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

8VAC20-780-190-A

“Program directors shall meet one of the required qualifications for education and experience. Staff #1, designated as the program director, does not currently meet the education requirements for the position.”

Rule 8VAC20-780-190-A.

8VAC20-780-200-A

“There shall be a qualified program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation. There is not a staff member qualified as program director on site at least 50% of operating hours.”

Rule 8VAC20-780-200-A.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. During the inspection, children were observed on multiple occasions walking alone through the gym to join staff and children in the cafeteria. Children were observed leaving the cafeteria to use the restroom in the hallway. Children were not in sight and sound supervision of staff while walking through the gym and when using the restroom.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-B-5

“The required ratio for children school age eligible up to 9 years is one staff per eighteen children. Staff #2 was observed supervising thirty-eight children in the cafeteria at 7:34 am. At 8:18 am, Staff #2 and Staff #3 were observed supervising fifty-six children in the cafeteria.”

Rule 8VAC20-780-350-B-5.

8VAC20-780-540-B

“The first aid kit shall be inaccessible to children. The first aid kit was observed stored on a cart in the cafeteria, within reach of children.”

Rule 8VAC20-780-540-B.

8VAC20-780-60-A

“(Repeat violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. There was not a record on site for Child #5 who was present during inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-A

“(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #3, who is working with children, has not yet completed this course which is overdue by a year.”

Rule 8VAC20-780-240-A.

8VAC20-780-540-C

“The center shall have a first aid kit with all required components. The first aid kit did not have tweezers.”

Rule 8VAC20-780-540-C.

8VAC20-780-540-E

“(Repeat violation) There shall be a working, battery-operated flashlight in the building. There was not a working battery-operated flashlight available.”

Rule 8VAC20-780-540-E.

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, enrolled for over a year, was missing documentation of health information. The record for Child #5, enrolled for over two years, was missing documentation of health information and documentation of viewing proof of child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“(Repeat violation) Each center shall maintain a separate record for each staff that contains all of the required information. The records for Staff #1 (employed for three months), Staff #4 (employed for eight months) and Staff #5 (employed for seven months) did not have documentation of qualifications for the job position.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“(Repeat violation) All staff who work with children must have, within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) which includes an in-person competency demonstration. Staff #2 has not obtained CPR certification with in-person competency demonstration and is overdue by three months. Staff #4 has not obtained CPR certification with in-person competency demonstration and is overdue by more than a year. Staff #5 has not obtained CPR certification and is overdue by a month.”

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

8VAC20-790-600-D-2

“(Repeat violation) All staff who work with children must have, within 90 days of employment, current certification in first aid. Staff #5 has not obtained first aid certification and is overdue by a month.”

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

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 #2, who had been employed for six months, did not have proof of submitting the central registry search prior to beginning employment or documentation of the results letter.”

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 #2 TB was dated a year prior to date of employment and has been employed for six months.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed the course which is overdue by three months. Staff #4, who is working with children, has not yet completed the course which is overdue by over a year. Staff #5, who is working with children, has not yet completed the course which is overdue by a month.”

Rule 8VAC20-780-240-A.

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 cafeteria was not dated.”

Rule 8VAC20-780-40-M.

8VAC20-780-530-C

“There shall be at least two staff members present on the premises that are cardiopulmonary resuscitation (CPR) certified to include an in-person competency demonstration. There were no staff present that have completed a CPR certification that included the in-person competency portion.”

Rule 8VAC20-780-530-C.

8VAC20-780-540-E

“There shall be a working, battery-operated flashlight in the building. There was not a working battery-operated flashlight available.”

Rule 8VAC20-780-540-E.

8VAC20-780-70

“(Repeat violation) Each center shall maintain a record for each staff that contains all of the required information. The record for Staff #1, who has been working at the center for over a month, was missing documentation of staff qualifications for the position. The record for Staff #2, who has been working at the center for six months, was missing documentation of staff qualifications for the position. The record for Staff #5, who has been employed for four months, was missing documentation of qualifications for the position.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children must have, within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2 has not obtained current certification in cardiopulmonary resuscitation (CPR) which was overdue by more than 5 months.”

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

8VAC20-790-600-D-2

“All staff who work directly with children must have, within 90 days of employment, in first aid appropriate to the ages of children in care. Staff #2 has not obtained current certification in First Aid which was overdue by more than 5 months.”

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

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 record for staff #1 did not contain a signed sworn statement. Staff #1 is currently working, Staff #1’s signed Sworn Statement is overdue by more than 2 months.”

Rule 22.1-289.035-B-1.

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. The record for staff #1, who had been employed for over 2 months and was working with children during the inspection, did not contain documentation of a central registry search request.”

