Young Men’s Christian Association of the Virginia Peninsulas-Mid

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent sworn statement for staff #1 was overdue by three years.”

Rule 22.1-289.035-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #2 record did not have documentation of immunization. Child #2 first day was during the inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-160-C

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

Rule 8VAC20-780-160-C.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The following areas outside were not safe and operable: The gaga ball area had a warped board causing screws to be exposed causing possible entrapment hazard. There was picnic table with a warped board bending could cause to snag clothing. There was an area surrounding perimeter of the concrete slab that was raised and a hole next to it causing a possible tripping hazard or foot entrapment. Four of the nine lids attached to buckets that were holding the tent up were cracked with sharp edges.”

Rule 8VAC20-780-270-A.

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 restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Child #2 had an allergy listed on the registration form, but the child #2 was not listed on the allergy list.”

Rule 8VAC20-780-40-M.

Staff who work directly with children should annually complete the health and safety update course.

“The record for Staff #1 did not have documentation of completing updated health and safety course . Staff #1 completed the Va Preservice training 1 year ago. .”

Rule 8VAC20-780-600-F.

Repeat violation he center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The record for child #5 did not have immunization document. Child has been attending the program for 7 months.”

Rule 8VAC20-780-130-A.

Repeat violation Each child shall have a physical examination by or under the direction of a physician with in 30 days after start date.

“The record for child #5 did not have a physical . Child #5 started program 7 months ago.”

Rule 8VAC20-780-140-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In the main space the children use, there was peeling paint on the bathroom door frame and there was a vented door with a slat missing possible entrapment.”

Rule 8VAC20-780-270-A.

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 unlocked office, there was window cleaner accessible to children . In the unlocked gym space/cycle area, there was disinfectant/sanitizer accessible to children.”

Rule 8VAC20-780-280-B.

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

“There were 8 children participating in activity with a instructor but there was not a staff person from the childcare program supervising the children.”

Rule 8VAC20-780-340-G.

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 obtain all required information.

“Injury report #1 did not have documentation of staff present, date parent was notified and any future action to prevent recurrence of the injury. Injury report #2 did not have documentation staff present, date and time parent was notified and any future action to prevent recurrence of the injury. Injury report #3 did not have documentation staff present, date and time parent was notified and any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

Each center shall maintain in the child’s record documentation of viewing proof identity.

“Child #4 did not have documentation in record that the center reviewed child’s proof of identity .”

Rule 8VAC20-780-60-A.

The staff records need to obtain name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“The record for staff #1 was missing documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The record for staff #2 was missing verification of age requirement and name, address, and telephone number of a person to be notified in an emergency. The record for staff #3 was missing missing documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #5, was working alone with children but the center was unable to provide a national criminal background check results during the inspection.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #3, who had been employed for 4 weeks, did not have a documentation of results of central registry. Staff #3 was working alone with children.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #7 had no documentation in record provided during the inspection .”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due 15 days ago and Staff #6 updated screening was due 5 months ago. The updated screenings was not available to be provided during the inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #4 record did not have certificate or documentation that Pre-service was completed.”

Rule 8VAC20-780-240-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the director office, the aerosol disinfectant spray and hand sanitizer were in the office on the shelf the door was open . In the 2nd building, in the bathroom there was a cabinet that was not locked and had multiple chemicals under the sink.”

Rule 8VAC20-780-280-B.

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 restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“The centers allergy list did not have a date.”

Rule 8VAC20-780-40-M.

One working, battery-operated radio in each building used by children and any camp location without a building.

“The center did not have a one working battery operated radio in each building used by children and camp location without a building. They had three buildings in use for the program.”

Rule 8VAC20-780-540-E.

One working, battery-operated radio in each building used by children and any camp location without a building.

“The center did not have a one working battery operated radio in each building used by children and camp location without a building. They had three buildings in use for the program.”

Rule 8VAC20-780-540-E.

The enter’s written record of children’s serious and minor injuries in which entries are made the day occurrence. The record shall have all required information.

“Injury record #1, #2 and #3 was missing two signatures, future action , staff present and time notified and how parent was notified .”

Rule 8VAC20-780-550-P.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 13 months ago and Staff #4 updated screening was due 9 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Repeat Based record review and staff interviews, the licensee did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care.

“Evidence: Staff #1 and Staff#2?s First Aid cards do not meet the requirements for a certification for the children in care, as the cards state ?This program is not designed to meet pediatric first aid regulatory requirements and should not be used for the that purpose.?. The First Aid cards are from the American Safety & Health Institute, and they define pediatric first aid as? a course designed for childcare workers and bus drivers?. Staff #1 and Staff #2 were the only two staff working in the program.”

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

Based on record review and staff interviews, the licensee did not 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 record for Child #5, (first date of attendance in September 2020) did not include documentation of a required physical.”

