YMCA SACC at Falmouth Elementary School

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 documented in the allergy plan required.

“On 3/12/26 the written allergy list on-site did not contain documentation of Child B’s diagnosed allergy. Child B had emergency medication on site for the allergy.”

Rule 8VAC20-780-40-M.

A written care plan is required 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 D contained documentation that Child D has a diagnosed food allergy. There was no written care plan from a physician on record for Child D.”

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

When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group is required to apply to the entire group.

“On 10/22/25 at approximately 3:00pm, 37 children were observed being supervised by two staff. Another child and another staff member arrived moments later, leaving 38 children supervised by three staff. The youngest child on site was four-years-old and required a ratio of 1 staff to 10 children. The four-year-old had attended daily since August and the program was operating at a 1:18 ratio.”

Rule 8VAC20-780-350-C. From a complaint.

The licensee is required to ensure that the center’s activities, services, and facilities are maintained in compliance with the standards, the center’s own policies and procedures that are required by the standards, and the terms of the current license issued by the department.

“The program is a school age childcare program licensed for children aged five-years to 12-years-old. On 10/22/25 a four-year-old was observed in the program and interview revealed that the child has been attending daily since August 2025.”

Rule 8VAC20-780-40-E. From a complaint.

Immunization and physical reports are required to be signed by a physician, his designee, or an official of a local health department.

“The immunizations on record for Child A and Child D did not include a physician’s signature or stamps. The physical on record for Child D did not include a physician’s signature or stamp.”

Rule 8VAC20-780-150-B.

Acceptable forms of documentation of tuberculosis (TB) screening are a clearance statement signed by a physician, the physician’s designee or an official of the health department; the statement shall include language that the individual does not have any current symptoms of active tuberculosis, does not have either a risk factor for acquiring tuberculosis infection or a risk factor for progression to active tuberculosis disease as defined by the local health department, or has been treated for these conditions in the past, and is currently free of tuberculosis in a communicable form.

“The most recent TB screening on record for Staff #3 did not include language from a physician clearing the individual from showing symptoms of active tuberculosis. The documentation only included a self-assessment completed by the individual.”

Rule 8VAC20-780-160-B.

The program is required to ensure that staff records contain all of the required documentation.

“The record for Staff #1 did not include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.