YMCA of Metropolitan Washigton at First Assembly of God

The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Staff #1 was employed for more than 30 days before a request of an out of state child abuse and neglect search was submitted and more than 90 days before a sex offender registry check was completed.”

Rule 22.1-289.035-B-4.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the day of employment and be signed by a physician.

“The record for Staff #1, employed for more than 3 months, did not contain a tuberculosis screening.”

Rule 8VAC20-780-160-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“On the date of the inspection, the Yellow classroom did not have a written list of chlidrens allergies, sensitivities, and dietary restrictions.”

Rule 8VAC20-780-40-M.

Staff and childrens records shall be treated confidentially.

“The centers last inspection report was posted on the parent board with the Supplemental Information page on top and accessible to parents. The Supplemental Information page contains confidential and identifying information about staff and children.”

Rule 8VAC20-780-50-A.

The center may administer prescription medication to a child provided the center has obtained written authorization from the parent. Medication intended to be used for more than 10 days requires written authorization from the childs physician.

“Child #2 had a long-term emergency medication on-site that was intended to be administered in case of an allergen exposure. The record for Child #1 did not contain written authorization from the childs physician. The written authorization from the parent had been expired for 5 months.”

Rule 8VAC20-780-510-I.

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: work phone number and place of employment of each parent; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #1, enrolled for 3 weeks, did not contain complete employment information for each parent or a second emergency contact.”

Rule 8VAC20-780-60-A.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food in which the child is allergic and the steps to be taken in the event of a suspsected or confirmed allergic reaction.

“The record for Child #2 did not contain a written care plan for a confirmed food allergy.”

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

REPEAT VIOLATION The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The record for Child #1 contained an immunization record that was dated more than 3 months after the first date of attendance.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician before the childs attendance or within 30 days after the first day of attendance.

“The record for Child #1 contained a physical that was dated more than 3 months after the first date of attendance.”

Rule 8VAC20-780-140-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #1, enrolled for 6 months, did not contain a second emergency contact.”

Rule 8VAC20-780-60-A.

SYSTEMIC DEFICIENCY The child day center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years.

“The record for Staff #1, employed for almost 2 months, did not contain documentation of an out of state central registry search. The record for Staff #2, employed for almost 2 years, did not contain documentation of an out of state central registry or criminal history search for one state. The center did not obtain the results of a central registry check for the second state until 22 months after the first date of employment.”

Rule 22.1-289-036-B-4.

The center shall obtain documentation of additional immunizations once every 6 months for children under the age of 2 years.

“The record for Child #2, #3, and #4 did not contain documentation of updated immunizations. Child #2 was overdue by 14 months. Child #3 was overdue by 10 months. Child #4 was overdue by 11 months.”

Rule 8VAC20-780-130-E.

Each staff member shall submit documentatin of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“The record for Staff #1, employed for almost 2 months and working with children, did not contain results of a TB screening.”

Rule 8VAC20-780-160-A.

Staff shall complete orientation training, which includes child abuse and neglect, prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities.

“The record for Staff #1, employed for almost 2 months, did not contain documentation of orientation completion.”

Rule 8VAC20-780-240-B.

Areas and equipment of the center shall be maintained in a safe condition.

“In the Purple classroom, 1 out of 3 infant cribs contained a loose fitting sheet, causing it to bunch up and pose a suffocation risk.”

Rule 8VAC20-780-270-A.

At least annually, staff shall request parent confirmation that the required information in the child’s record is up to date.

“The record for Child #5, enrolled for 17 months, did not contain documentation of an annual update.”

Rule 8VAC20-780-420-E-3.

Materials and equipment shall be age and stage appropriate for the child.

“The crib for Child #1, age 9 months, was observed with the crib mattress raised. Based on the manufacturer recommendations, the mattress was not at the appropriate level for the stage of the child.”

Rule 8VAC20-780-430-B.

If diaper ointment or cream is used, the center shall obtain written parent authorization noting any known adverse reactions.

