shall post the most recent results of inspection findings at a conspicuous place on the premises. The most recent inspection findings dated December 2024 were not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-3

“(Repeat violation) The center must request a search of the central registry prior to the employee’s first day of employment. Staff #4, who has been employed for nine months, did not have a central registry search requested. Staff #5, who has been employed for three months, did not have a centra registry search requested.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“(Repeat violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 8 months, did not have documentation of requesting a central registry search from a one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for Staff #1, who has been employed for nine months, did not have documentation of completing the VDOE orientation course.”

Rule 8VAC20-780-240-B.

8VAC20-780-40-M

“(Repeat violation) 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. There was not a list in the youth center room which is where all children in care were present.”

Rule 8VAC20-780-40-M.

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 #1, #2, #3, #9, and #11, who had been employed employed between one month through four months, did not have documentation of date central registry search was requested to demonstrate they were requested prior to beginning employment.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5 and Staff #7, employed for more than five months, did not have documentation of requesting out of state central registry check and sex offender check for those states.”

Rule 22.1-289.035-B-4.

8VAC20-770-60-C-2

“(Repeat violation) For staff hired before July 1, 2024, centers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #4, #10 and #12 did not have a completed central registry and they have been employed between five months through a year.”

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

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5, who is working with children, has not yet completed this course which is overdue by two months.”

Rule 8VAC20-780-240-A.

8VAC20-780-260-B

“The center shall ensure there is annual health inspection. The most recent health inspection report available for review was completed 7/20/2023 which is overdue by four months.”

Rule 8VAC20-780-260-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 was not dated.”

Rule 8VAC20-780-40-M.

Based on review, facility did not ensure 1 of 5 staff records has a completed central registry search within 30 days of beginning employment.

“Evidence: The record for staff #1 (start date 10/9/2023) did not have a central registry search.”

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

Based on review, facility did not ensure 2 of 5 staff did not complete the VDOE sponsored orientation course within 90 days of beginning employment.

“Evidence: The records for staff #3 (start date 9/7/2023) and staff #4 (start date 10/23/2023) did not have documentation of completing the VDOE sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on observation and interview, facility did not ensure when food is brought from it should be labeled with the child’s name and date.

“Evidence: Children’s lunch boxes were observed and they were not labeled with the child’s name and date. Staff confirmed children bring their own lunches for full day program days.”

Rule 8VAC20-780-560-G.

Repeat Violation Based on review, facility did not ensure 2 of 5 child records has documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #4 (start date 9/5/2023) did not have two emergency contacts other than parents, physician information and a written agreement signed by parents. 2. The record for child #5 (start date 9/5/2023) did not have two emergency contacts other than parents.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 1 of 4 staff have current CPR certification within 90 days of beginning employment.

“Evidence: The record for staff #2 (start date 6/10/22) did not have current CPR certification.”

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

Based on review, facility did not ensure 1 of 4 staff have current first aid certification within 90 days of beginning employment.

“Evidence: The record for staff #2 (start date 6/10/22) did not have current first aid certification.”

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

Based on review, facility did not ensure 1 of 4 staff has the required out of state background checks when an individual has lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #3 (start date 9/6/22) did not have a criminal history search and child abuse/neglect registry search completed for that state.”

Rule 22.1-289.035-B-4.

Based on review, facility did not ensure 1 of 5 staff have a negative tuberculosis screening.

“Evidence: The record for staff #4 (start date 3/14/2022) does not have a current TB test or screening.”

Rule 8VAC20-780-160-A.

Based on review, facility did not ensure 2 of 5 staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

“Evidence: The records for staff #1 (start date 2/19/22) and staff #2 (start date 6/10/22) did not have documentation of completing the VDOE sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on review, facility did not ensure there is an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection report available for review was dated 1/6/2022 which is more than a year old.”

Rule 8VAC20-780-260-A.

Based on review, facility did not ensure there is annual approval from the health department.

“Evidence: The most recent health inspection available for review was dated 2/10/22 which is more than a year old.”

Rule 8VAC20-780-260-B.

Based on review, facility did not ensure 2 of 5 children’s records have documentation of required information.

“Evidence: The following was found during review of children’s records: 1. The record for child #3 (start date 6/29/22) did not have two emergency contacts other than parents. 2. There was not a record for child #5. 3. Missing information was verified by staff member in charge.”

Rule 8VAC20-780-60-A.

8VAC20-780-140-A

“Based on record review, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child’s first day of attendance; or within 30 days after the first day of attendance. Evidence: The record for child #3, (first date of attendance 3-23-2015) did not include documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-260-A

“Based on documentation review and staff interview, the licensee shall provide documentation of an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent copy of an annual fire inspection, available for review, was dated 1-6-2022.”

Rule 8VAC20-780-260-A.

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #3 stated they did not have an accurate written list of children’s names listing their allergies and food sensitivities.”

Rule 8VAC20-780-40-M.

8VAC20-780-540-E

“Based on observation and staff interview, the licensee did not ensure, to obtain all the required nonmedical emergency supplies. Evidence: Staff #3 confirmed there was not a working, battery-operated radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-E

“Based on review of documentation the licensee did not ensure shelter in place procedures shall be practiced a minimum of twice per year. Evidence: The center’s 2022 evacuation drill sheet did not include documentation of 2 shelter in place drills.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on review of documentation the licensee did not ensure lockdown procedures should be practiced at least annually. Evidence: The center’s 2022 evacuation drill sheet did not include documentation of an annual lockdown drill.”

Rule 8VAC20-780-550-F.

Based on review, facility did not ensure 1 of 4 staff records has a completed central registry search within 30 days of beginning employment.

“Evidence: The record for staff #3 (start date 9/16/2021) did not have a completed central registry search. Staff stated it was determined the central registry search was missing from the staff record and one was submitted 1/28/2022.”

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

Based on review, facility did not ensure 2 of 4 children’s records have documentation of required information.

“Evidence: The following was found during record review: 1. The records for child #1 (start date 9/7/2021) and child #2 (start date 11/1/2021) did not have complete parent employment information. 2. The record for child #2 (start date 11/1/2021) did not have complete parent home information.”

Rule 8VAC20-780-60-A.