YMCA of the Virginia Peninsulas - Northumberland

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On 7/2/26, at approximately 11:15 AM, Child #1, 6 years old, injured his elbow during a field trip and informed staff that he ?heard a snap.? Although staff provided an ice pack and intermittently checked on the child, the parent was not notified until 5:02 PM during pick-up, despite the child continuing to report pain throughout the day. The injury sustained resulted in a fractured elbow.”

Rule 8VAC20-780-340-A.

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.

“On 7/22/26, Staff #1 was supervising multiple rooms, leaving Staff #2 alone with 19 school-aged children and Staff #3 alone with six school-aged children. Staff #2 and Staff #3 are not qualified as lead teachers, resulting in groups operating without a required program leader.”

Rule 8VAC20-780-340-D.

The following staff records shall be kept for each staff person: Documentation to demonstrate that the individual possesses the education, certification, and training required by the job position.

“Staff #2 and Staff #3, did not have the educational documentation, required for their position, available in their files for review.”

Rule 8VAC20-780-70.

All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care within 90 days of employment.

“Staff #2 completed the first aid training one year after first date of employment.”

Rule 22.1-289.022-D-2.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Staff #2 completed the CPR training one year after first date of employment.”

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

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #2 completed the course one year late.”

Rule 8VAC20-780-240-A.

Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of hire.

“Staff #2 completed orientation nine days after date of hire.”

Rule 8VAC20-780-240-B.

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

“The record for Staff #1, did not have a completed sworn statement in the file, prior to first day of employment. Staff #1 has been employed for seven months.”

Rule 8VAC20-770-60-B.

The center is required to obtain a central registry request prior to the employment and within 30 days.

“Staff #2, who is currently working with children, did not have documentation of a completed central registry request in the file. Central registry request is four months overdue.”

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

Repeat violation

“Documentation of a negative tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #1, did not have documentation of a negative tuberculosis screening in the file. Staff #1 has been employed for seven months. Staff #2 tuberculosis screening was received 14 days after date of hire.”

Rule 8VAC20-780-160-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“The record for Staff #1 and Staff #2, did not have documentation of The Department of Education Preservice Training being completed in their files. Staff #1 has been employed for seven months and Staff #2 has been employed for four months.”

Rule 8VAC20-780-240-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting of any equipment.

“The handles on the drawers where the games were stored were rusted, and was accessible and in use by children.”

Rule 8VAC20-780-270-A.

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“The record for Staff #1, did not have documentation of their education and training in the file. Staff #1 has been employed for seven months.”

Rule 8VAC20-780-70.

REPEAT VIOLATION Based on record review, the center did not ensure that all staff complete the The Virginia Health and Safety Update Training, annually.

“Evidence: 1. The record for staff #1 (employed: 6/30/22) did not have documentation of the required Virginia Health and Safety Update Training. The training needed to be completed on or before 06/30/23. 2. The record for staff #3 (employed: 10/22/18) had documentation of the Virginia Health and Safety Update Training on 8/31/23. The Virginia Health and Safety Update Training needed to be completed on or before 1/17/23.”

Rule 8VAC20-790-600-F.

REPEAT VIOLATION Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The records for child #1 (enrolled: 8/22/23) and child #2 (enrolled: 7/17/23) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

REPEAT VIOLATION Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #1 (enrolled: 8/22/23), child #2 (enrolled: 7/17/23), child #3 (enrolled: 8/11/23), and child #5 (enrolled: 7/17/23) did not have a physical examination.”

Rule 8VAC20-780-140-A.

REPEAT VIOLATION Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for staff #2 (employed: 5/16/23) did not have documentation of a TB screening / test completed within the last 30 calendar days of the date of employment. Staff #2 TB screening / test was dated 08/20/22.”

Rule 8VAC20-780-160-A.

Based on record review, the center did not ensure that there was a qualified program director.

“Evidence: 1. The record of staff #1, identified as the program director, did not have documentation to meet the qualifications regarding education.”

Rule 8VAC20-780-190-A.

REPEAT VIOLATION Based on a review of three staff records, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff.

“Evidence: The record for staff #1 (employed: 6/30/22), did not have documentation of the VA Preservice Training for Child Care Staff.”

Rule 8VAC20-780-240-A.

Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: The main entry island with lower cabinets in the child care area had three cans of Lysol, one container of Clorox disinfectant wipes, one container of glass cleaner, and once container of QT Plus disinfectant unlocked and accessible to children. One container of Super Heavy Duty Peroxide cleaner was located on top of the refrigerator in the classroom.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure that children’s hands are washed with soap and running water or disposable wipes before and after eating meals.

