YMCA - Midlothian

8VAC20-780-280-B

“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. A container of sanitizing wipes labeled with Keep out of the Reach of Children was placed in an unlocked cabinet underneath the hand sink located in the school age classroom. School-aged children were present in the classroom during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Child #4, who has been attending the center for six months and was present at the inspection, requires the use of an emergency medication. Staff could not locate the key to gain access to the prescribed medication during the inspection.”

Rule 8VAC20-780-340-A.

8VAC20-780-540-B

“Each first aid kit shall be easily accessible to staff but not to children. The first aid kit with the required items for the first aid kit could not be located during the inspection.”

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 which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #5 was missing one of the two required names, address, and phone number of designated people to call in an emergency.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“The following staff records shall be kept for each staff person and contain name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. This information is required to be kept at the center. Staff #5 was present at the center and supervising children during the inspection. The required information was not present at the center.”

Rule 8VAC20-780-70.

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 #3, who had been attending for six months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-510-E

“The center’s procedures for administering medication shall include duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent. The center did not have a medication authorization form allowing the center to administer medication for the prescription medication present at the center for Child #3.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. The medication located at the center for Child #6 was not labeled with the dosage amount and times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-60-A-8

“A written care plan is required 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. Child #1, who has been enrolled for five months, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-320-B

“Based on observation, the center did not ensure restroom areas were equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: Four restroom areas located in the wooded camp area did not contain soap at the handwashing area.”

Rule 8VAC20-780-320-B.

8VAC20-780-500-A

“Based on observation, the center did not ensure children’s hands were washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: Three children were observed exiting the porta-potty in the outdoor camp area. After using the porta-potty, children were observed rejoining the groups, completing the activities already in progress.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-F

“Based on a review of six medications and documentation review, the center did not ensure two medication authorizations were available to staff during the entire time the medication was effective for two children. Evidence: A prescription medication was observed at the center for Child #3 and Child #4. Medication authorizations allowing the center to administer medication was not present at the center.”

Rule 8VAC20-780-510-F.

Based on review of seven children’s records, the center did not obtain the required information for one child.

“Evidence: The record for Child #6 (date of enrollment 06/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

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

“Evidence: On June 4, 2024, a child received an injury at the center. On June 5, 2024, the parent of the child notified the center medical treatment was received for the child’s injury. A department’s representative was notified about the serious injury on June 13, 2024”

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

8VAC20-790-600-D-2

“Based on review of five staff records, the vendor did not ensure all staff who work directly with children obtained current certification in first aid within 90 days of the date of employment. Evidence: 1. The records for Staff #3 (Date of Employment 06/05/2023) and Staff #4 (Date of Employment 06/05/2023) did not contain current certification in first aid. 2. A member of management confirmed Staff #3 and Staff #4 did not current first aid certification.”

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

8VAC20-780-150-B

“Based on review of five children’s records, the center did not ensure one child’s immunization records was not signed by a physician, his designee, or an official of a local health department. Evidence: The record for Child #1 (First day of attendance 08/21/2023) contained immunizations records that were not signed and dated by a physician.”

Rule 8VAC20-780-150-B.

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevented access by children. Evidence: Three cabinets in three classrooms contained unlocked cleaning chemicals. Children were observed in the three classrooms during the inspection.”

Rule 8VAC20-780-280-B.

22.1-289.035-B-4

“Based on record review, the center did not ensure one of ten staff records contained documentation of criminal history record results from any state in which the individual has resided in the past five years, prior to employment. Evidence: The record of staff #10 (employment date: 5/8/2023) did not have documentation of out of state criminal history record results.”

Rule 22.1-289.035-B-4.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children completed the department’s health and safety update course annually.

“Evidence: 1) The record of Staff #5 (DOE: 05/23/22) did not have documentation of the department’s health and safety update course. 2) During interview, a member of management reported the center does not have documentation that the staff completed the course. The course should have been completed no later than 05/23/23.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure one staff completed three required background checks every five years.

Rule 22.1-289.035-A.

Based on a review of five staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The central registry finding in the record of Staff #2 (DOE: 06/15/22) was completed on 10/03/22. 2) During interview, a member of management confirmed the central registry finding for Staff #2 was not received within 30 days of employment. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff member had been continuously employed.”

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

Based on a review of five staff records and interview, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record of Staff #5 (DOE: 05/23/22) was completed on 12/19/22. There was no documentation a TB screening was completed prior to this date. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years.

“Evidence: The most recent TB screening in the record of Staff #1 (DOE: 01/06/21) was completed on 02/18/23. The previous TB screening was completed on 12/31/20. A new TB screening should have been obtained no later than 12/31/22.”

Rule 8VAC20-780-160-C.

Based on a review of five staff records and interview, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course.

“Evidence: 1) The record of Staff #5 (DOE:05/23/22) did not contain the Virginia Department of Education-sponsored orientation course. 2) During interview, a member of management reported the staff member has not completed the orientation to date.”

Rule 8VAC20-780-240-A.

Based on a review of documentation, the center did not ensure that written injury records contained the required information.

Rule 8VAC20-780-550-P.