Young Men’s Christian Assoc of Virginia’s Blue Ridge- Fairview

Hazardous substances must be in a locked place that prevents access by children.

“In the cafeteria, the cleaning solution and sanitizing solution were in an unlocked cabinet, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-N

“Centers shall keep a record of medication given to children which shall include the required information. There was no record of a medication error for Medication 1 given to Child 5 on 2/13/2026.”

Rule 8VAC20-780-510-N.

The center shall have at least two staff members who are first aid and cardiopulmonary resuscitation (CPR) certified on the premises during the centers hours of operation.

“Staff #3 was the only staff member present that is currently first aid and CPR certified.”

Rule 8VAC20-780-530-C.

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 #2, currently in care, was missing two required components.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1 current CPR training was overdue by 11 days.”

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

8VAC20-790-600-D-2

“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. Staff #1 current first aid training was overdue by 11 days.”

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

8VAC20-780-290-3

“REPEAT VIOLATION In areas used by preschool children or younger, electrical outlets shall have protective covers. Eight outlets did not have outlet covers in the cafeteria where preschool children were present.”

Rule 8VAC20-780-290-3.

8VAC20-780-510-E

“Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent. The centers policy states daily or emergency prescription medication must have a parent and physician complete the medication form. The form for Child A did not have authorization from a physician. The form for Child B did not have authorization from a parent.”

Rule 8VAC20-780-510-E.

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. The record for Child #1, currently in care, was missing first date of attendance; The record for Child #2 and Child #3, in care for 3 months, were missing written agreements between the parent and center.”

Rule 8VAC20-780-60-A.

8VAC20-780-290-A-3

“In areas used by preschool children or younger, electrical outlets shall have protective covers. Four outlets did not have outlet covers in the cafeteria where preschool children were present.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks. Nine children were observed eating snack and they did not wash their hands when they finished.”

Rule 8VAC20-780-500-A.

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, Child #2, Child #3, Child #4 and Child #5, enrolled 9 months, were missing 9 required components.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“2nd REPEAT VIOLATION All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1, employed 12 months, did not have the required age appropriate CPR training.”

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

8VAC20-790-600-D-2

“2nd REPEAT VIOLATION 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. Staff #1, employed 12 months, did not have the required age appropriate first aid training.”

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

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The most recent license posted was expired 3/12/2024.”

Rule 22.1-289.011-F.

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 #1, employed for 12 months, did not have documentation of requesting a central registry check from two states.”

Rule 22.1-289.035-B-4.

8VAC20-780-150-B

“Each report shall include shall be signed by a physician, his designee, or an official of the local health department. Child #1, enrolled 1 month, did not have a signed immunization record during the inspection on 9/18/2024.”

Rule 8VAC20-780-150-B.

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have within 90 days of October 13, 2021, current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care and current certification in first aid. Staff #1, employed for 12 months, did not have CPR and first aid training appropriate to the age of the children in care.”

Rule 8VAC20-780-530-A.

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 #3 , enrolled 1 month, did not contain the name of the child’s physician during the inspection on 9/18/2024.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“REPEAT VIOLATION The following staff records shall be kept for each person. The record for Staff #1, employed for 12 months, did not contain a signature of the person verifying the reference. The record for Staff #2, employed for 3 months, did not contain a signature of the person verifying the reference.”

Rule 8VAC20-780-70.

REPEAT VIOLATION Based on the review of three staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in CPR appropriate to the ages of children in care.

“Evidence: 1. Staff #1 was hired on 2/19/2023 and on the day of the inspection did not have training in CPR. 2. Staff #2 was hired on 3/22/2023 and on the day of the inspection did not have training in CPR.”

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

REPEAT VIOLATION Based on the review of three staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff #1 was hired on 2/19/2023 and on the day of the inspection did not have training in first aid. 2. Staff #2 was hired on 3/22/2023 and on the day of the inspection did not have training in first aid.”

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

Based on the review of three staff records, the center failed to ensure that the following staff records shall be kept for each staff person: First aid, cardiopulmonary resuscitation, and other certifications as required by the responsibilities held by the staff member.

“Evidence: Staff #3 was hired on 9/16/2023 and on the day of the inspection did not have training in CPR and first aid documented in the staff record.”

Rule 8VAC20-780-70.

Based on the review of two staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in CPR appropriate to the ages of children in care.