“Evidence: In room #1, children finished eating snack and began the next activity without washing their hands with soap and running water or disposable wipes.”

Rule 8VAC20-780-500-A.

Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly.

“Evidence : The facility had documentation of one shelter-in-place drill from September 2022 to August 2023. The facility is required to practice two shelter-in-place drills two times per year.”

Rule 8VAC20-780-550-E.

Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

“Evidence: The facility did not have documentation of a lockdown drill for September 2022 to August 2023.”

Rule 8VAC20-780-550-F.

Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding.

“Evidence: 1. In room #1, children finished snack and began other activities at the tables. 2. Staff did not sanitize the tables after use.”

Rule 8VAC20-780-560-J.

8VAC20-790-600-D-1

“Based on record review, the subsidy vendor did not have one of the two staff current certifications in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #1 (Employed:09/11/17) did not have current certification in cardiopulmonary resuscitation (CPR).”

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

Based on review, the subsidy vendor did not have one of the two staff current certification in first aid appropriate to the ages of children in care. Evidence:

“1. Staff #1 (Employed: 09/11/17) did not have current certification in first aid appropriate to the ages of children in care. 2. Staff #4 (Date of hire 2/28/2014) did not have current certification in first aid appropriate to the ages of children in care.”

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

Based on record review, the facility did not ensure staff complete the department’s health and safety update course.

“Evidence: 1. The record for staff #1 did not have documentation of the updated annual health and safety training course.”

Rule 8VAC20-790-600-F.

Based on record review and interview, the center did not ensure staff obtained a fingerprint-based criminal history record information check prior to employment.

“Evidence: 1. The record for staff #1 (employed: 06/08/22) did not have documentation of a fingerprint-based criminal history record information check. prior to employment. Fingerprint-based criminal history record information check was received on October 26, 2022. 2. A member of management stated that staff #1 was hired on 09/01/17 and terminated in August 2018. On 06/08/22, staff #1 was rehired at the center.”

Rule 22.1-289.035-B-2.

Based on record review, the center did not ensure documentation of a completed sworn statement or affirmation prior to the first day of employment.

“Evidence: 1. The record of staff #1 (hire date: 06/08/2022) ,had documentation of a completed sworn statement or affirmation dated 06/16/2022.”

Rule 8VAC20-770-60-B.

Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for child #3 (enrolled 9/22) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The record for child #3 (enrolled 9/22) did not documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for staff #1 (start date: employed: 06/08/22) did not have documentation of the TB screening or test. 2. A member of management stated that the updated record for staff #1 was not at the center.”

Rule 8VAC20-780-160-A.

Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. The records for staff #1 (employed: 09/11/17) and staff #2 (employed: 07/01/22) did not contain documentation of the completed the Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

Based on review of documentation and interview, the center did not obtain an annual fire inspection report.

“Evidence: The most recent fire inspection report was dated 02/17/22, exceeding the annual requirement. The director stated that she did not have a copy of a current fire inspection.”

Rule 8VAC20-780-260-A.

Based on a review of documentation and interviews, the center did not ensure that during the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

“Evidence: 1. The school bus began dropping off children at approximately 3:16 PM, and staff #2 was the only staff member present. Staff #2 did not meet the requirements of a program leader or program director. 2. Staff #1 arrived at the center at approximately 3:20 PM. Staff #1 did not meet the requirements of a program leader or program director.”

Rule 8VAC20-780-340-C.

Based on observation the licensee did not ensure that no child shall be allowed to drink or eat while walking around.

“Evidence: In room#1, children were asked to get their snack and line up. During this transition, child #2 was eating his snack while walking around talking with peers.”

Rule 8VAC20-780-560-M.

Based on a review of children’s records, the center did not ensure that each record contains all required information.

“Evidence: 1. The records for child #1, child #2, child #3, child #4, and child #5 did not have documentation of the first day of attendance. 2. Child #5 did not have a record on file at the center.”

Rule 8VAC20-780-60-A.

Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly.

“Evidence : The facility had documentation of one shelter-in-place drill (09/01/21) for the 2021- 2022 school year. The facility is required to practice two shelter in place drills two times per year.”

Rule 8VAC20-780-550-E.

Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

“Evidence: The facility did not have documentation of a lockdown drill for the 2021-2022 school year.”

Rule 8VAC20-780-550-F.