Young Men’s Christian Association of the Virginia Peninsulas

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #1, age 10 months did not have additional immunizations as required. The most recent immunizations contained in the record were dated more than 8 months ago.”

Rule 8VAC20-780-130-E.

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides.

“On 7/31/25, five aides (Staff #1- Staff#5) were present in three classrooms. There were no program leaders regularly present in each grouping of children.”

Rule 8VAC20-780-340-D.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

“Staff #1 and #2 were using wipes after diapering rather than washing children’s hands with soap and water as required.”

Rule 8VAC20-780-500-A.

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: rough handling and forcing rest. S1 was observed by S2 on 03/20/2026, via the classroom monitoring system, roughly push C1?s head back down on a rest cot with her hand when C1 appeared to be waking from a nap. S1 was then observed to fully cover the child’s head with a blanket.”

Rule 8VAC20-780-410-1.

8VAC20-790-600-F

“Repeat Violation The record for S1 did not document completion of the VDOE health and safety update course due by 01/02/2026.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. S4 employed for 10 days did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Medication (albuterol sulfate) observed during the inspection was not labeled with the child’s name or administration information.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. The medication authorization for C8 expired and the authorization had not been renewed, and the medication was not returned or destroyed as required. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-P

“The center shall maintain written records of children’s injuries that contain all of the required information. Injury reports dated 02/06, 16, 19, 26/2026 and 03/05 and 06/2026 did not document the time of parental notification and how the parent was notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The center did not have available for review records for C4 and C5 enrolled for 20 days.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Each center shall maintain a record for each staff that contains all the required information. The record for S3 and S5 did not document information about any health problems that may interfere with fulfilling the job responsibilities.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“The center shall maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs. The center did not document the departure time of C3 on 03/12/2026 in either the paper attendance record or electronic attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-F

“The record for S6 did not document completion of the health and safety course due by 01/03/2026.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. S1, employed for 19 days, did not have documentation of requesting a sexual offender check from one state. S4, employed for more than 3 weeks, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-140-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. S4 had no TB documentation and had been employed for 28 days. S5 TB was dated 2 months prior to date of employment.”

Rule 8VAC20-780-140-A.

8VAC20-780-140-B

“If a child has had a physical examination prior to attendance, it shall be within the time period prescribed by the standards. Based on the age and enrollment date of C2 the physical exam was not within the required 3-month time frame.”

Rule 8VAC20-780-140-B.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. The record for S1 employed for 19 days did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The refrigerator in the infant room had a spilled white substance in the compartment holding children’s food. The microwave in the infant room used to heat children’s food had peeling metal around the door of the microwave. The microwave in the 2-year-old room had food substance caked on the inside of the microwave.”

Rule 8VAC20-780-270-A.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. A plastic container of food brought from home was not labeled with a name or date in the infant room refrigerator.”

Rule 8VAC20-780-560-G.

8VAC20-780-70

“Each center shall maintain a staff record that contains all of the required information. The record for S1 did not document information about any health problems that may interfere with fulfilling the job responsibilities.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. S1, employed for more than 2 months, did not have documentation of requesting a sexual offender registry check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-130-A

“Repeat Violation The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. C5 and C7 who had been attending for more than six months did not have documentation of additional immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-550-P

“The center shall maintain written records of children’s injuries (Ouch Reports) that contains all of the required information. Injury reports dated 02/24/2025, 02/27/2025, 03/07/2025, 03/12/2025, 03/13/2025, 03/18/2025 did not document any future action to prevent recurrence of the injury. Injury reports dated 02/24/2025 and 02/27/2025 did not document the time of parental notification of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-130-A

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. C3, who had been attending for six months did not have documentation of additional immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones with resilient surface that encompass sufficient area to include the child’s trajectory in the event of a fall. The fall zones on older children’s playground measured less than 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually. The information in the record of C5 had not been updated in 20 months.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-430-B

“Furnishing, equipment, and material shall be of an appropriate size for the children using it. Children under the age of two years old were observed using the slide and climbing apparatus located in the younger children’s play area manufactured for ages 2-3 years old.”

