YMCA Child Care @ Taylor Bend YMCA

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee’s first day of employment. The central registry search for Staff 2 was requested two years after employment. The central registry search for Staff 3 and Staff 4 were requested six weeks after employment. Staff #5, who had been employed for twelve weeks, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“Repeat Violation Documentation of 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 2 had no documentation of a TB screening and had been employed for more than two years. The TB screening for Staff 3 was incomplete.”

Rule 8VAC20-780-160-A.

8VAC20-780-190-A-3

“Repeat Violation Program directors shall be at least 21 years of age and shall meet one of the program director qualifications. Qualifications in the record for Staff 6 does not contain the required number of child related credits.”

Rule 8VAC20-780-190-A-3.

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for Staff 2 did not contain documentation that the orientation coarse was completed. Completion of the orientation course was due twenty-two months ago.”

Rule 8VAC20-780-240-A.

8VAC20-780-260-A

“Repeat Violation The center shall provide the licensing representative with an annual fire inspection report from the appropriate fire official having jurisdiction. The last annual fire inspection was completed over 24 months prior. There was no documentation to show an updated annual fire inspection had been completed.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“Repeat Violation Annual approval from the health department shall be provided. The last Environmental Health Inspection was completed 6/25/25. An updated inspection was due five weeks ago.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was a hole in the wall in the multipurpose room. There was a broken picnic table leg on the pool deck with rusted jagged metal exposed.”

Rule 8VAC20-780-270-A.

8VAC20-780-340-B

“Repeat Violation During the center’s hours of operation, one adult on the premises shall be in charge of the administration of the center. Upon arrival on 8/12/26 the center director was not present in the center. The four staff on duty were not clear as to who was in charge during the director’s absence.”

Rule 8VAC20-780-340-B.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities are maintained in compliance with the center’s own policies and procedures required by these standards. The Discipline Policy as stated in the Parent Handbook requires that verbal abuse be immediately related to the Director. Staff 1 was made aware of physical and sexual related comments made by Child 4 to Child 5 and did not immediately report it to the Director.”

Rule 8VAC20-780-40-E.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name. Medication for Child 1 was not labeled as required.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiration or that a new authorization should be completed. Medication for Child 2 was onsite, but the medication authorization expired over eleven months ago. The authorization had not been renewed, and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

8VAC20-780-560-G

“Repeat Violation When food is brought from home the food container must be clearly dated. There were no dates on 12 lunch boxes viewed in the 10?12-year-old group.”

Rule 8VAC20-780-560-G.

8VAC20-790-600-D-1

“Repeat Violation All staff who work 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 2, employed for two years, did not have documentation of current CPR certification.”

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

8VAC20-790-600-D-2

“Repeat Violation All staff who work 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 2, employed for two years, did not have documentation of current first aid certification.”

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

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The inspection summary from the most recent inspection, dated 8/21/2025 were not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2 did not have central registry search results during the inspection and has been employed for over 11 months. Staff 2 was working alone with children.”

Rule 22.1-289.035-B-3.

8VAC20-780-190-A-3

“Program directors shall be at least 21 years of age and shall meet program director’s qualifications. The record for Staff #1 (program director) did not contain the qualifications to meet requirements of a program director.”

Rule 8VAC20-780-190-A-3.

8VAC20-780-260-A

“The center shall provide the licensing representative with an annual fire inspection report from the appropriate fire official having jurisdiction. There was no documentation to show that the annual fire inspection had been completed.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Three bottles of glass cleaner with warning labels, ?Keep out of reach of children,? were unlocked in the classroom, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-F

“Repeat Violation Children under 10 years of age shall always be within actual sight and sound supervision of staff. Child A, a nine-year-old, was not in sight and sound supervision when Staff 2 moved a group of children from the gym to a classroom leaving Child A behind.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. At the time of the inspection, there were 38 children in care, ages 5 years to 12 years, with 2 staff from approximately 9:38am until 9:58am.The required ratio for 5-year old’s is 1 staff per 18 children. The number and ages of the children required 3 staff to be present.”

