Altavista Area YMCA - Rustburg

Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“The physical for Child #1 was submitted 6 months after the first day of attendance.”

Rule 8VAC20-780-140-A.

Every applicant for licensure shall undergo a background check every five years.

“The most recent criminal history check for Applicant/Agent 1 was overdue by 18 days.”

Rule 22.1-289.036-A.

When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 03/07/2025, for approximately 2 minutes, Staff 5 was supervising 11 children, including preschool children. The required staff ratio for this group of children was 1:10. Two staff would be required.”

Rule 8VAC20-780-350-C. From a complaint.

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

“Staff #4 updated screening was due 5 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible.

“Evidence: At approximately 7:50 am there were 22 children observed in care with 2 staff members. The youngest child was 4 years old. The required staff ratio for this group of children was 1:10. Three staff would be required.”

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

8VAC20-780-130 A1 Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 3 documented the first date of attendance as 05/31/2022. The immunization record was dated 08/19/2022.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A A1 Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record for Child 3 contained a documented start date of 05/31/2022. The physical examination record was dated 08/19/2022.”

Rule 8VAC20-780-140-A.

22.1-289.035-B-2

“Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. The record for Staff 1 contained a documented re-hire date of 05/16/2022. Staff 1 confirmed they left the employment of the provider approximately 04/2020 and there was not an employment eligibility letter available for review.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 1 contained a documented re-hire date of 05/16/2022. Staff 1 confirmed they left the employment of the provider approximately 04/2020 and there were no findings from a search of the central registry available for review.”

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

8VAC20-780-330-B

“Based on observation, measurements and interviews with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: There was approximately 1 inch of resilient surfacing in the fall zone of the climbing equipment. The measurement was taken at the bottom of the slide facing the building. The inspector observed a preschool age child using this equipment.”

Rule 8VAC20-780-330-B.

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child’s belongings. Evidence: The inspector observed approximately 10 book bags lying on the floor next to the door”

Rule 8VAC20-780-430-K.

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipe before and after eating meals and snack. Evidence: Children were observed arriving to program and immediately eating their afternoon snack without washing hands before eating.”

Rule 8VAC20-780-500-A.

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all the elements as required by the standards. Evidence: The record for Child 3 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (addresses for both designated people were missing)”

Rule 8VAC20-780-60-A.

Based on review of three children’s records, the center failed to ensure that all immunization records were obtained prior to starting the program.

“Evidence: 1. Child # 2 with the start date of 3/”

Rule 8VAC20-780-130-A.