Rule 8VAC20-780-430-B.

8VAC20-790-600-D-1

“Each staff shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). S2 and S7 employed more than 90 days had no documentation of CPR.”

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

8VAC20-790-600-D-2

“Each staff shall have within 90 days of the date of employment a current certification in first aid. S2 and S7 employed more than 90 days had no documentation of first aid training.”

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

22.1-289.058

“A child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector located within the child day care center.”

Rule 22.1-289.058.

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. The central registry search for S2 were dated 59 days after their first day of employment. S7 did not have central registry search results and has been employed for over 3 months.”

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

8VAC20-780-150-B

“Immunization records and physicals are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record and physical for C2 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S2 and S7 employed for over 3 months had no documentation of completion of the required training.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Staff shall complete orientation training required by 8VAC20-780-C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. S2 working with children for 2 months did not contain documentation of the orientation training and S7 working with children for 3 months did not contain documentation of the orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 2s? Room and 3K/4K Rooms sanitizing wipes and disinfectant spray were accessible to children with the warning label ?Keep out of Reach of Children?.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-2

“The required ratio for children ages 16 to 24 month is one staff per five children. Two staff were observed supervising 15 children on the young child playground when the licensing inspector arrived at 10:50 a.m. 10/15/2024. Staff reported that it was a combined classroom of the toddler room (age 16 months up to 24 months) and the 2-K Room.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age for sleeping. An infant was observed sleeping in a swing in the Infant II room.”

Rule 8VAC20-780-440-G.

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of acetaminophen was observed in the Infant II room that was not in a locked place.”

Rule 8VAC20-780-510-L.

8VAC20-780-540-E

“A working, battery-operated radio shall be available in the building. A radio was not available for use within the center.”

Rule 8VAC20-780-540-E.

Unused portions of food shall be discarded by the end of the day or returned to the parent. Multiple infant bottles in the Infant II refrigerator were dated for the previous day.

“When food is brought from home the food containers must be was clearly labeled in a way that identifies the owner and dated. Licensing inspector observed multiple lunch boxes and thermos bottles in several classrooms that were not labeled with the children’s names and dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C3, enrolled for 30 months, was missing the following required component: proof of identify and age. The record contained a Social Security card that does not provide proof of identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Each center shall keep a record for staff that contains all of the required information. The records for S2, S4, S6, and S7 did not contain information about any health problems that may interfere with fulfilling the job responsibilities.”

Rule 8VAC20-780-70.

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: roughly handling a child. On 09/25/2024, S1 lifted C1, (age 2), off the ground by one arm to have the child get off a rocking toy. The child was observed to be favoring her arm after this incident. The center was later notified that the child had been seen at the emergency room and had sustained a break in the wrist growth plate.”

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to obtain a search of the central registry within 30 days of employment. The record for S1, employed 06/05/2024 did not contain findings of a central registry search.”

Rule 8VAC20-770-60-C-2. From a complaint.

8VAC20-780-160-A

“Based on record review, the provider failed to ensure staff shall submit documentation of a negative tuberculosis (TB) screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: The record for S1, employed 06/05/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 07/12/2024.”

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

Based on documentation review and interviews, it was determined that a staff used the forbidden action of rough handling of children to correct the behavior of a child.

“Staff reported in interviews on 08/08/2024 that they observed S2 being rough with C1 in the classroom by ?smacking her hands?, ?plucking her on the back of the neck and backs of legs?, ?yelling at her?, and by ?picking her up from a playpen, slamming her in a chair, and telling her not to move?. Staff reported that S2 told them that she had parental permission to discipline C1. The parent of C1 reported not giving S2 permission to handle C1 in this manner.”

Rule 8VAC20-780-410-1. From a complaint.

Based on interviews and documentation review, it was determined that a staff used the forbidden action of rough handling of children.

“S1 and S2 were interviewed regarding incidents involving S3 being observed pulling a child, C1?s hair while walking the child from the playground to the building and a second incident with child, C2 by pulling the child by his arm in the classroom such that another staff intervened. S1 reported that S3 acknowledged the incidents.”

Rule 8VAC20-780-410-1. From a complaint.

