Franklin County YMCA - Glade Hill

To safely perform medication administration practices, whenever the center has agreed to administer prescribed medication, the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose.

“There was not a staff member present that has satisfactorily completed a training program to administer Medication 1.”

Rule 8VAC20-780-245-J.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks; and staff shall wash their hands before preparing or serving food or beverages.

“The children did not wash their hands after eating the afternoon snack. The staff did not wash their hands before serving the afternoon snack.”

Rule 8VAC20-780-500-A.

Tables shall be sanitized before and after each use for feeding.

“The tables were not sanitized before being used for the afternoon snack.”

Rule 8VAC20-780-560-J.

The record for each staff member shall contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“The emergency information for Staff 2 was not kept at the center.”

Rule 8VAC20-780-70.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Multiple children, varying in age from 4 years to 10 years, were observed exiting the gymnasium to use a set of restrooms that were in a lobby area. The lobby had a set of doors that was a direct exit out of the center. The children were not within the sight and sound supervision of staff once they entered the lobby.”

Rule 8VAC20-780-340-F.

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

“There were 23 children (aged 4 years-10 years) in the supervision of 2 staff members. The ratio for 3-year-olds up to school age eligible of 1 staff member for every 10 children was applicable; 3 staff members were required for this group of children.”

Rule 8VAC20-780-350-C.

A tuberculosis (TB) screening is required every two years from the last screening.

“The updated TB screening for Staff 2 was 2 weeks overdue.”

Rule 8VAC20-780-160-C.

The center shall maintain compliance with the center’s own policies and procedures that are required by the standards.

“The center’s procedures for accounting for all children states that when children are not present, staff will contact the school, parent or emergency contact to ensure that all children are accounted for. Child 6 (9 years old) was not present on 02/05/2025. The child’s parent arrived to pick up the child. It was determined that the child rode the public-school bus home rather than staying for after school care. The staff had not contacted the school or the parent to ensure that Child 6 was accounted for.”

Rule 8VAC20-780-40-E.

One working, battery-operated radio shall be maintained in each building used by children.

“The battery-operated radio on-site did not work.”

Rule 8VAC20-780-540-E.

A tuberculosis (TB) screening is required every two years from the last screening.

“The updated TB screening for Staff 1 was due three months ago. The updated TB screening for Staff 2 was due a month ago.”

Rule 8VAC20-780-160-C.

Based on observation and record review, the center failed to have protective covers on electrical outlets in an area used by a preschool aged child.

“EVIDENCE: 1. The record for child 2 shows this child is four years old (preschool age). The outlets in the cafeteria, where the children were observed during the inspection had one electrical outlet capped. The rest of the outlets in the room were uncapped.”

Rule 8VAC20-780-290-A-3.

Based on interview and observation, the center failed to have a medication labeled with the child’s name, the dosage amount, and the time or times to be given.

“EVIDENCE: An inhaler of medication 1 was not labeled with a child’s name, the dosage amount, and the time or times to be given. Staff 1 identified the medication as belonging to Child 1, and it was not currently in use.”

Rule 8VAC20-780-510-G.

Based on record review, the center failed to obtain a physical examination for a child either before the child’s attendance or within 30 days of attendance.

“EVIDENCE: The record for Child 2 did not have a copy of the physical examination.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to have a qualified program director.

“EVIDENCE: Staff 1, who stated they were the program director, does not meet the qualifications to be the program director.”

Rule 8VAC20-780-190-A.

Based on record review, the center failed to ensure that a staff person completed pre-service training within 90 calendar days of employment.

“EVIDENCE: Staff 1 was employed on 8/11/2022 and the pre-service training was completed 1/2/2023.”

Rule 8VAC20-780-240-A.

Based on record review, the center failed to have at least two staff members who are currently certified in First Aid and CPR.

“EVIDENCE: Staff 1 and Staff 2 were the only staff present at the center on 1/11/2023. Staff 2 was not currently certified in First Aid or CPR.”

Rule 8VAC20-780-530-C.

Based on record review, the center failed to have a written care plan for a child with a diagnosed food allergy.

“EVIDENCE: The physical examination dated 5/17/2022 documents that Child 3 has an allergy to seafood, and there was no written care plan in the child’s record.”

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

Repeat violation

“Based on record review, the center failed to have emergency contact information for staff members on site. EVIDENCE: There was no emergency contact information for Staff 1 or 2 in their records.”

Rule 8VAC20-780-70.

Based on observation, the center failed to 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: The plastic storage cabinet that contained the cleaning materials was not able to be locked. The children were observed getting supplies out of the unlocked cabinet. The cleaning materials were accessible to the children.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks.

“Evidence: The children were observed returning to free choice activities and homework immediately following the afternoon snack. The children did not wash their hands after eating snack.”

Rule 8VAC20-780-500-A.

Based on observation and discussion with staff, the center failed to ensure that tables shall be sanitized before and after each use for feeding.

“Evidence: The tables used for afternoon snack were not sanitized before or after the afternoon snack. Children were observed playing at the table before the snack and immediately resuming activities at the tables after snack.”

Rule 8VAC20-780-560-J.

Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: There was not a record of the name, address and telephone number of a person to be notified in an emergency, which shall be kept at the center, for Staff 1 and Staff 2. Staff 1 confirmed that there were no records available for Staff 1 or Staff 2 on site.”

Rule 8VAC20-780-70.