Rule 8VAC20-780-350-C.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. Staff did not have a current allergy list for children in care.”

Rule 8VAC20-780-40-M.

8VAC20-790-600-D-1

“Repeat Violation All staff who work with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of the children in care. The record for Staff 1 did not contain documentation of current CPR certification.”

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

8VAC20-790-600-D-2

“Repeat Violation All staff who work with children shall have current certification in first aid appropriate to the ages of the children in care. The record for Staff 1 did not contain documentation of current first aid certification.”

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

8VAC20-790-600-F

“Repeat Violation Staff who work directly with children shall annually attend staff development activities to include the department’s health and safety update course. There was no documentation to show that Staff 1 completed the health and safety update course in 2025.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-1

“The center is required to obtain a complete sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #2, was completed eleven weeks after the date of hire.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“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 11 weeks, did not have documentation to demonstrate that a central registry search had been requested as required. Staff #2 was working alone with children when Staff #1 left the classroom to address a child in another group.”

Rule 22.1-289.035-B-2.

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #2 documentation of orientation training was completed eleven weeks after the date of hire.”

Rule 8VAC20-780-240-B.

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. On 8/15/25 Staff #1 and Staff #2, who were not program leader qualified were alone with and supervising a group of 20, 7?8-year-old children.”

Rule 8VAC20-780-340-D.

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 8/15/25 Staff #1 approached Child #1 and used inappropriate language and phrases that were not constructive or meant to resolve a conflict that Child #1 had with Child #2. Additionally, when Child #3 told Staff #1 that he was using unseemly language, Staff #1 used inappropriate language towards Child #3. Staff #2, Staff #3 and Staff #4 confirmed that Staff #1 used inappropriate language.”

Rule 8VAC20-780-400-B.

8VAC20-780-410-6

“The following actions or threats thereof are forbidden; verbal remarks which are demeaning to the child. On August 15, 2025, Staff #1 used inappropriate and demeaning language during a verbal interaction with Child #1 and Child #2.”

Rule 8VAC20-780-410-6.

8VAC20-780-530-A

“At least one staff member in each classroom or area where children are present shall have current certification in both CPR and first aid. On 8/15/25 staff #1 and staff #2 supervised a group of 20, seven and eight-year-old children and were not certified in CPR and first aid.”

Rule 8VAC20-780-530-A.

8VAC20-780-70

“Repeat Violation Staff records shall contain documentation to demonstrate that the individual possesses the education and experience required by the job position. Staff #1, who’s job title was program leader, did not have documentation of the required education and experience in the record.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Staff 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 #2, employed for two years and staff #8, employed for more than 90 days, did not have current certification in CPR.”

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

8VAC20-790-600-D-2

“Staff shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #2, employed for two years and staff #8, employed for more than 90 days, did not have current certification in first aid.”

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

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. Staff #1 and staff #2 did not have central registry search results during the inspection.”

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

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 5 weeks ago and Staff #2 updated screening was due 10 weeks ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for staff # 6 did not contain documentation that the orientation coarse was completed. Completion of the orientation course was due four months ago.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and condition. In the gym area there was broken edging material sticking out on the corner of the wall. There were two wooden benches in the outdoor area that were cracked and splintered.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. A drill was not practiced in June.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-G

“When food is brought from home the container shall be dated and clearly labeled to identify the owner. In the front pavilion area there was a black lunchbox and a water bottle with no name or date.”

Rule 8VAC20-780-560-G.

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and shall include all of the required information. Staff #5 did not have verification of age requirement.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2, who was employed for more than 16 months did not have current CPR certification.”

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

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment certification in first aid appropriate to the ages of children in care. Staff #2, who was employed for more than 16 months did not have current first aid certification.”

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

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation, annually attend at least 16 hours of training to include the departments health and safety update course. Staff #2 did not complete the departments 2024 annual health and safety update coarse.”

Rule 8VAC20-790-600-F.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There were two picnic tables on the playground with peeling paint. There was broken plaster on a wall in the classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was Raid Max Ant and Roach spray, Tri-Fecta cleanser and glass cleaner in an unlocked cabinet in the classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-E

“Cleaning materials (e.g., detergents, sanitizers and polishes) and insecticides/pesticides shall be stored in areas physically separate from each other. In a cabinet in the classroom there were bottles of glass cleaner, cleanser and insecticide stored together.”

