Boys & Girls Clubs of Southeast Virginia- Rosemont Unit

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. In a school age room, disinfectant wipes and air freshener were stored in an unlocked cabinet. Children were observed in the room during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-E

“Repeat Violation The operational responsibilities of the licensee shall include ensuring that the center’s services are maintained in compliance with standards, the center’s own policies and procedures that are required by standards. The center did not follow their medication policy, which states that “medications kept on site will be checked monthly by a designated staff person to verify expiration dates and notify parents.” Two medications reviewed on the day of the inspection were expired.”

Rule 8VAC20-780-40-E.

8VAC20-780-580-B

“Any vehicle used by the center for the transportation of children shall meet the following requirements: the vehicle shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. On the day of the inspection, two vehicles used for transportation of children had expired inspection stickers.”

Rule 8VAC20-780-580-B.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #1 (employed for three months) and Staff #2 (employed for three months) did not have current CPR certification.”

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 or 90 days from subsidy vendor approval: current certification in first aid appropriate to the ages of children in care. Staff #1 (employed for three months) and Staff #2 (employed for three months) did not have current first aid certification.”

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

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s services are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards. The center did not follow their medication policy, which states that “the medication and signed forms must be returned to the club location before commencement in the program.” Child #1 had a medication at the program that did not have a signed authorization form.”

Rule 8VAC20-780-40-E.

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restriction. Staff #1 (employed for three months) , who was asked about children’s allergies, did not have a written list of children’s allergies available and did not know which, if any, children had allergies in the group.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Two medication authorizations for Child #1 were expired. The medication for the child was not picked up within 14 days or the authorization was not renewed.”

Rule 8VAC20-780-510-P.

8VAC20-780-540-B

“Each first aid kit shall be easily accessible to staff but not to children. A first aid kit in the computer lab was sitting on a ledge and accessible to the children in care.”

Rule 8VAC20-780-540-B.

8VAC20-780-560-G

“When food is brought from home, the following shall apply: the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Five of 15 water bottles observed were not labeled to show the owner of each water bottle.”

Rule 8VAC20-780-560-G.

8VAC20-780-70

“The following staff records shall be kept for each staff person: documentation to demonstrate that the individual possesses the experience required by the job position. The record for Staff #1 did not contain documentation to show that the staff member has the experience required by the job position.”

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. In the art classroom, nine school age children were in care; however, none of the children were signed in, which is required.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #1 (employed for two years) did not have an up-to-date CPR certification. The certification in the staff member’s record expired in 12/2024.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff #1 (employed for two years) did not have an up to date first aid certification. The certification in the staff member’s record expired in 12/2024.”

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

8VAC20-780-160-A

“Repeat Violation The Tuberculosis (TB) documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department. The TB documentation for Staff #1 (employed for two months) was not completed within thirty (30) days of employment, which is required.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The record for Staff #2 shows that their TB documentation was expired on the day of the inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Repeat Violation 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. In a classroom that children use, there was multipurpose cleaner and two disinfectant sprays stored in an unlocked cabinet. Children were observed in this classroom during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Two groups of school age children were observed eating an afternoon meal. However, the children did not wash their hands or use disposable wipes before eating the meal.”

Rule 8VAC20-780-500-A.

8VAC20-780-550-P

“Repeat Violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all the required information. Four injury reports reviewed were missing any future action to prevent recurrence of the injury, which is required.”

Rule 8VAC20-780-550-P.

8VAC20-780-80-B-2

“The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. A report was not made to the department for a medical occurrence that required a child to receive outside medical treatment on 2/6/25.”

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

8VAC20-780-280-B

“Repeat Violation 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. In the game zone, where school age children were observed, there was an unlocked cabinet that contained disinfectant wipes, nail polish remover, and disinfectant spray. All the mentioned substances had a manufacturer’s label that stated, ?Keep Out of Reach of Children.?”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-5

“The staff-to-children ratios are required to be met whenever children are in care (school age eligible up to nine years 1:18). During the inspection, a staff member was observed working alone with 28 children. The required ratio for the group was 1:18. The staff member was observed working over the required ratio for approximately seven minutes.”

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

8VAC20-780-540-B

“Each first aid kit shall be easily accessible to staff but not to children. During the inspection, a first aid kit was observed on a window ledge in the computer lab. The first aid kit was accessible to the children in care.”

Rule 8VAC20-780-540-B.

8VAC20-780-560-F

“A menu listing food to be served for meals and snacks during the current one-week period shall list any substituted food. On the day of the inspection, cheese flavored crackers and juice were listed on the menu; however, the children were observed eating whole grain chips. The menu did not have the substitution (whole grain chips) listed.”

Rule 8VAC20-780-560-F.

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 all the required information. 1.The record for Child #1 was missing the child’s first date of attendance 2.The record for Child #2 (enrolled for 11 months) was missing the name, home address, and home phone number of one parent and the name and phone number of one parent’s place of employment.”

Rule 8VAC20-780-60-A.

