YMCA SACC at Park Ridge Elementary

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff A, employed for eleven months, did not have documentation of requesting a central registry check from the state Staff A has resided in the last five years.”

Rule 22.1-289.035-B-4.

Annual training shall be relevant to staff’s job responsibilities and the care of children, and include signs and symptoms of child abuse and neglect and requirements for mandated reporters.

“The record for staff B, employed for 12 months, had not completed training on signs and symptoms of child abuse and neglect and requirements for mandated reporters.”

Rule 8VAC20-780-245-H.

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 had a documented food allergy and emergency medication was present on site; however, Child A’s allergy was not listed on the center’s allergy list.”

Rule 8VAC20-780-40-M.

Each center shall maintain and keep at the center a separate record for each child enrolled which contains all required information.

“Child B did not have a file onsite and the virtual file was not able to be accessed during the inspection.”

Rule 8VAC20-780-60-A.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian or physician authorization to administer prescription medications to Child A.”

Rule 8VAC20-780-510-I.

All 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.

“Staff #1, did not have a current certification in CPR, the certification on file was expired by 9 days.”

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

All 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

“Staff #1, did not have a current certification in first aid, the certification on file was expired by 9 days.”

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

Tuberculosis screening documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Staff A’s TB screening was completed 2 months prior to their start date.”

Rule 8VAC20-780-160-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.

“Child A, with a diagnosed food allergy was not on the current written list of all children with allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-780-40-M.

The following non-medical emergency supplies shall be required: One working, battery-operated flashlight on each floor of each building that is used by children.

“There were no batteries at the center for the radio therefore the center did not have an operating radio within the program.”

Rule 8VAC20-780-540-E.

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.

“The written list of all children’s allergies, sensitivities, and dietary restrictions was not current.”

Rule 8VAC20-780-40-M.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“The written authorization for Child A, did not give the center permission to administer the medications on site.”

Rule 8VAC20-780-510-I.

The required ratio for school age eligible children up to age 9 years is 1 staff per 18 children.

“Staff #1 and #2 was observed supervising 44 children (youngest child 5 years old) from approximately 3:25pm-3:36pm.”

Rule 8VAC20-780-350-B-5.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“The written authorization for Child #1, did not give the center permission to administer the medication on site.”

Rule 8VAC20-780-510-I.

Each center shall maintain and keep at the center a separate record for each child enrolled.

“Child #2 did not have a record on file for review during inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of four staff records, the program did not obtain all of the required documentation for staff records. Evidence: The record for Staff #4 did not contain documentation to demonstrate that the individual possesses the education and experience required by the job position.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on observation of three staff records it was determined that not all staff had documentation of current CPR certification on site. Evidence: Staff A (start date: 08/18/23) did not have documentation of current CPR certification on file.”

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

8VAC20-790-600-D-2

“Based on observation of three staff records it was determined that not all staff had documentation of current First Aid certification on site. Evidence: Staff A (start date: 08/18/23) did not have documentation of current First Aid certification on file.”

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

Repeat violation

“Based on review of medication it was determined that not all procedures regarding prescription medication were followed. Evidence: The emergency medication on site for child B and child C did not have a written authorization from a parent or guardian.”

Rule 8VAC20-780-510-I.

8VAC20-780-60-A-8

“Based on review of eight children’s records it was determined that not all records contained documentation of an allergy care plan when the child has been diagnosed with a food allergy. Evidence: Child A is listed on the facilities allergy list as having a diagnosed food allergy. The record for child A did not have an allergy care plan as required.”

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

8VAC20-780-70

“Based on review of three staff records it was determined that not all required documentation was on site at the facility. Evidence: The record for staff A (start date: 08/18/23) did not have documentation of name, address, verification of age, job title, date of employment, and name, address, and telephone number of an emergency contact.”

Rule 8VAC20-780-70.

8VAC20-780-510-I

“Based on review of medication it was determined that not all procedures regarding prescription medication were followed. Evidence: The emergency medication on site for child A and child B did not have a written authorization from a parent or guardian.”

Rule 8VAC20-780-510-I.

8VAC20-780-510-P

“Based on review of medication it was determined that medication was not picked up by a parent within 14 days after a written authorization for medication expires. Evidence: The medication on site for child C was accompanied by a written authorization for medication form which expired on 09/28/23.”

Rule 8VAC20-780-510-P.

8VAC20-780-540-E

“Based on observation and interviews it was determined that not all required components of the first aid kit were operable. Evidence: There were only three of the six required batteries on site to operate the required radio for the first aid kit.”

Rule 8VAC20-780-540-E.

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could accurately state which children in the group had allergies, sensitivities and/or dietary restrictions.”

Rule 8VAC20-780-40-L.

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 #3 did not have documentation of a name, address and phone number to be notified in an emergency, or certification .”

Rule 8VAC20-780-70.

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for staff completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #4 (date of hire: 5/25/2022) had a TB test/screening dated 9/11/2021.”

Rule 8VAC20-780-160-A.