Rule 8VAC20-780-280-E.

8VAC20-780-70

“Staff records shall be kept for each staff person and shall contain all of the required information. The name, address, and telephone number of a person to be notified in an emergency was not kept at the center for Staff #2 and Staff #3. The record for Staff #3 did not contain the date of hire.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

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

8VAC20-790-600-D-2

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

8VAC20-780-160-C

“Repeat Violation Based on a record review of 5 staff records it was determined that the center did not ensure that 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 as stated. Evidence: 1.There was no documentation of an updated TB screening for staff #3. The last TB screening was dated 6/23/2022. a.The Director confirmed the TB was not updated.”

Rule 8VAC20-780-160-C.

8VAC20-780-210-A

Rule 8VAC20-780-210-A.

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1.The most recent annual health inspection report available for viewing during the inspection was dated 7/17/23. a.The Director confirmed the annual inspection from the health department had not been completed.”

Rule 8VAC20-780-260-B.

8VAC20-780-350-B-5

“Based on observation and interviews the center did not ensure that the staff-child-ratio of 1:18 for children school age eligible up to 9 years was maintained. Evidence: 1.When the inspector entered the classroom with the Director, staff #6 was observed alone, supervising 19 children ages 7?8-year-old. Based on the ages of the children two staff members were required. a.The Director confirmed the classroom was out of ratio.”

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

8VAC20-780-510-I

“Repeat Violation Based on record review and interviews, it was determined the center did not ensure that all of the requirements for administration of prescription medications were obtained. Evidence: 1.The emergency medication for child #6 and child #7 was not in the original box with the child identified on the prescription label. a. The Director confirmed the medications were not in the original boxes and did not have the prescription labels.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-D

“Repeat Violation Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1.There was no documentation of an emergency evacuation practice drill conducted in June. a.The Director confirmed June was not documented.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“Repeat Violation Based on observation and interviews, it was determined that the center did not ensure that 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. Evidence: 1.Staff #3, date of hire 1/22/24 did not have documentation of current certification in cardiopulmonary resuscitation (CPR). 2.The most current CPR certification for staff #2 expired 8/25/2022.”

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

8VAC20-790-600-D-2

“Repeat Violation Based on record review and interviews, it was determined the center did not ensure that 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. Evidence: 1.Staff #3, date of hire 1/22/24 did not have documentation of current certification in first aid. 2.The most current first aid certification for staff #2 expired 8/25/2022.”

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

22.1-289.011-F

“Based on observation and interviews, it was determined that the facility did not ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1.The current license was not posted. 2.The latest inspection summary was not posted. 3.The Director confirmed the license and inspection summary were not posted.”

Rule 22.1-289.011-F.

8VAC20-780-160-A

“Repeat Violation Based on a review of 5 staff records, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1.There was no documentation of a TB screening in the record for staff #5. 2.The Director confirmed the screening was not in the record.”

Rule 8VAC20-780-160-A.

8VAC20-780-210-A

“(A2) 8VAC20-780-210-A Based on the review of records and interview, it was determined the center did not ensure that all the requirements were met for staff assigned as program leaders. Evidence: 1.The record for staff #3 (date of hire 1/22/24) contained documentation that the staff member was a program leader; however, the record did not contain documentation of a minimum of 24 hours of training related to the care of children. There were 8 hours of training documented in the record.”

Rule 8VAC20-780-210-A.

8VAC20-780-240-A

“Based on the review of records and interview, it was determined the center did not ensure that the Virginia Department of Education sponsored orientation course is completed within 90 calendar days of employment. Evidence: 2.The record for staff #3 (date of hire 1/22/24) did not contain documentation of completion of the Virginia Preservice training. 3.The Director confirmed the documentation was not in the record.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Based on records review and interview the center did not ensure that staff 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. Evidence: 1.The record for staff #5 did not contain documentation that orientation was completed within 7 days of hire.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the main classroom where children were gathered the following cleaning materials were accessible to children: a.There was a container of Comet cleanser, Super Zorb and disinfectants in an unlocked cabinet under the sink. b.There were bottles of laundry detergent in the unlocked laundry closet.”