Rule 22.1-289.035-B-3.

8VAC20-780-240-A

“Staff are required to complete the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Staff #2 did not have documentation of VDOE orientation training, which is more than 8 months overdue. Staff #4 did not have documentation of VDOE orientation training, which is more than a year overdue. Staff #5 did not have documentation of VDOE orientation training, which is more than 7 months overdue.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“(Repeat Violation) Staff is required to complete a center specific orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #5, was working with children during he inspection and did not have documentation available to demonstrate that orientation training had been completed. This training / documentation was overdue by 7 months.”

Rule 8VAC20-780-240-B.

8VAC20-780-240-B

“(Repeat Violation) Staff is required to complete a center specific orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #5, was working with children during the inspection did not have documentation available to demonstrate that orientation training had been completed. This documentation was more than 6 months overdue.”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides must be kept in a locked place using a safe locking method that prevents access by children. There was a pump bottle of hand sanitizer on the top of a supply cart in the gymnasium within reach of children present in this area.”

Rule 8VAC20-780-280-B.

8VAC20-780-70

“(Repeat Violation) Records containing all required documentation must be maintained for each staff. Staff #1, staff #2 and staff #3 records did not contain a date of employment. Staff #5’s record did not contain the name address and telephone number for a person to be notified in an emergency. Staff #1, #2, #3 and #5 were supervising children during the inspection.”

Rule 8VAC20-780-70.

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, who had been employed for more than 6 weeks and was working with children at the time of inspection, did not have documentation that a central registry search had been requested.”

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. The record for staff #3, who has been employed for more than 1 month and was working with children at the time of the inspection, did not contain documentation of requesting a central registry check from one state and no documentation of requesting a sex offender search or for the same state.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“Staff is required to complete a center specific orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #4, whose date of employment was undetermined, was working with children during he inspection on 10/16/2024 did not have documentation available to demonstrate that orientation training had been completed when staff records were submitted for review 7 days later.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-L

“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. None of the records for the 5 staff present on10/16/2024 contained documentation to demonstrate that they had completed instruction in performing the daily health observation of children.”

Rule 8VAC20-780-245-L.

8VAC20-780-70

“(Repeat Violation) Documentation to include date of employment or volunteering and name, address, and telephone number of a person to be notified in an emergency, shall be kept for each staff person. Staff #2, whose length of employment is undetermined, was working with children at the time of inspection and did not have a date of employment or volunteering nor the name, address, and telephone number of a person to be notified in an emergency on record.”

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. At approximately 4:40 pm. on 10/10/2024, there were 45 children present in the multipurpose room but an attendance had not been recorded.”

Rule 8VAC20-780-80-A.

Based on observation of video footage, it was determined that the facility did not ensure that staff refrain from using forbidden actions to include roughly handling a child.

“Evidence: On 4/18/2024, between approximately 4:46pm and 4:48 pm, Staff #1 was observed pushing Child #1 (seven years old) out of the way, pulling that child forcibly by the arm, pushing the child in the back of the head and using her body to lean on and push the child away from the area where Staff #1 and two other children were dancing.”

Rule 8VAC20-780-410-1.

8VAC20-780-150-B

“Based on a review of children’s records, the licensee did not ensure that documentation of each child’s physical examination and immunizations are always signed by a physician, his designee, or an official of a local health department. Evidence: Five children’s records were reviewed digitally following the site inspection. The documentation of physical examination and immunizations for child #1 and child #4 were not signed or stamped by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

Based on observation and interview, the program did not have a working, battery-operated radio available.

“Evidence: When the program’s first aid supplies were inspected, the site director was asked to present the emergency batter operated radio. The site director stated that at the time that she was promoted and relocated to this site in December, the battery-operated radio was observed to be corroded and was thrown out. She stated that a new battery-operated radio had not yet been obtained.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-D

“Based upon a review of documentation and interview, the licensee did not ensure that the center implements a monthly practice evacuation drill. Evidence: The last documented evacuation drill was documented on the program’s drill log was for October 2023. The program director who was on site during the inspection stated that she was promoted to Site Director in November and had not been instructed or trained to conduct monthly drills so they had not been conducted for November or December 2023.”

Rule 8VAC20-780-550-D.

Based on interview and observation, the licensee did not always maintain and keep at the center a separate record for each child enrolled which contained the required information.

Rule 8VAC20-780-60-A.

Based on observation and interview, the name, address, and telephone number of a person to be notified in an emergency was not always kept for each staff person at the center.

Rule 8VAC20-780-70.

8VAC20-780-500-A

Rule 8VAC20-780-500-A.