“Evidence: Staff #2 was hired on 3/22/2023 and on the day of the inspection did not have training in CPR.”

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

Based on the review of two staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in first aid appropriate to the ages of children in care.

“Evidence: Staff #2 was hired on 3/22/2023 and on the day of the inspection did not have training in first aid.”

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

Based on observation and discussion with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have within 90 days CPR and first aid training.

“Evidence: Staff #2 was hired on 3/22/2023 and on the day of the inspection did not have training in CPR and first aid.”

Rule 8VAC20-780-530-A.

Based on review of three staff’s records, the center failed to ensure that all records were complete.

“Evidence: 1. Staff #2 was hired on 12/1/2021 and on the day of the inspection did not have the required out of state criminal history record check prior to the first day of employment. 2. Staff #2 was hired on 12/1/2021 and on the day of the inspection did not have the required out of state child abuse and neglect check prior to the first day of employment.”

Rule 22.1-289.035-B-4.

Based on review of three staff’s records, the center failed to ensure that all records were complete.

“Evidence: The review of records for staff #1 and staff #3 showed no central registry results. 1. Staff #1 was hired on 12/21/2022 and on the day of the inspection did not have the required central registry results documented. 2. Staff #3 was hired on 1/25/2023 and on the day of the inspection did not have the required central registry results documented.”

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

Based on observation, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Evidence: Licensing Inspector observed 4 outlets along the front of the stage in the cafeteria that did not have outlet covers on them. Preschool aged children are enrolled at the center. There were no children observed near the stage but it was accessible to children.”

Rule 8VAC20-780-290-A-3.

Based on the review of three staff’s records, the center failed to ensure that within 90 days of employment staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: Staff #2 date of hire was 04/10/2022 and on the day of the inspection did not have the required Preservice Training.”

Rule 8VAC20-790-600-B.

Based on the review of three staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in CPR appropriate to the ages of children in care.

“Evidence: 1. Staff #1 CPR training was dated 7/14/2018 and on the day of the inspection did not have current CPR training documented. 2. Staff #2 date of hire was 04/10/2022 and on the day of the inspection did not have the required CPR training.”

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

Based on the review of three staff’s records, the center failed to ensure that all staff who work directly with children shall have within 90 days current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff #1 first aid training was dated 7/14/2018 and on the day of the inspection did not have current first aid training documented. Staff #2 date of hire was 04/10/2022 and on the day of the inspection did not have the required first aid training.”

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

Based on the review of three staff’s records, the center failed to ensure that staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the departments annual health and safety update course.

“Evidence: Staff #2 date of hire was 04/10/2022 and on the day of the inspection did not have the required annual health and safety course documented.”

Rule 8VAC20-790-600-F.

Based on review of three children’s records, the center failed to ensure that each child has received the immunizations required before the child can attend.

“Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required immunization record documented.”

Rule 8VAC20-780-130-A.

Based on review of three children’s records, the center failed to ensure that all physical records shall be obtained within 30 days after the first day of attendance.

“Evidence: Child 3 started on 8/23/2022 and on the day of the inspection did not have the required physical examination record.”

Rule 8VAC20-780-140-A.

Based on review of three staff records, the center failed to ensure that at least every two years that follow up tuberculosis results were obtained.

“Evidence: 1. Staff 1 started on 9/16/2016 and on the day of the inspection the most recent tuberculosis screening results were dated 10/15/2018. 2. Staff 3 started on 9/21/1999 and on the day of the inspection the most recent tuberculosis screening results were dated 2/3/2020.”

Rule 8VAC20-780-160-C.

Based on observation and discussion with staff, the center failed to ensure that annual approval from the health department shall be provided.

“Evidence: The annual health inspection was not available onsite for review by licensing staff.”

Rule 8VAC20-780-260-B.

Based on the review of three children’s records, the center failed to ensure all children’s records were complete per the requirement of the standard.

“Evidence: Child 3 started on 8/23/2022 and on the day of the inspection documentation of viewing proof of the child’s identity and age were not obtained.”

Rule 8VAC20-780-60-A.

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

“Evidence: 1) Staff 1 start date was 09/16/2016 and on the day of the inspection did not have the required emergency contact information documented. 2) Staff 2 start date was 4/10/2022 and on the day of the inspection did not have the required emergency contact information documented. 3) Staff 3 start date was 9/21/1999 and on the day of the inspection did not have the required emergency contact information documented.”

Rule 8VAC20-780-70.