Boys&Girls Club of Harrisonburg and Rockingham County-SouthRiver

8VAC20-790-600-F

“Staff are to complete the departments annual health and safety update course. Staff #1 is delayed by 8 months in taking the updated health and safety course.”

Rule 8VAC20-790-600-F.

Based on a review of records, all staff did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. Staff 1 (DOH: 12/13/2023) and Staff 4 (DOH: 10/05/2023) did not have documentation of current cardiopulmonary resuscitation (CPR) in their records.”

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

Based on a review of records, all staff did not have current certification in first aid appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. Staff 1 (DOH: 12/13/2023) and Staff 4 (DOH: 10/05/2023) did not have documentation of current first aid certification in their records.”

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

Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center.

“Evidence: The record of Child 2 (DOE: 08/14/2023) did not contain any documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on record review and staff interviews, the center failed to ensure to obtain documentation that each child has received 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 following child record did not have documentation of a physical examination: Child 2 (DOE: 08/14/2023).”

Rule 8VAC20-780-140-A.

Based on record review, the center did not ensure to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record of Staff 4 (DOH: 10/05/2023) did not have documentation of a negative tuberculosis screening prior to coming in contact with children and submitted at the time of employment.”

Rule 8VAC20-780-160-A.

Based on record review, the licensee failed to ensure that the center implements a monthly practice evacuation drill.

“Evidence: There was no documentation of an evacuation practice drill in March 2024.”

Rule 8VAC20-780-550-D.

Based on record review, the center failed to ensure that all staff records contained all required information.

“Evidence: The record of Staff 3 did not have documentation of two or more references as to character and reputation as well as competency that were checked prior to employment.”

Rule 8VAC20-780-70.

Based on staff record review, the vendor failed to ensure that all staff were current in cardiopulmonary resuscitation (CPR) appropriate to ages of children in care.

“Evidence: 1. Staff 1 did not have documentation of current cardiopulmonary resuscitation (CPR).”

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

Based on staff record review, the vendor failed to ensure that all staff had current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff 1 did not have current documentation of first aid certification in record.”

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

Based on a review of staff records. the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record of Staff 1 without documentation of a date of hire, did not contain documentation of a tuberculosis screening. 2. Staff 1 was working with the children the date the licensing inspector was onsite to conduct inspection.”

Rule 8VAC20-780-160-A.

Based on staff record review, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation within 90 calendar days of employment.

“Evidence: 1. Staff 1 (no documentation on file for DOH) did not have documentation of VDOE orientation training.”

Rule 8VAC20-780-240-A.

Based on a review of staff records, the center failed to ensure staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. There is no documentation in Staff 1’s record showing orientation. 2. Staff 2 (DOH 09/08/2022) did not have documentation of orientation in record.”

Rule 8VAC20-780-240-B.

Based on record review the center failed to implement monthly practice evacuation drills.

“Reference: 1. There was no record of evacuation drills conducted in the months of January, March, or April.”

Rule 8VAC20-780-550-D.

Based on record review, the center failed to ensure that each child’s record contained the required information.

“Evidence: 1. The record of Child 5, enrolled on 08/15/2022, did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that each staff record contains all required requirements

“Evidence: 1. There was no evidence of documentation of date of hire and two references for Staff 1. 2. There was no evidence of documentation of orientation for Staff 1 and Staff 2.”

Rule 8VAC20-780-70.

Based on staff record review, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment.

“Evidence: 1. Staff #1’s date of employment was 06/13/2022. There is no documentation of central registry background check on file. 2. Staff #3’s date of employment was 09/08/2022. There is no documentation of central registry background check on file. 3. Administration confirmed that there were no central registry background checks on file for Staff #1 and Staff #3.”

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

Based on staff file review, the center failed to ensure that staff members completed orientation prior to working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. Staff #3’s date of hire was 09/08/2022. There was no documentation on file that orientation had been completed within seven days of assuming job responsibilities.”

Rule 8VAC20-780-240-B.

Based on review of staff files, the center failed to ensure that staff files contained all the required information.

“Evidence: 1. Staff #2 and Staff #3’s file did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment.”

Rule 8VAC20-780-70.

Based on review of staff records and discussion with the administrator, one staff member/volunteer record did not contain a completed criminal history record check before the date of volunteering/employment.

“Evidence: 1. Interview with Staff D and Director confirmed Board Member (Staff D) was being used as staff in ratios. 2. Staff D was being used in ratio on 05/09/2022. 3. The record for Staff D did not have a criminal history record check on file. 4. The administrator confirmed they did not have a criminal history record check on file.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to ensure that an employee or volunteer was employed or provide volunteer service until the agency has the person’s completed sworn statement or affirmation.

“Evidence: 1. Staff D is a Board Member that was counting in ratio and being considered as staff. on 05/09/2022. 2. Staff D did not have a Sworn Statement on file during the record review. 3. Administration confirmed that Staff D did not have sworn statement on file.”

Rule 8VAC20-770-60-B.

Based on record review the center failed to ensure that each staff member submited documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff C and Staff D did not have a tuberculosis screening on file at the time of the inspection. 2. Staff C and Staff D’s date of hire was 05/09/2022.”

Rule 8VAC20-780-160-A-1.

Based on record review the center failed to ensure that the orientation training was completed prior to the staff member working alone with children.

“Evidence: 1. Staff C and Staff D were left alone in classroom at approximately 3:05 pm until 3:14 pm while another staff member gathered snack and took children to the restroom.”

Rule 8VAC20-780-240-B.

Based on record review center failed to ensure that the following staff records were kept for each staff person.

Rule 8VAC20-780-70.