8VAC20-770-60-B

“Based on record review and interview the center did not ensure to obtain a sworn statement prior to the first day of employment for all staff. Evidence: 1.The sworn statement for Staff #1 (hire date 6/20/24) was completed on 6/24/24, which is after the staff member’s hire date. 2.Administrative staff confirmed that Staff #1?s sworn statement was completed after their first day of employment.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on record review and interview the center did not ensure that all staff have a central registry finding within 30 days of employment. Evidence: 1.The central registry results for Staff #3 (hire date 3/12/24) is dated 4/14/24, which is past 30 days of employment. 2.Administrative staff confirmed that the central registry results for Staff #3 were received past 30 days of employment.”

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

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-190-A

“Repeat Violation Based on record review and interview the center did not ensure that the program director meets requirements for the role. Evidence: 1.The record for Staff #4 did not contain documentation to show that they meet the qualifications of program director. 2.Administrative staff confirmed that the center’s program director is still working on meeting one of the required criteria for program director.”

Rule 8VAC20-780-190-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-560-G

“Based on observation and interview the center did not ensure that when food is brought from home, the food container is clearly dated and labeled in a way that identifies the owner. 1.Five out of 15 water bottles inspected were not labeled to show who each water bottle belonged to. 2. The program director confirmed that the water bottles were not labeled with the children’s names.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Repeat Violation Based on record review the center did not ensure that children’s records contain all the required information. Evidence: 1.The record for Child #1 did not contain a work phone number for one parent or home addresses for both required emergency contacts. 2.The record for Child #2 did not contain a work phone number for one parent or a written care plan for the child’s diagnosed food allergy. 3.The record for Child #3 did not contain a written care plan for the child’s diagnosed food allergy.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review the center did not ensure that all staff records have all the required information. Evidence: 1.References for Staff #3 (hire date 3/12/24) were not checked before employment. a. The two required reference checks for Staff #3 were checked on 3/19/24, which is after Staff #3 started working at the center.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“Based on observation and interview the center did not ensure to have a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. Evidence: 1.Documentation was missing for the time of arrival for 31 out of 32 children in the six- to seven-year-old group. 2.Classroom staff confirmed that the children’s arrival times were not documented at the time of their arrival.”

Rule 8VAC20-780-80-A.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-190-A

“Based on the review of records and interview, it was determined the center did not ensure that the program director meets the required qualifications including education, and/or certification required for the position. Evidence: 1. The record for staff #2, promoted to the director position in September 2023, did not include documentation to show the staff member met the education or certification requirements for the director position. 2. Staff #6 confirmed the staff member did not currently have the required college degree, college semester hours or completed a certification.”

Rule 8VAC20-780-190-A.

8VAC20-780-245-L

“Based on a review of staff records and interviews, it was determined that the center did not ensure that there was at least one staff member on duty who had obtained within the last three years, instruction in performing the daily health observation (DHO) of children. Evidence: 1.The records for staff #1 and staff #4 contained daily health observation training that had expired 6/18/2022. 2. Staff #6 confirmed there were no other staff members in the center with current daily health observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-550-P

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all of the required information of children’s serious and minor injuries. Evidence: 1. Five out of five injury reports reviewed did not contain the date the injury occurred. 2. Five out of five injury reports reviewed did not contain the required two signatures. a. Two injury reports had no signatures. b.Three injury reports contained only one signature.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #1 did not contain the work phone number and place of employment for each parent who has custody. 2.The records for child #1 and child #3 did not contain the complete emergency contact information for the second emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-550-I

Rule 8VAC20-780-550-I.

Based on observation and interviews, it was determined that the licensee did not ensure that personal items are individually assigned.

“Evidence: 1. The containers that the children brought form home and were used for water were not labeled with their name. 2. Staff #6 confirmed that the containers that the children bright from home and were using to drink water were not individually assigned.”

Rule 8VAC20-780-430-I.

Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container.

Rule 8VAC20-780-510-I.

Based on a review of five staff records and interviews, it was determined that the licensee did not ensure that within 90 days of employment each staff member shall be trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: 1. The record for staff #1 did not contain a current certification in cardiopulmonary resuscitation (CPR). 2. Staff #6 confirmed that staff #1 did not have a current certification in cardiopulmonary resuscitation (CPR).”

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

Based on a review of five staff records and interviews, it was determined that the licensee did not ensure that within 90 days of employment each staff member shall be trained in first aid appropriate to the ages of children in care.

“Evidence: 1. The record for staff #1 did not contain a current certification in first aid. 2. Staff #6 confirmed that staff #1 did not have a current certification in first aid.”

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

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

“Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 12/11/20 and the health permit from the local health department expired 3/31/21. 2. Staff #4 (Program Director) confirmed that the annual approval from the health department had not been received.”

Rule 8VAC20-780-260-B.

Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year.

“Evidence: 1. The emergency drill log did not have documentation to indicate that two shelter-in-place drills and a lockdown drill were completed during 2021. 2. Staff #4 (Program Director) stated that two shelter-in-place drills and a lockdown drill were completed during 2021., but that she had forgot to document it on the emergency drill log.”

Rule 8VAC20-780-550-E.