YMCA SACC at Grafton Village Elementary School

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.

“Child A, who has been enrolled for three weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

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

“Evidence: The tuberculosis screening for Staff #3 was expired for one month before the results of the subsequent screening was completed.”

Rule 8VAC20-780-160-C.

The required ratio for children school age eligible up to 9 years is one staff per 18 children.

“Two staff were observed supervising forty school age children from approximately 3:15 p.m. -3:30 p.m.”

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

Based on review of four staff records, the center did not obtain the results of a search of the child abuse and neglect registry from all states in which staff members have resided withing the past five years within the required timeframes.

“Evidence: The record for Staff #3, with an employment date of 7/16/21, did not contain documentation of a child abuse and neglect registry background check from the state in which the staff member had resided within the past five years at the time of inspection.”

Rule 22.1-289.035-B-4.

8VAC20-780-510-I

“Based on review of medication it was determined that not all procedures regarding medication were followed. Evidence: There were no authorization forms available for review for the on-site medication for child A and child B.”

Rule 8VAC20-780-510-I.

Based on record review, the center did not ensure that all staff have current CPR certification.

“Evidence: Staff #4 (Date of Hire: 5/13/2008) had CPR certification on file that expired 6/15/2021.”

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

Based on record review, the center did not ensure that all staff have current first aid certification.

“Evidence: Staff #4 (Date of Hire: 5/13/2008) had first aid certification on file that expired 6/15/2021.”

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

Based on record review, the center did not ensure that all staff submit an updated tuberculosis screening or test completed within the last two years.

“Evidence: Staff #2’s most recent tuberculosis test on file was completed on 10/22/2019.”

Rule 8VAC20-780-160-C.