YMCA SACC At Anthony Burns Elementary School

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 A had no TB screening documentation and had been employed for three weeks.”

Rule 8VAC20-780-160-A.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: The center has obtained written authorization from a parent or guardian.

“Child A’s medication authorization form for their medication on-site, did not give the facility permission to administer the medication.”

Rule 8VAC20-780-510-I.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #2, who had been employed for 10 months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“The tuberculosis screening in the record for Staff #1 expired for approximately one month.”

Rule 8VAC20-780-160-C.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #7 was onsite, but the medication authorization had expired over 3 months ago.”

Rule 8VAC20-780-510-P.

The center shall ensure there is always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Neither staff present at the time of inspection had current daily health observation training. Their previous training was expired for one week.”

Rule 8VAC20-780-245-L.

The center shall ensure prescription medication is maintained in the original container with the pharmacy label attached containing prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“Child #6 had emergency prescription medication on site but there was no pharmacy label attached to the medication.”

Rule 8VAC20-780-510-I.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2’s updated screening was expired for 4 days as of the date of inspection.”

Rule 8VAC20-780-160-C.

Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled.

“Evidence: Child #4 was present at the time of inspection and did not have a record on site.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #6 has a diagnosed food allergy and did not have a written allergy care plan on site at the time of inspection.”

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

Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: Child #1 has a diagnosed food allergy to eggs and shellfish and did not have a written allergy care plan on file at the time of inspection.”

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

8VAC20-780-530-C

“Based on review of documentation, and an interview with staff, the facility failed to have at least two staff members who have current certification in CPR and first aid. Evidence: there was only one staff member with documented CPR and first aid on site.”

Rule 8VAC20-780-530-C.

8VAC20-780-70

“Based on a review of on-site documentation, it was determined that not all required information was available for all staff. Evidence: Staff #2 did not have documentation of a name, address and phone number to be notified in an emergency.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Based on review of two staff records, it was determined that the facility did not have a repeat central registry report for all staff every five years as required. Evidence: The record for staff #2 had a central registry search report dated: 1/31/2017.”

Rule 22.1-289.035-A.

8VAC20-780-560-F

“Based on documentation review and an interview with staff, a menu listing foods to be served for snacks was not dated for the current week. Evidence: the menu listed dates that were repeated from a previous month and the day/date did not line up with the current day/date or with what was actually being served.”

Rule 8VAC20-780-560-F.