Based on record review, the provider failed to obtain a current Report of Tuberculosis Screening form every two years from the date of the previous tuberculosis screening.

“The TB screenings for S2 were dated 06/21/2021 and 01/10/2024.”

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

Based on record review, the provider failed to assure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“The record for S2 documented 8 of 16 hours of training for the annual period of 05/08/2023- 05/08/2024.”

Rule 8VAC20-780-245-A. From a complaint.

8VAC20-780-350-B-1

“The required ratio for children birth to 16 months is 1 staff per 4 children. An incident report dated 05/07/2024 documented a brief time period where 2 of the 3 staff working in the infant room with 5 children left the classroom resulting in the classroom being out of ratio.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-570-A

“When a child is placed in a high chair, the protective belt shall be fastened securely. C1 was not fastened in a high chair on 05/07/2024 when she was observed standing up in a high chair. C1 lost her balance and fell hitting her head on the floor.”

Rule 8VAC20-780-570-A.

8VAC20-780-130-E

“8VAC20-780-(2)-130-E Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C4, under the age of 2, enrolled 01/16/2023 did not contain documentation of additional immunizations.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“(Repeat violation) Based on child record review, the provider failed to ensure 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 C1, enrolled 01/03/2024, did not contain a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S3, employed 06/06/2022 did not contained a certificate of completion of the Virginia Preservice Training.”

Rule 8VAC20-780-240-A.

(Repeat violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition.

“Evidence: Younger children playground: The wooden sidewalk has rotten planking and mulch retainer is broken causing a trip hazard. The chain link fence is loose from the top rail causing a head entrapment hazard. Older children playground: The chain link fence is loose from the top rail causing a head entrapment hazard. The mulch retainer is broken causing a trip hazard. Prescription medication for C6, maintained in the office file cabinet was damp and mold was observed on the prescription box.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning material be kept in a locked place preventing access by children. Evidence: The laundry room adjacent to two classrooms was open and contained laundry detergent on the floor with the warning label to keep out of reach of children.”

Rule 8VAC20-780-280-B.

Based on documentation review and interview, the center failed to maintain a current written list of all children allergies, sensitivities, and dietary restrictions that is dated and kept confidential.

“Evidence: Licensing inspector reviewed the child allergy list posted in the center. The allergy list was not dated. S1 and S6 were interviewed and were unable to determine the date of the list, however, did report that multiple children on the list were no longer enrolled at the center. S6 reported that the allergy list should be updated monthly.”

Rule 8VAC20-780-40-M.

8VAC20-780-560-G

“Based on observation, the provider failed to ensure food brought from home was clearly dated. Evidence: Licensing inspector observed multiple lunch boxes and water bottles in the toddler and 3?4-year-old rooms that were not labeled with the child’s name or dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-A

“Based on observation, the provider failed to fasten the protective belt securely when a child is placed in an infant feeding table. Evidence: One infant was observed seated in a feeding table and the protective belt was not fastened.”

Rule 8VAC20-780-570-A.

8VAC20-780-70

“Based on record review, the provider failed to keep records for staff as required. Evidence: The record for S2, employed 06/05/2023 and identified during the inspection as a program leader did not contained documentation to demonstrate the required experience and 24 hours of training required to be a program leader (8VAC20-780-210). The records for S3 and S4 did not contain first aid and cardiopulmonary resuscitation certifications. S5 was observed working with children during the inspection; however, the personnel record for S5 could not be located.”

Rule 8VAC20-780-70.

8VAC20-780-90-A

“Based on child record review, the provider failed to have a written agreement between the parent and center by the first day of the child’s attendance authorizing medical care, parental acknowledgement requiring pickup of an ill child, and parental acknowledgement to inform the center within 24 hours if the child or any member of the immediate household as developed a reportable communicable disease. Evidence: The record for C4 and C5 did not contain written agreements signed by the parents.”

Rule 8VAC20-780-90-A.