“In the Purple classroom, 3 out of 3 children had diaper ointments or creams without written authorizations from parents. Staff stated the ointments/creams are used as needed.”

Rule 8VAC20-780-520-C.

The center must keep a separate record for each staff that contains all of the required information.

“The record for Staff #1, employed for almost 2 months, did not contain a name, address, and telephone number of a person to be notified in an emergency; documentation of 2 reference checks; health problems that may interfere with fulfilling the job responsibilities.”

Rule 8VAC20-780-70.

The center is required to obtain a central registry check ( CPS ) for each employee within 30 days of employment.

“The record for Staff #1, employed for almost two years, did not have results of a central registry check.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION All staff who work directly with children shall have current certification in first aid appropriate to the ages of the children in care.

“First aid for Staff #1, #2, #3, and #4 could not be verified.”

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

REPEAT VIOLATION All employees shall undergo a background check in accordance with subsection B of the Code of Virginia every 5 years.

“At the time of the inspection, Staff #1 did not have results of a central registry recheck. The results were overdue by 6 months.”

Rule 22.1-289.035-A.

REPEAT VIOLATION The child day center is required to obtain background checks from any state in which the individual has resided in the preceding 5 years.

“Staff #4 and Staff #5, employed for more than 5 years, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry. Staff #5 did not have results of an out of state criminal history record check.”

Rule 22.1-289.035-B-4.

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

“Agent #1, employed for more than 2 years, did not have a sworn statement.”

Rule 22.1-289.036-B-1.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Agent #1, employed for more than 2 years, did not have a completed national criminal background check.”

Rule 22.1-289.036-B-2.

REPEAT VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“Child #2, enrolled for more than 5 months, did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

“The center did not have a complete health inspection.”

Rule 8VAC20-780-260-B.

Injury prevention procedures shall be updated at least annually based on documentation of injuries and review of the activities and services.

“The provider stated the center did not have an injury prevention log.”

Rule 8VAC20-780-40-J.

REPEAT VIOLATION The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Child #1, enrolled for more than one year, had food sensitivities that were not indicated on the written list accessible to staff.”

Rule 8VAC20-780-40-M.

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: current certification in first aid appropriate to the ages of the children in care.

“Staff #1 and #2 did not have documentation of first aid certification.”

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

The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Staff #1, employed for more than 6 years, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.”

Rule 22.1-289-036-B-4.

All applicants for employment and employees shall undergo a background check in accordance with subsection B of the Code of Virginia prior to employment and every five years thereafter.

“Staff #1 did not undergo a background check every five years. The results of a criminal history check were obtained 11 months after expiration.”

Rule 22.1-289.035-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #1, enrolled for more than 9 months, did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Child #1, enrolled for more than 9 months, did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Areas and equipment of the center shall be maintained in a clean, safe, and operable condition.

“One of the bathrooms had a padded potty seat on the toilet that was ripped, exposing the soft interior.”

Rule 8VAC20-780-270-A.

The center shall 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. The list shall be kept dated and kept confidential in each room or area where children are present.

“Classroom #1 had an allergy sheet posted without a cover sheet, not keeping the children’s information confidential.”

Rule 8VAC20-780-40-M.

Furnishings, equipment, and materials shall be of an appropriate size for the child using it.

“Child #3 was observed in a crib while in a push-up position. Based on the crib recommendations, the mattress was not at the appropriate level for the stage of the child.”

Rule 8VAC20-780-430-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: documentation of viewing proof of the childs identity and age.

“Child #2, enrolled for more than 7 months, did not have documentation that their identity and age had been verified.”

Rule 8VAC20-780-60-A.

Based on review, 1 of 5 staff files indicated that not all staff had on file current certification in in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence - 1. On the date of inspection (06/14/2024), Staff #1 had a CPR card that had expired. 2. The date of expiration was 08/26/2023.”