Rule 8VAC20-780-280-B.

8VAC20-780-430-K

“Repeat Violation Based on observation and interviews, it was determined that the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: 1.Children’s personal belongings including backpacks and lunchboxes were scattered on the floor. 2.The Director confirmed that the children did not have individual places to keep their belongings.”

Rule 8VAC20-780-430-K.

8VAC20-780-550-P

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children’s serious and minor injuries. Evidence: 1.Two injury reports did not contain documentation of the date and time the parent was notified of an injury. 2.The Director confirmed this information was not documented.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.There were no records for child #4 and child #5. 2.The Director confirmed there were no records.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-790-530-C

Rule 8VAC20-790-530-C.

8VAC20-790-600-D-1

“Based on observation and interviews, it was determined that the center did not ensure that 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. Evidence: 1. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in cardiopulmonary resuscitation (CPR). 2. Staff #1 confirmed Staff #4 did not have current CPR certification.”

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

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined the center did not ensure that 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. Evidence: 3. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in first aid. 4. Staff #1 confirmed Staff #4 did not have current certification in first aid.”

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

8VAC20-780-280-B

“Based on observation and interviews it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the mind and body classroom where children gather for lunch there was a bottle of disinfectant and a can of Comet cleanser in an unlocked cabinet.”

Rule 8VAC20-780-280-B.

8VAC20-780-430-K

“Based on observation and interviews, it was determined that the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: 1. Children’s personal belongings including backpacks and lunchboxes were laying on the floor in hallways and classrooms. 2. Staff #1 confirmed that the children did not have individual places to keep their belongings.”

Rule 8VAC20-780-430-K.

8VAC20-780-510-I

“Based on a review of medication being stored at the facility and record review, it was determined the center did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian. (Repeat violation) Evidence: 1. The asthma action plan for Child #7, did not include the parent or guardians written and signed authorization to give the medication. The Program Director confirmed the plan did not include written authorization from the parent.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1. An evacuation drill was not implemented in August 2022, September 2022, October 2022, and November 2022. 2. The Staff #1 (Program Director) confirmed that the evacuations were not practiced in August, September, October and November of 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based on record reviews and interviews, it was determined that the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1. There was no documentation of two shelter in place practices were conducted in 2022. 2. The Program Director confirmed there was no documentation that two shelter in place procedures had been practiced 2022.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 5. There was no documentation that the center practiced the lockdown procedure in 2022. 6. The Program Director confirmed that there was no documentation that the lockdown procedure had been practiced 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-560-G

“Based on observation and interviews, it was determined the center did not ensure that that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1. In the 9-12 year old group there were 6 lunch boxes that did not have dates on them. 2. In the 9-12 year old group there were 2 lunch boxes that did not have names on them.”

Rule 8VAC20-780-560-G.

Based on a review of 15 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

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

Based on a review of 15 staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information.

Rule 8VAC20-770-70-A.

Based on a review of ten children’s records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance.

“Evidence: 1. The record for child #1 did not contain a physical examination. 2. Staff #2 (Program Director) confirmed that the record for child #1 did not contain a physical examination.”

Rule 8VAC20-780-140-A.

Based on a review of 15 staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning.

Rule 8VAC20-780-160-A.

Based on observation, a review of 15 staff records and interviews, it was determined that the licensee did not ensure that 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.

“Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Eight of those groups of children did not contain a staff that was qualified as a Program Leader. 2. Staff #2 (Program Director) reviewed the records for the staff working, and was unable to provide documentation during the inspection that any of the staff in that grouping of children were qualified. Program Leader qualified.”

Rule 8VAC20-780-340-D.

Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian.

“Evidence: 1. The written authorization for the medication for child #11 was not signed by the parent. 2. There was no written authorization for the medication for child #12. 3. Staff #2 (Program Director) confirmed that there was medication listed above did not have written authorization from the parent to be given.”