Rule 8VAC20-780-140-A.

Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, fans, when used, shall be out of reach of children and cords shall be secured so as not to create a tripping hazard.

“Evidence: A portion, (approximately 2 ? feet long by 9 ? inches wide) of the top layer of the floor tile, in the center of restroom has been removed and the tile is broken, chipped, has sharp edges and it creates a tripping hazard. This restroom is closest to the backdoor of the center.”

Rule 8VAC20-780-270-A.

Based on documentation review and staff interviews, the licensee did not ensure that 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.

“Evidence: 1.There was not an attendance sheet for the 7 children observed in the childcare multipurpose room in the childcare building/center. 2.There was not an attendance list for the 6 children observed in the room for the Blue Group located in the fitness building/center.”

Rule 8VAC20-780-80-A.

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration.

“Evidence: The record for Staff #2 (hire date 6-6-2022) did not include a current CPR certification as the certification available for review expired March of 2023.”

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

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care.

“Evidence: The following staff do not have documentation of First Aid certification as required. 1.Staff #1?s First Aid certification expired March of 2023. Staff #1 `s hire date 6-6-2022. 2.Staff #4 `s First Aid certification card was labeled for ?Adults Only? and did not include the first aid for the age range of children in care (ages 5-11). Staff #4?s hire date 9-15-2022.”

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

8VAC20-770-70-A

Rule 8VAC20-770-70-A.

8VAC20-780-540-B

“Based on observation and staff interviews, the licensee did not ensure first aid kit shall be easily accessible to staff but not to children. Evidence: A large first aid kit in a plastic box that contained ?the extra first aid supplies? as stated by the Center Director was sitting on bookshelf easily accessible to children in care.”

Rule 8VAC20-780-540-B.

8VAC20-780-550-C

“Based on documentation review and staff interviews, the licensee did not ensure 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. Evidence: The preschool building did not have evacuation and shelter-in-place procedures or maps posted. During the inspection there were 18 children ages 5-7 observed in the preschool building.”

Rule 8VAC20-780-550-C.

8VAC20-780-560-F

Rule 8VAC20-780-560-F.

8VAC20-790-600-D-1

“Based on a review of 3 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration. Evidence: The record for Staff #2 (date of hire 9-26-2022) did not include documentation of CPR certification.”

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

8VAC20-790-600-D-2

“Based on a review of 3 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care. Evidence: The record for Staff #2 (date of hire 9-26-2022) did not include documentation of First Aid certification.”

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

8VAC20-780-240-C

Rule 8VAC20-780-240-C.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #3 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on review of documentation and staff interviews, the licensee did not ensure employees had obtained the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: Staff # 2?s date of hire February 3, 2022 does not have documentation of the required training. Center staff confirmed staff # 2 had not completed the training.”

Rule 8VAC20-780-240-A.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training and certification, required by the job position.

“Evidence: The following records did not have documentation to demonstrate they have the experience required for Program Lead. 1) Staff #2 , designated Blue Group program leader 2) Staff #3, designated Red Group program leader 3) Staff #4, designated Green Group program leader”

Rule 8VAC20-780-70.

Based on review of 2 staff records and staff interviews, the licensee did not ensure the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence. The record for staff #2 did not include documentation of the orientation course. Date of hire was 6-24-2021.”

Rule 8VAC20-780-240-A.

Based on 2 staff records reviewed and staff interviews, the licensee did not ensure all staff had obtained staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Evidence: The record for staff #2 did not include a CPR certificate. Center staff confirmed date of hire 6-24-2021 and that staff had not obtained the CPR training.”

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

Based on 2 staff records reviewed and staff interviews, the licensee did not ensure all staff had obtained staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Evidence: The record for staff #2 did not include a first aid certificate. Center staff confirmed date of hire 6-24-2021 and that staff had not obtained first aid training.”

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

Based on review of 2 staff records and staff interviews, the licensee did not ensure at least every two years from the date of the first initial screening or testing staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence. The record for staff #1 did not include an updated TB screening the most recent one available for review was dated 11-12-2019.”

Rule 8VAC20-780-160-C.

Based on review of 2 staff records and staff interviews, the licensee did not ensure there was at least one staff with current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

“Evidence. There were only two staff on site during the inspection (staff #1 and staff #2). The record for staff #1 did not include an updated CPR certification, most recent certificate expired 1-15-2022. Staff #2 did not have CPR certification.”

Rule 8VAC20-780-530-A-1.

Based on review of 2 staff records and staff interviews, the licensee did not ensure there was at least one staff with current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Evidence. There were only two staff on site during the inspection (staff #1 and staff #2). The record for staff #1 did not include an updated first aid certification, most recent certificate expired 1-15-2022. Staff #2 did not have first aid certification.”

Rule 8VAC20-780-530-A-2.