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

Based on review, 1 of 5 staff files indicated that not all staff had on file current certification in in First Aid appropriate to the ages of children in care.

“Evidence - 1. On the date of inspection (06/14/2024), Staff #1 had a First Aid card that had expired. 2. The date of expiration was 08/26/2023.”

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

Based on review, 2 of 5 staff files indicated that the authorized Child Day Center (CDC), (described in subsection A) did not obtain a copy of the results of a criminal history record information check ( CRC ), a sex offender registry check (SOR), and a search of the child abuse and neglect registry or equivalent registry ( CPS ) from any state in which the individual has resided in the preceding five years before reporting to the CDC.

“Evidence - On the date of inspection (06/14/2024), the following out-of-state background checks were not available for review for the following staff: 1. Staff #4 - CRC , SOR, and a CPS check from Washington, DC. Staff had indicated on the singed sworn statement that residence had occurred within the past 5 years. 2. Staff #5 - SOR from the State of Maryland. Staff had indicated on the singed sworn statement that residence had occurred within the past 5 years.”

Rule 22.1-289.035-B-4.

Based on review, 1 of 5 children files indicated that certain required medical documentation was not on file prior to each child’s start date.

“Evidence - 1. On the date of inspection (06/14/2024), an immunization page for Child #4 was not available for review. 2. The listed start date for Child #4 was 12/04/2023.”

Rule 8VAC20-780-130-A.

Based on review and interview, the center did not implement a monthly practice evacuation drill.

Rule 8VAC20-780-550-D.

Based on review, 1 of 5 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (06/14/2024), 1 of 2 emergency contacted (and their information) was available for Child #4. 2. The start date for Child #4 was listed as 12/04/2023.”

Rule 8VAC20-780-60-A.

Based on record review, all staff did not have a current certification in CPR.

“Evidence: The CPR certification of Staff C expired 08/2023.”

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

Based on record review, all staff did not have a current first aid certification.

“Evidence: The first aid certification for Staff C expired 08/2023.”

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

Based on record review, background checks were not repeated after 5 years.

“Evidence: 1) The central registry search of Staff A expired 01/2023. 2) The criminal history search of Staff A expired 04/2023. 3) The central registry search of Staff C expired 04/2023. 4) The criminal history search of Staff C expired 03/2023. 5) The criminal history search of Staff D expired 04/2023.”

Rule 22.1-289.035-A.

Based on record review, a staff that has lived out side of Virginia within the last 5 years does not have out of state background searches.

“Evidence: Staff B did not have a complete out of state criminal history search, out of state central registry search and out of state sex offender search for two states outside of Virginia.”

Rule 22.1-289.035-B-4.

Based on record review, a tuberculosis screening was not repeated at least every two years.

“Evidence: 1) The tuberculosis screening for Staff B expired 11/2023. 2) The tuberculosis screening for Staff D expired 03/2023.”

Rule 8VAC20-780-160-C.

Based on observation, areas and equipment of the center were not maintained in a clean, safe and operable condition.

“Evidence: The changing pad located in the “Green Room” was torn.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not maintain a confidential allergy list.

“Evidence: The allergy list located in the “Green Room” was not kept confidential.”

Rule 8VAC20-780-40-M.

Based on record review, all staff who work directly with children did not have a current cpr and first aid training.

“Evidence: Staff A did not have a current CPR and First Aid certification.”

Rule 8VAC20-790-600-F.

Based on record review, employees of a licensed child day program were missing central registry findings.

“Evidence: 1)The central registry findings on file for Staff A expired 5/2022 2) The central registry findings on file for Staff B expired 2/2022”

Rule 8VAC20-770-40-D-1-a.

Based on observation, a notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review were not posted.

“Evidence: There was no posting of the asbestos management plan at the time of inspection.”

Rule 8VAC20-780-250-C.

Based on observation, the battery operated radio was inoperable.

“Evidence: There were no replacement batteries for the battery operated radio.”

Rule 8VAC20-780-540-E.