YMCA SACC At Anne Moncure Elementary

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 had a TB screening on file that was completed 5 months prior to employment.”

Rule 8VAC20-780-160-A.

The center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required documentation.

“The record for Child B did not contain the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The center is required to 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 allergy list reviewed on-site on 10/22/25 did not include Child A who has a diagnosed food allergy.”

Rule 8VAC20-780-40-M.

The program 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 record for Child A contained documentation of a diagnosed food allergy but there was no allergy care plan on file from a physician regarding steps to be taken in the event of a suspected or confirmed allergic reaction.”

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

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

“The fingerprint results on record for Staff #4 were dated five days after employment.”

Rule 22.1-289.035-B-2.

The program is required to request the results of a search of the central registry for each staff prior to employment.

“1. There was no documentation of a central registry check request for Staff #1 prior to employment. Staff #1 had been employed for more than one month. 2. The central registry check request for Staff #2 was dated five days after employment.”

Rule 22.1-289.035-B-3.

The program is required to ensure that each staff member submits documentation of a negative tuberculosis (TB) screening prior to employment and contact with children.

“1. The record for Staff #1 did not contain documentation of a TB screening. Staff #1 had been employed for more than one month. 2. The TB screening on record for Staff #4 was dated eight weeks after employment.”

Rule 8VAC20-780-160-A.

The program shall obtain all of the required documentation for staff records.

“The record for Staff #4 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.

(Repeat Violation) For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At approximately 4:00pm on 10/7/24, there were 39 children present at the program, but 40 children were documented as present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-70

“Based on review of five staff records, the program did not obtain all of the required documentation for staff records. Evidence: The record for Staff #3 did not contain documentation to demonstrate that the individual possesses the education and experience required by the job position.”

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

“Based on review of staff records, the program did not obtain the results of a search of the central registry within 30 days of employment as required. Evidence: The central registry results on record for Staff #3, with an employment date of 7/1/23, were dated 8/15/23.”

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

8VAC20-780-240-A

“Based on review of staff records, the program did not ensure that the Virginia Department of Education-sponsored orientation course (Preservice) was completed within 90 calendar days of employment. Evidence: The Preservice certificate on record for Staff #3, with an employment date of 7/1/23, was dated 3/12/24.”

Rule 8VAC20-780-240-A.

8VAC20-780-60-A

“Based on review of four child records, the program did not obtain all of the required documentation for child records. Evidence: The record for Child C did not contain the address and phone number of a second person to contact in case of emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-280-B

“Based on observation, and staff interview, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of sanitizing solution was observed sitting on the mini fridge in the storage room with it’s door wide open. When asked, staff stated that children enter this area and the LI observed two children enter the storage room alone.”

Rule 8VAC20-780-280-B.

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.

8VAC20-780-510-E

“Based on review of nine medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #2 did not contain written authorization from the parent for long term medication observed on site.”

Rule 8VAC20-780-510-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 state which children in the group had allergies, sensitivities and/or dietary restrictions.”

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-560-F

“Based on observation, the facility failed to follow all requirements when providing snacks. Evidence: the menu listed cucumber slices, dip and whole wheat crackers for snack today however cheez-its and mandarin oranges were served. Staff stated this snack did not match what was listed on the menu but did not update the menu with the substituted food items.”

Rule 8VAC20-780-560-F.

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance documents the arrival and departure of all children in care as it occurs. Evidence: 35 children were listed on the attendance sheet, however only 31 children were observed. Staff confirmed that four children had left, but it had not been documented on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-60-A

“Based on review of two children’s records, it was determined that not all records contained all required information. Evidence: the record for child #1, with a diagnosed food allergy, did not contain a written care plan, 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.”

Rule 8VAC20-780-60-A.