Rule 8VAC20-780-510-I.

Based on a review of the medication being stored at the center, it was determined that the licensee did not ensure that when an authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“Evidence: 1. The long term medication authorization for child #13 expired on 6/1/22, but the medication (Albuterol inhaler) was still at the center. 2. Staff #2 (Program director) confirmed that the medication for child #13 had been present in the center for more than 14 days since the expiration of the written authorization.”

Rule 8VAC20-780-510-P.

Based on a review of eleven staff records and interviews, it was determined that the facility did not ensure that there shall be at least one staff in each classroom or area where children are present that has a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care.

“Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Seven of those groups of children did not contain a staff that had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. 2. Staff #2 (Program Director) confirmed that staff in each of these seven groups did not have a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care available for viewing during the inspection.”

Rule 8VAC20-780-530-A.

Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. The Licensing Inspector observed that the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #6 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.”

Rule 8VAC20-780-560-G.

Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

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

Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

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

Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

“Evidence: 1. The record for staff #3 (date of hire 1/11/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #4 (date of hire 8/6/21) did not contain documentation of a completed search of the central registry finding. 3. Staff #4 (Program Director) reviewed the records for the staff #3 and staff #4, and confirmed that there was not a search of the central registry finding available for viewing during the inspection for either staff.”

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

Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning

“Evidence: 1. The record for staff #2 (date of hire (4/12/21) did not contain documentation of a negative tuberculosis screening. 2.The record for staff #5 (date of hire (10/4/21) did not contain documentation of a negative tuberculosis screening. 3. Staff #4 (Program Director) reviewed the records for staff #2 and staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for either staff.”

Rule 8VAC20-780-160-A.

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed.

“Evidence: 1. There was no documentation to demonstrate the annual fire inspection had been completed. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual fire inspection report had been completed.”

Rule 8VAC20-780-260-A.

Based on a review of documentation and interview, it was determined that the facility did not ensure that the annual approval from the health department was received.

“Evidence: 1. There was no documentation to demonstrate the annual approval from the health department had been received. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual approval from the health department had been received.”

Rule 8VAC20-780-260-B.

Based on observation, a review of five staff records and interviews, it was determined that the licensee did not ensure that 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.

Rule 8VAC20-780-340-D.

Based on interviews and a review of documentation, it was determined that the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: 1. The Licensing Inspector observed child #1 walking down a hallway adjacent to the gym alone. 2. Staff #3 stated that she had brought three children in from the playground and allowed child #1 to go to the bathroom that was down the hallway while she assisted the other two children in the classroom 3. Staff #3 confirmed that she did not maintain sight and sound supervision of child #1.”

Rule 8VAC20-780-340-F.

Based on a review of documentation and interviews, it was determined that the facility did not ensure that 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 is maintained, in a way that is accessible to all staff who work with children. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: 1. There was no list of all children’s allergies, sensitivities, and dietary restrictions available for viewing during the inspection. 2. Staff #4 (Program Director) confirmed that the list of of all children’s allergies, sensitivities, and dietary restrictions was not maintained in the classroom where the children were located.”

Rule 8VAC20-780-40-M.

Based on a review of the facility’s first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items.

“Evidence: 1. The first aid kit for the facility did not include an antiseptic cleaner and triangle bandages. 2. Staff #4 (Program Director) confirmed that the facility’s first aid kit did not contain all of the required items.”

Rule 8VAC20-780-540-A.

Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.”

Rule 8VAC20-780-560-G.

Based on a review of five children’s records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

“Evidence: 1. The record for child #4 did not contain the enrollment agreement with all of the required information about the child and the parents. 2. Staff #4 (Program Director) confirmed that the record for child #4 did not contain all of the required information.”

Rule 8VAC20-780-60-A.

Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The inspection that was posted on the Licensing Board was dated 1/8/21.The results from the most recent inspection, 8/18/21, were not posted anywhere in the facility. 2. Staff #4 (Program Director) confirmed that the results from the most recent inspection were not posted anywhere in the building.”

Rule 8VAC20-820-120-E-2.