Rappahannock Area YMCA

Each center shall maintain and keep a separate record for each child enrolled which shall contain a written care plan for each child with 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.

“The record for Child #5 contained documentation of a diagnosed food allergy. There was no written allergy care plan from a physician on record. Child #5 had been enrolled in the program for three days.”

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

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.

“Evidence: 1. The screening for Staff #1 was completed one day after their employment. 2. The screening for Staff #7 was completed four days after their employment”

Rule 8VAC20-780-160-A.

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

“Evidence: The tuberculosis screening for Staff #2 was dated 11/8/23. The updated screening was due nine days ago.”

Rule 8VAC20-780-160-C.

Based on review five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members.

“Evidence: 1. The record for Staff #1 with an employment date of 3/6/24, the results of the Central registry search background check was dated 4/14/24. 2. The record for Staff #2 with an employment date of 8/31/21, the results of the Central registry search background check was dated 10/1/21. 3. The record for Staff #3 with an employment date of 10/25/21, the results of the Central registry search background check was dated 12/7/21.”

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

Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file.

“Evidence: The record for Staff #4, with a title of teacher, did not contain documentation of education.”

Rule 8VAC20-780-210-A.

Based on a review of five staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children

“Evidence: The record for Staff #4, with a start date of 7/1/21, did not contain documentation of a tuberculosis screening at the time of inspection”

Rule 8VAC20-780-160-A.

Repeat Violation

“Based on observation and measurement, the center did not ensure that resilient surfacing complies with the minimum safety standard where playground equipment is provided. Evidence: There was less than one inch of mulch observed at the base of the composite play structure and four swings. The mulch has deteriorated into dirt and grass is growing throughout the fall zones. Six inches of resilient surfacing is required based on the height of the play equipment and the type of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on observation and interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate.

“Evidence: At approximately 10:30am on 7/25/23, Licensing Inspectors (LIs) observed Child #6, 12-years-old, sitting outside at a picnic table alone with no activity while the kindergarten group of five and six-year-olds played nearby. Interview with director revealed that Child #6 was bothering their sibling in the other class so Child #6 was moved from their age group to the kindergarten group at 8 am.”

Rule 8VAC20-780-400-B.

Repeat Violation

Rule 8VAC20-780-520-B.

8VAC20-780-550-F

“Based on review of the emergency drill log, it was determined that not all lockdown procedures were practiced annually as required. Evidence: There were no documented lockdown drill in 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure that the written record of daily attendance documents the arrival and departure of all children in care as it occurs. Evidence: staff stated that there were 14 children present, and 14 children were observed, however only 13 children were included on the attendance sheet.”

Rule 8VAC20-780-80-A.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-350-B-4

“Based on observation, the facility failed to maintain the required ratio of one staff member for every ten children, ages three years to the age of eligibility to attend public school. Evidence: In the KinderCamp group there were 12 preschool children (three to five years of age) eating lunch, supervised by one staff member. Staff stated that the second staff member was in the locker room changing into their swimming suit. The second staff member returned to the classroom after approximately five to seven minutes.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-480-A

Rule 8VAC20-780-480-A.

8VAC20-780-520-B

“Based on observation, and an interview with staff, it was determined that not all sunscreen requirements were met. Evidence: 15 of 47 sunscreens observed in bins in the pavilion were not labeled with a child’s name.”

Rule 8VAC20-780-520-B.

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: in the campout crafter group, staff stated that there were 19 children present, and 19 children were observed, however only 14 children were included on the attendance sheet.”

Rule 8VAC20-780-80-A.

8VAC20-780-330-B

“Based on an inspection of the playground, it was determined that the mulch under and around play equipment was not resilient. Evidence: The depth of the wood chips under and around the composite play structure was approximately one - two inches in depth.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-480-C

“Based on observation, and an interview with staff, it was determined that the facility failed to utilize a system for accounting for all children in the water. Evidence: Two staff were supervising 22 children at a public waterpark. Staff stated that they could not identify where the 22 children were, and whether or not they were in or out of the water. The children in care did not have anything to distinguish themselves from non daycare children at the public waterpark.”

Rule 8VAC20-780-480-C.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children wash their hands with soap and water or disposable wipes after eating. Evidence: Children were observed eating lunch and they did not wash their hands or use disposable wipes afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-E

“Based on review of 10 medications and authorization forms, the facility failed to follow the facility’s medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: 1. The medication for child #1 did not have a parent’s authorization. Three medications for child #2 did not have a parent’s authorization or a physician’s signature for long-term administration.”

Rule 8VAC20-780-510-E.

8VAC20-780-520-B

“Based on observation, and an interview with staff, it was determined that not all sunscreen requirements were met. Evidence: 1) Not all sunscreen was labeled with the child’s name 2) Children under nine years of age were observed administering sunscreen on themselves and others, including spraying the sunscreen on faces.”

Rule 8VAC20-780-520-B.

8VAC20-780-520-D

Rule 8VAC20-780-520-D.