YMCA School Age Child Care-Greenbrier Intermediate School

SYSTEMIC DEFICIENCY At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis.

“There were no updated TB screening or testing results for staff # 2 or staff #3.”

Rule 8VAC20-780-160-C.

SYSTEMIC DEFICINCY The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“The record for staff #5 did not have documentation of completion of the Virginia Department of Education-sponsored orientation. This was overdue by over a month.”

Rule 8VAC20-780-240-A.

SYSTEMIC DEFICIENCY When staff are supervising children, they shall always ensure their care, protection, and guidance.

“Staff # 3 and staff #5 did not know how many children were in their group when asked by inspector. Records for 10 of the enrolled children were not available during this inspection.”

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Staff #5 left 14 children in the gym without supervision for approximately 2 mins.”

Rule 8VAC20-780-340-F.

Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“There were no emergency maps posted during this inspection.”

Rule 8VAC20-780-550-C.

SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information.

“There was no record available for 10 of the children enrolled. 3 of the 5 records reviewed did not contain all of the required information.”

Rule 8VAC20-780-60-A.

SYSTEMIC DEFICIENCY Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #3 did not have current CPR certification, this was overdue by over a month.”

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

SYSTEMIC DEFICIENCY All staff shall have current certification in first aid appropriate to the ages of children in care.

“Staff #3 did not have current first aid certification, this was overdue by over a month.”

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

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“There was no sworn statement for Staff #4, who was working during this inspection.”

Rule 22.1-289.035-B-1.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #3, who was working during this inspection did not have documentation of completing this course.”

Rule 8VAC20-780-240-A.

Medications that are not picked up by the parent within 14 days of expiration will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“There was an epi-pen for child #1 that expired 2/28/26.”

Rule 8VAC20-780-510-P.

Staff files shall contain date of hire, position and qualifications, emergency contact, and references.

“Staff #3 who was working during this inspection did not have documentation of date of hire, position and qualifications, emergency contact, and references.”

Rule 8VAC20-780-70.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. and every five years after for each employee.

“The sworn statement for Staff #1, who was working during this inspection, was over a month past due. Staff #5, who was working during this inspection, did not have sworn statement.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #5, who was working at the time of inspection, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #5, who was working during this inspection, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #1 obtained four of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

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 no allergy list in the gym while there were children in the gym with diagnosed food allergies.”

Rule 8VAC20-780-40-M.

Staff records are to be kept for each employee.

“There was no staff record for staff #5, who was working during this inspection.”

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

“Based on record review it was determined the center did not ensure that a search of the central registry was completed for each employee. Evidence: 1. The record for staff #2 did not contain the results of the central registry search.”

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

8VAC20-780-70

“Based on record review it was determined the center did not ensure that each staff record contained all of the required information. Evidence: 1. The record for staff #2 did not contain documentation of hire date and two references that were checked before hire.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #2(hired 1/24/19) did not have documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff confirmed this documentation was not available during this inspection.”

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

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #2(hired 1/24/19) did not have documentation of current certification in first aid appropriate to the ages of children in care. 2. Staff confirmed this documentation was not available during this inspection.”

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

22.1-289.035-A

“Based on record review it was determined the center did not ensure that all staff undergo a background check in accordance with subsection B prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: 1. The record for staff #1 did not contain a repeat background check. The background check available was dated 9/18/18. 2. Staff confirmed that this documentation was not available during the inspection.”

Rule 22.1-289.035-A.

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The records for child #2 and child #4 did not contain documentation of immunization. 2. Staff confirmed these children were in care and this documentation was not available during the inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not have a list in each room or area where children are present, that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: 1. There was no list of children’s allergies in the center. 2. Staff confirmed that there was not an allergy list in the center.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure that the required signed written agreements between the parent and the center were in each child’s record by the first day of the child’s attendance. Evidence: 1. There were no signed written agreements for 5 of the 5 children’s files reviewed. 2. Staff confirmed these five children were in care and this documentation was not available during the inspection.”

Rule 8VAC20-780-90-A.

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child enrolled contained all the required documentation. Evidence: 1. The record for child #3 (enrolled 5/6/11) did not contain the required parental information, emergency contacts, and name of the program previously or concurrently attended. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-B

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #3(hired 1/2022) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current CPR certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

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

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current first aid certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

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

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each employee did not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff #3 (hired January 2022) did not contain the results of a central registry search. 2. The record for staff #4 (6/1/22) did not contain the results of a central registry search. 3. Staff confirmed that these results were not available during this inspection.”

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

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. The record for staff #2 did not contain documentation of an updated TB screening. The documentation available was dated 1/2/21. 2. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure that the required written agreements between the parent and the center were in each child’s record by the first day of the child’s attendance. Evidence: 1. The record for child #3 did not contain documentation of the written agreements between the parent and the center. 2. Staff confirmed the parental agreements were not available during this inspection.”

Rule 8VAC20-780-90-A.

8VAC20-780-160-C

Rule 8VAC20-780-160-C.

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. There was no documentation of the completion of the Virginia Department of Education-sponsored orientation course in the record for staff #2. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-E

“Based on record review and interview it was determined the center did not ensure that within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. Staff #4(hired 1/24/19) did not have documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-240-E.

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained the required documentation. Evidence: 1. The record for staff #2 did not contain documentation of date or hire, proof of identification, job title, references, qualifications, and orientation. 2. Staff confirmed this information was not available.”

Rule 8VAC20-780-70.