Rappahannock Area Young Men’s Christian Association - Salem

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. 1. The record of staff #1, employed for nine months, contained documentation the central registry check was requested one month and 29 days after employment. A completed central registry check has been received. 2. The record of staff #3, employed for four months, contained documentation the central registry check was requested one day after employment. A completed central registry check has been received.”

Rule 22.1-289.035-B-3.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record of staff #2 contained documentation of six and a half hours of annual training for the period of January 18, 2025 through January 17, 2026 when 16 hours was required.”

Rule 8VAC20-780-245-A.

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Such sharing of information shall be documented. The record of child #2, child #3, child #4, and child #5, all enrolled for over a year, did not have documentation of parent confirmation that the required information in each child’s record is up to date.”

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

8VAC20-780-550-C

“Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. There was no emergency evacuation and shelter-in-place procedures or map posted in the gym and cafeteria where children were in care.”

Rule 8VAC20-780-550-C.

8VAC20-780-70

“Staff records shall be kept for each staff person and contain the required documentation: Name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff #1, staff #2, and staff #3, all on site during the inspection, did not have documentation of the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. The record of staff #2 did not contain documentation of completing the department’s health and safety update course for the year 2025. Administration stated the training had not been completed.”

Rule 8VAC20-790-600-F.

8VAC20-780-540-E

“One working, battery-operated radio in each building used by children and any camp location without a building is required. The radio did not have batteries and was not operational.”

Rule 8VAC20-780-540-E.

Medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Multiple packets of aspirins were observed, unlocked in the first aid kit backpack. The first aid kit backpack was kept in an unlocked in the cafeteria.”

Rule 8VAC20-780-510-L.

8VAC20-780-40-M

“(Repeat violation) Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions. Evidence: the allergy list did not include child #4 with a lactose intolerance.”

Rule 8VAC20-780-40-M.

8VAC20-780-530-C

“Based on review of documentation, the facility failed to ensure there were at least two staff members with current certification in First Aid and CPR present, on site, during the facility’s hours of operation and whenever children are in care. Evidence: there were two staff on site supervising children, and staff #2 did not have documentation of valid First Aid and CPR certification.”

Rule 8VAC20-780-530-C.

8VAC20-780-550-F

“(Repeat violation) Based on review of the emergency drill log, and an interview with staff, it was determined that lockdown procedures were not practiced at least annually as required. Evidence: There was no documented lock down drill in 2024 or 2023.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“(Repeat violation) Based on review of three child records, not all records contained all required information. Evidence: the on site record for child #3 did not contain the complete name, address and phone number for two emergency contacts”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of two onsite staff records, not all records contained all required information. Evidence: There was no onsite record for staff #2, that included an emergency contact, first aid, CPR, and other certifications.”

Rule 8VAC20-780-70.

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: the written allergy list did not contain child #2, with a documented food allergy/sensitivity.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-F

“Based on review of the emergency drill log, and an interview with staff, it was determined that lockdown procedures were not practiced at least annually as required. Evidence: There was no documented lock down drill.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Based on review of two child records, not all records contained all required information. Evidence: the record for child #1 did not contain a work phone number for dad; the record for child #2 did not contain the name, address and phone number for a second emergency contact to call in an emergency.”

Rule 8VAC20-780-60-A.

8VAC20-770-60-C-2

“Based on review of three staff records, the program did not obtain the results of a search of the central registry for one staff within 30 days of employment. Evidence: There were no central registry results on record for Staff #3, with an employment date of 8/8/22.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-240-A

“Based on review of three staff records, the program did not ensure that the Virginia Department of Education-sponsored orientation course was completed by one staff within 90 calendar days of employment. Evidence: The VDOE-sponsored orientation course certificate on record for Staff #3, with an employment date of 8/8/22, was dated 4/17/23.”

Rule 8VAC20-780-240-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-530-C

“Based on observation, interview, and review of two staff records, the center did not ensure that there were at least two staff members with CPR certification present on the premises during the center’s hours of operation and wherever children were in care. Evidence: On the morning of 1/11/23, Staff #1 and Staff #2 were observed on-site. The records for Staff #1 and Staff #2 were reviewed and Staff #2 does not have current certification in CPR.”

Rule 8VAC20-780-530-C.

8VAC20-780-540-C

“Based on observation, the center did not obtain all of the required items for the first aid kit. Evidence: The first aid kit was missing a thermometer and triangular bandages.”

Rule 8VAC20-780-540-C.

8VAC20-780-540-E

“Based on observation and interview, the center did not obtain all required nonmedical emergency supplies. Evidence: Staff reported that there was no working, battery-operated flashlight or working, battery-operated radio on-site.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-D

“Based on review of documentation, the center did not implement a monthly practice evacuation drill. Evidence: The center re-opened on 10/31/22. There was no documentation of a monthly practice drill in November 2022 or December 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

“Based on review of three child records, the center did not obtain all of the required documentation for child records. Evidence: The record for Child B did not contain the names, addresses, and phone numbers of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of two staff records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #2 did not contain documentation of references.”

Rule 8VAC20-780-70.