Piedmont Family YMCA Early Learning Center

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #3 cleaned the diaper changing surface and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-P

“REPEAT VIOLATION The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence and contain all the required information. Two incident reports of three reviewed did not contain the time when parent(s) were notified and one incident report of three reviewed only had one staff signature.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record of child #5, enrolled for seven weeks, was missing the name, home address, and home phone number of each parent who has custody.”

Rule 8VAC20-780-60-A.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The records of staff #8 and staff #10 contained 10.5 hours of the 16 required hours for the 2024-2025 training year. The record of staff #9 contained 14.5 hours of the 16 required hours for the 2025-2026 training year.”

Rule 8VAC20-780-245-A.

8VAC20-780-500-B

“Diaper changing tables shall be cleaned with soap and water and sanitized after each use. In the Infant 2 room, the changing table was not sanitized after a diaper change.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Emergency medication for child #7 was not labeled with the dosage amount and the time or times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-570-C

“The record of each child on formula shall contain the brand of formula and the child’s feeding schedule. There was no documentation of the brand of formula and feeding schedule in the records of Infant #3 who has been enrolled for over four months, Infant #4 who has been enrolled over six weeks, and Infant #6.”

Rule 8VAC20-780-570-C.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. During the inspection, three bottles of prepared infant formula belonging to Infant #4 were found unrefrigerated inside the child’s bag from home. Infant #4 arrived a hour prior to the start of the inspection.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A-8

“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. Child #7, who has been enrolled for over a year, has a diagnosed food allergy and did not have a written care plan in their file.”

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

22.1-289.035-B-1

Rule 22.1-289.035-B-1.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A Swiffer mop with the solution attached was unlocked in the infant room.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. 1. The center did not follow the terms as stipulated on the license. Rooms 106A and J11 did not contain the required two fire extinguishers in each classroom.”

Rule 8VAC20-780-40-E.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 6 changed a child’s diaper in the toddler room and did not wash the child’s hands with soap and water.”

Rule 8VAC20-780-500-A.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence and contain all the required information. An incident report for child #6 did not contain the staff present and an incident report for child #7 did not contain the date the parent was notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5 had references that were completed four and six days after beginning employment.”

Rule 8VAC20-780-70.

8VAC20-780-40-E

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

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. Multiple times during naptime, staff #2 and staff #3, told child #1 (age 3yrs), they would call the police or the people (meaning police or mom) if child #1 was not listening. Child #1 cried and screamed no, no, no when staff threatened to call the police or people.”

Rule 8VAC20-780-400-B. From a complaint.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by over six weeks.”

Rule 22.1-289.035-A.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: Water supply; Sewage disposal system; and Food service, if applicable. The center did not have documentation of a Report of Environmental Sanitation from the Health Department as required.”

Rule 8VAC20-780-260-B.

8VAC20-790-600-D-1

“Staff shall have within 90 days of date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and includes an in-person component. Staff #3. employed for more than 90 days, does not have CPR certification containing an in-person component.”

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

8VAC20-790-600-D-2

“Staff shall have within 90 days of date of employment current certification in first aid. Staff #3, employed for more than 90 days, does not have a first aid certification.”

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

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Several rooms in the center contained walls with chipped and peeling paint. An infant classroom had a wall with exposed drywall.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. A bleach bottle with no label and containing a cleanser other than bleach, was on the floor in an unlocked bathroom in the infant room.”

Rule 8VAC20-780-280-G.

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Diapers were disposed of in an trashcan with no lid in a toddler room.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that a nonabsorbent surface for diapering was used or that that the diapering surface shall only be used for diapering or cleaning children.

“Evidence: 1. The diaper changing table pad, located in the infant 2 classroom, had two holes exposing the foam making it absorbent. 2. Staff verified that the diaper changing pad had two holes and the foam was exposed. 3. In the three year old classroom, there were items for the new bulletin board sitting on the diapering changing table. 4. Staff verified that the items were on sitting on the diapering table.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that the diapering surface only be used for diapering or cleaning children.

“Evidence: 1. The diapering surface had a plastic bag on it containing candy and a Dr. Pepper. There was also a children’s book “Blue Girl” with the plastic bag.”

Rule 8VAC20-780-500-B.

Based on classroom observation, the center failed to ensure that hazardous substances were kept in a locked safe place using a safe locking method that prevents access by children.

“Evidence: 1. Bottle of bleach water labeled was left out on the sink in the bathroom of the two year old classroom. 2. The sink is accessible to the children and where they can wash their hands.”

Rule 8VAC20-780-280-B.

Based on a review of the over-the-counter skin products, the center failed to ensure that over-the-counter skin products shall not be kept over the expiration date.

“Evidence: 1. There were two tubes of expired Bordeaux’s Butt Paste. First tube expired 01/2023 and the second tube expired 03/2023. 2. The staff confirmed the expiration date of the Bordeaux’s Butt Paste.”

Rule 8VAC20-780-520-A.

Based on observation and staff interview, the applicant did not ensure sinks located near the toilets and that are supplied with running warm water that does not exceed 120 degrees F.

“Evidence: 1. The handwashing sink in the Infant classroom, the running water temperature was 64.2 degrees F. 2. The handwashing sink in the Two year old classroom, the running water temperature was 65.4 degrees F. 3. Staff #3 confirmed that the facility had been without warm/hot running water in the classrooms since June 2022.”

Rule 8VAC20-780-320-B.