YMCA SAC At Widewater Elem School

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“Staff A employed for 1 year and 2 months had a TB screening on file that was completed 2 months prior to employment.”

Rule 8VAC20-780-160-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“When asked about Child A’s emergency medication onsite, staff were not aware of Child A’s diagnosed food allergy, and the child’s food allergy was not documented on the written allergy list, therefore not ensuring Child A’s care and protection while in care.”

Rule 8VAC20-780-340-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 A, with a documented allergy and an emergency medication on site was not documented on the allergy list.”

Rule 8VAC20-780-40-M.

The following non-medical emergency supplies shall be required: One working, battery-operated radio in each building used by children.

“There was no radio on-site during the inspection.”

Rule 8VAC20-780-540-E.

Each child with a diagnosed food allergy must have a written care plan to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #1, present at the time of inspection and has a diagnosed food allergy, did not have a written allergy care plan on file signed by a physician.”

Rule 8VAC20-780-60-A-8.

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

“On 5/20/2025 child A (age 6 years) and child B (age 8 years) were observed running out of the cafeteria to use the restroom without the supervision of staff. The Licensing Inspector observed the children run out of the door and notified staff A that the children had left the room. Staff A ran to the hallway to retrieve them.”

Rule 8VAC20-780-340-F.

The required ratio for children school age eligible up to 9 years is one staff per 18 children.

“On 5/20/2025 staff A was observed standing in the hallway with two children to allow them to use the restroom, leaving staff B in the cafeteria supervising 31 children. Staff confirmed that it is their everyday practice to stand in the hallway while groups of children use the restroom leaving one staff in the cafeteria.”

Rule 8VAC20-780-350-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“The children used hand sanitizer instead of using soap and water before eating afternoon snack.”

Rule 8VAC20-780-500-A.

Medication, except for those prescriptions designated otherwise by written physician’s orders, shall be kept in a locked place using a safe locking method that prevents access by children.

“Four medications were observed stored in a box that was not locked. The medication box is stored in a closet that was observed to be unlocked.”

Rule 8VAC20-780-510-L.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The medication for child A has been expired for three months.”

Rule 8VAC20-780-510-E.

Staff records shall contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“Staff #2, employed for over one month, did not have documentation on file that the individual possesses the education required by the job position.”

Rule 8VAC20-780-70.

8VAC20-780-340-C

“Based on observation, and staff interviews, the center failed to have a second staff member or volunteer on the premises when one or more children are present. Evidence: at approximately 4:28pm, staff #2 left the building. Staff stated that they had to go to another job. At approximately 4:30 pm, staff #3 arrived at work. For approximately two minutes there was only one staff member supervising the seven children in care.”

Rule 8VAC20-780-340-C.

22.1-289.035-A

“Based on review of two staff records, it was determined that one staff had a disqualifying Office of Background Investigations (OBI) fingerprinting-based criminal history record check. Evidence: the record for staff #1 (date of hire: 10/24/2022) had an OBI determination letter that stated, “not eligible.” Staff #1 was observed supervising children.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“Based on review of documentation, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #1 (date of hire: 8/28/17) had a TB test/screening dated 2/23/20.”

Rule 8VAC20-780-160-C. From a complaint.

8VAC20-780-245-J-1

“Based on review of documentation, and multiple interviews, the center has agreed to administer medication but did not always have a staff member on site with current Medication Administration Training (MAT) certification. Evidence: Staff #1 was working alone from approximately October 12, 2021 to April 21, 2022 between the hours of approximately 6:00 ? 7:30 am. Staff #1 does not have documentation of MAT certification. Interviews revealed that there was medication on site during this time period.”

Rule 8VAC20-780-245-J-1. From a complaint.

8VAC20-780-245-J-3

“Based on observation, review of documentation, and multiple interviews, the center failed to ensure that a child for whom emergency medication has been prescribed was always in the care of a staff member who has current Medication Administration Training (MAT) certification. Evidence: Child #1, with a diagnosed food allergy, and medication (epinephrine) on site, was in attendance April 11, 12, 13, 14, 19 and 20, 2022 from approximately 6:30 ? 7:25 am. Staff #1 was working alone during this time period and does not have MAT certification.”

Rule 8VAC20-780-245-J-3. From a complaint.

8VAC20-780-340-C

“Based on review of documentation, and multiple interviews, the center failed to have a second staff member or volunteer on the premises when one or more children are present. Evidence: from approximately October 12, 2021 until April 21, 2022 from approximately 6:00 am ? 7:30 am, only one staff member was regularly scheduled to work. Interviews revealed that there was only one staff member working during this time period. There were approximately 6-9 children in attendance during this time period.”

Rule 8VAC20-780-340-C. From a complaint.

8VAC20-780-530-C

“Based on review of documentation, and multiple interviews, the center failed to have at least two staff members with current certification in First Aid and CPR present on the premises during the center’s hours of operation and whenever children are in care. Evidence: from approximately October 12, 2021 to April 21, 2022 between the hours of approximately 6:00 ? 7:30 am there was only one staff member on site. There were approximately 6-9 children present during this time period.”

Rule 8VAC20-780-530-C. From a complaint.