YMCA SACC at Kate Waller Barrett Elementary

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #B employed for 4 years did not have a completed sworn statement on file.”

Rule 22.1-289.035-B-1.

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 5 months had a TB screening on file that was completed 4 months after employment.”

Rule 8VAC20-780-160-A.

The center is required to obtain documentation of a sworn statement from each staff member prior to employment.

“The sworn statement on record for Staff #3 was dated two weeks after employment.”

Rule 22.1-289.035-B-1.

The center is required to obtain the results of a national, fingerprint-based criminal history check for each staff member prior to employment.

“The fingerprints on record for Staff #3 were dated 12 days after employment.”

Rule 22.1-289.035-B-2.

The center is required to ensure that each staff member submits documentation of a negative tuberculosis (TB) screening at the time of employment and the documentation shall have been completed within the last 30 calendar days of the date of employment.

“The initial TB test on record for Staff #3 was dated 22 months prior to employment.”

Rule 8VAC20-780-160-A.

(Systemic Deficiency) The center is required to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“On 9/9/26 the Licensing Inspector (LI) asked program staff about children’s allergies. None of the staff reported being informed of a diagnosed allergy that was documented in Child A’s record. Staff #6 was not informed of a diagnosed allergy for Child C who also had emergency medication on-site for the allergy.”

Rule 8VAC20-780-40-L.

(Systemic Deficiency) The center is required to maintain a current written list of children’s allergies, sensitivities, and dietary restrictions in a way that is accessible to all staff who work with children.

“The written allergy list on-site on 9/9/26 did not contain documentation of three diagnosed allergies for children. Two of the children had emergency medication on-site for their allergies.”

Rule 8VAC20-780-40-M.

Long-term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent.

“Emergency medication was observed on-site for Child C and Child D on 9/9/26. There was no authorization for the program to administer medication for Child C. The authorization for Child D contained documentation that it expired on 5/26/26.”

Rule 8VAC20-780-510-E.

(Systemic Deficiency) The center is required to 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.

“The records for Child A and Child C contained documentation of diagnosed food allergies, but neither record contained documentation of an allergy care plan from a physician.”

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

The center is required to maintain a record for each staff member that contains all of the required documentation.

“1. On 9/9/26 there was no on-site record for Staff #4. 2. The record for Staff #3 contained references that were completed after employment, though references are required before employment; and the record did not contain documentation to demonstrate that the individual possesses the education required by the job position.”

Rule 8VAC20-780-70.

The center is required to 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 on-site for Child B, who had been attending for more than seven months, did not contain documentation of immunizations. Staff reported they were not aware of where to locate the information in the tablet.”

Rule 8VAC20-780-130-A.

The center is required to obtain for each child 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.

“The record on-site for Child B, who had been attending for more than seven months, did not contain documentation of a physical. Staff reported they were not aware of where to locate the information in the tablet.”

Rule 8VAC20-780-140-A.

The center is required to maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs.

Rule 8VAC20-780-80-A.

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

“Staff #1?s updated TB screening was overdue by 1 month.”

Rule 8VAC20-780-160-C.

8VAC20-780-160-A

“Based on review of staff records, the program did not obtain the results of a tuberculosis (TB) test or screening prior to employment. Evidence: The TB test on record for Staff #1, with an employment date of 8/28/23, was dated 9/8/23. The TB test on record for Staff #2, with an employment date of 10/10/23, was dated 10/23/23.”

Rule 8VAC20-780-160-A.

8VAC20-780-40-L

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

“SYSTEMIC Based on review of documentation and interview, the program did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Child C has a diagnosed allergy to chocolate. The record for Child C also indicated a dietary restriction for no red dye. The allergy/sensitivity/dietary restriction list on site on 11/15/23 did not contain documentation of Child C’s allergy or dietary restriction.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-I

“Based on review of five medications and authorizations, the program did not obtain written authorization from a parent in order to give a child am emergency prescription medication. Evidence: An emergency prescription medication was on-site for Child D, but there was no written authorization signed by the parent for the medication on-site.”

Rule 8VAC20-780-510-I.

8VAC20-780-60-A-8

“SYSTEMIC Based on review of child records, the program 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: The physical for Child C contained documentation that the child is allergic to chocolate. The record for Child C did not contain an allergy care plan.”

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

8VAC20-780-350-B

“Based on observation, the facility failed to maintain the required ratio of one staff for every 18 children (20 children with ratio waiver), ages five years to eight years of age. Evidence: When the LI arrived, one staff was observed alone with 27 school age children for less than two minutes. The youngest child in attendance today is six years old.”

Rule 8VAC20-780-350-B.