Based on interviews the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: A child, C1, age 16 months was found in a classroom without sight and sound supervision of staff. S2 reported that she and another staff were supervising the toddlers and 2-year-olds in the center’s inside playground. She stepped away briefly from the group to attend to another child needs. S2 did not realize that C1 had gone into the classroom out of actual sight and supervision of staff until the child’s mother came in to pick up the child and located the child.”

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

Based on observation and interviews the center failed to ensure that food shall be prepared, stored, and transported in a sanitary manner.

“Evidence: A child, C1 at the center used a sippy cup containing mold. Licensing inspector observed the cup and lid that were retained by the center when the parent brought the cup and mold to the center’s attention. S1 and S2 were interviewed, and they observed the spots on the cup lid. S1 and S2 reported that cleaning procedures of cups used by children at the center have been reviewed with staff.”

Rule 8VAC20-780-560-N. From a complaint.

8VAC20-790-600-D-1

“Based on staff record review, the provider failed to ensure that two of five staff members who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S3, employed 05/25/2023 did not contain certification in CPR within 90 days of hire. The record for S5, employed 05/04/2023 did not contain certification in CPR within 90 days of hire.”

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

8VAC20-790-600-D-2

“Based on staff record review, the provider failed to ensure that two of six staff members who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for S3, employed 05/25/2023 did not contain certification in first aid within 90 days of hire. The record for S5, employed 05/04/2023 did not contain certification in first aid within 90 days of hire.”

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

8VAC20-780-140-A

“Based on record review, the provider failed to ensure 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 C2, enrolled 09/18/2023 did not contain a physical examination.”

Rule 8VAC20-780-140-A.

Based on child record review, the provider failed to ensure that two of six immunizations records for children were signed by a physician, designee, or official of a local health department.

“Evidence: The immunization records for C2 and C3 were not signed by a physician, designee, or official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-350-B-2

“Based on observation and interview, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.2. Evidence: Licensing inspector observed a group of 11 children aged 17 months (C5) to two years old with two staff. The required staff-to-child ratio for this age group is 1 staff to 5 children. Staff acknowledged being out of ratio based on the child aged 17 months.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-530-A-1

“Based on observation and record review, the provider failed to ensure that at least one staff in an area where children are present shall have a current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: Licensing inspector observed S4 providing single staff supervision of children on the playground and S4?s CPR and first aid certification located in the staff record expired 10/22/2021.”

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

8VAC20-780-260-B

“Based on observation, the provider failed to assure the annual health department inspection occurred with 12 months of the last occurrence. Evidence: The health inspections were conducted 03/17/2022 and 04/13/2023.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Based on observation, the provider failed to maintain the areas and equipment of the center, inside and outside in a safe and operable condition. Evidence: On 04/11/2023, the inspector observed the wood plank walkway to the pre-school playground with loose boards creating a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector observed a sliding board in the pre-school playground that had less than the required six inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on child record review, the provider failed to ensure that three of five records contained the required information for each child enrolled. Evidence:

“1. The record for C2, enrolled 03/20/2023 failed to obtain health information as required by 8VAC20-780-130-A within the required time frame. 2. The record for C3, enrolled 11/28/2023 failed to obtain health information as required by 8VAC20-780-140. 3. The record for C-4, enrolled 01/30/2023 did not contain the name, address, and phone number of two designated persons to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-C

“Based on review of staff (S) records, the provider failed to ensure that two of four staff records contained information required by 8VAC20-780-160.C Evidence: The staff records for S1 and S3 failed to show at least every two years from the date of the prior tuberculosis screening the results of a follow-up screening. S1 screening was completed 10/08/2019 and 02/02/2022 and S3?s screening was completed 11/16/18 and 12/21/2021. Both screening were more than two years apart.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-350-F

“Based on a review of records and interview, the center failed to develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: There was no documentation of a written policy and procedure for care by consistent staff. Administration acknowledged it was not complete.”

Rule 8VAC20-780-350-F.

8VAC20-780-40-K

“Based on a review of documents and interview, the center failed to develop written procedures for abusive head trauma. Evidence: There was no documentation of written procedures for abusive head trauma. Administration acknowledged it was not completed.”

Rule 8VAC20-780-40-K.

8VAC20-780-550-B

Rule 8VAC20-780-550-B.