Boys & Girls Club of the Mountain Empire -Bristol, Virginia Unit

22.1-289.036-B-2

“The center is required to obtain a national criminal background check within 30 days of appointment for all officers. Board officer #1 was appointed to the board 17 months ago and does not have a criminal background check.”

Rule 22.1-289.036-B-2.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and out, are maintained in a clean, safe and operable condition. One of the closet doors in the art room had a hole in it. A chair in the big activity room had a chair that was broken. The walls in the large activity room have paint peeling. The ground covering on the playground was exposed causing a tripping hazard.”

Rule 8VAC20-780-270-A.

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. Disinfectant wipes, spray paint cans, disinfectant spray and cleaners were in unlocked closets in the art room and on the desk in the office.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards for Compressed Loose Fill Synthetic Materials Depth Chart. There was no surfacing under the blue slide.”

Rule 8VAC20-780-330-B.

8VAC20-780-240-B

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children. Staff #2, 3, 4, 5 did not have documentation that showed orientation training had been completed prior to working alone with children. All four staff were working alone with children on day of inspection.”

Rule 8VAC20-780-240-B.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years form the last screening. Staff #1updated screening was due 3 years ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean and safe condition. There was a tote under the sink in the art room, full of water. The sink has been leaking at least since the summer. This area is often used by the children.”

Rule 8VAC20-780-270-A.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. During the inspection, three children under the age of 10 were unsupervised on three separate occasions. Each child was unsupervised for approximately two minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances must be in a locked place that prevents access by children. In the art room, spray paint and deodorizing sprays were in an unlocked closet, within reach of children.”

Rule 8VAC20-780-280-B.

The license and any other documents (violation notice, inspection summary) required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The violation notice posted was dated 11/1/23. The most current violation notice was dated 6/3/24.”

Rule 22.1-289.011-F.

All applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check in accordance with subsection B prior to employment or beginning to serve as a volunteer, prior to employment or beginning to serve as a volunteer and every five years thereafter.

“Board member #1 does not have an out of state background check conducted every five years.”

Rule 22.1-289.035-A.

Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and have six months of supervised programmatic experience. Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received.

“Staff #3, who has been working 17 months, and staff #6, who has been working 14 months, are working as program leaders (lead teachers) but, do not have documentation they have received 24 hours of training to be promoted to program leader.”

Rule 8VAC20-780-210-A-4-b.

After the first license, annual approval from the health department shall be provided.

“The center did not have an annual approval/inspection from the health department.”

Rule 8VAC20-780-260-B.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood.

“The wooden piece of equipment with the pool table balls, in the game room area, has splintered and deteriorating wood. The ground covering that was under the resilient surface is currently on top of the surfacing in various places, causing a tripping hazard.”

Rule 8VAC20-780-270-A.

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.

“The back bathroom, close to the cafeteria, had disinfectant spray on the sink. The art room had spray paint, spray adhesive, cleanser, spray bleach, disinfectant spray and all purpose cleaner, not locked. This room was used by the children during the inspection. A storage room off of the game room was not locked and had the following: grass killer, air freshener, bleach, hospital disinfectant, and disinfectant spray. All of these areas are accessible by the children.”

Rule 8VAC20-780-280-B.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“The resilient surfacing under the blue curvy slide measure less than one inch. The slide needed six inches of surfacing.”

Rule 8VAC20-780-330-B.

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

“Upon arrival to the center at 2:20 pm, the public school bus was dropping off children under the age of 10 years. There were no staff present outside or at the entrance door supervising the children. Children under 10 years of age were allowed to come inside the center to get water or go to the bathroom. The children were out of sight and sound supervision of staff.”

Rule 8VAC20-780-340-F.

Shelter in place procedures shall be practiced a minimum of twice per year.

“No documentation was available during the inspection showing shelter in place procedures are practiced twice a year.”

Rule 8VAC20-780-550-E.

Lockdown procedures shall be practiced at least annually.

“There was no documentation available during the inspection that lockdown procedures are practiced annually.”

Rule 8VAC20-780-550-F.

22.1-289.035-B-2

“Based on record reviews, the center failed to ensure that all staff complete all background checks within the required timeframe. Evidence: There is no fingerprint background check on file for staff # 4 (hire date 2/21/24).”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record reviews, the center failed to ensure that a central registry finding is received on each staff within 30 days of employment. Evidence: Staff #3 (hire date 3/4/24) and staff #7 (hire date 11/7/23) do not have a central registry finding on file.”

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

8VAC20-780-160-A

“Based on record reviews, the center failed to ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Evidence: Staff # 3 does not have a TB screen on file.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record reviews, the center failed to ensure that each staff completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. There is no documentation in the following staff records showing they have completed the orientation course within 90 calendar days of employment. (Staff #2 hire date-10-26-23; staff #4 hire date 2/21/24; staff #6 hire date 1/9/24)”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Based on record reviews, the center failed to ensure that staff shall 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: Staff #2 (hire date 10/26/23), staff #3 (hire date 3/4/24, staff #5 (hire date 10/10/22), staff #6 hire date 1/9/24) and staff #7 (hire date 11/7/23) do not have documentation on file regarding orientation being completed within the required timeframe.”

Rule 8VAC20-780-240-B.

8VAC20-770-60-C-2

“Based on a review of staff files, the facility failed to ensure that all employees have central registry results on file by the end of the 30th day of employment. Evidence: 1. There are no central registry results on file for Staff 2, 4 & 5. Hire dates 12-20-22, 7-1-22, 10-4-22.”

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

22.1-289.035-B-4

“Based on the review of staff and board officer’s records, the facility failed to ensure that all required background checks are completed within the required time frames. Evidence: 1. There is no out-of-state background check on file for board officer #3. (date position began 3-18-21)”

Rule 22.1-289.035-B-4.

8VAC20-780-330-B

“Based on a tour of the playground, the facility failed to ensure that the resilient surface material complies with the minimum safety standards. Evidence: 1. There are four (4), of the required six (6) inches of resilient surface material under the climber.”

Rule 8VAC20-780-330-B.