YMCA School Age Child Care @ Southwestern Elem

8VAC20-780-130-A

“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. There was no documentation of an immunization record for child 1 who was in care during the inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-240-A

“Repeat Violation All staff shall complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. There was no documentation that staff 5 had completed the Virginia Department of Education orientation course. Staff 1 has been employed for approximately 27 months.”

Rule 8VAC20-780-240-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of sanitizing cleanser was left on a table in the cafeteria.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The emergency log did not indicate that a fire drill had been completed in September and October of 2025. Staff 2 stated that a fire drill had not been completed in September and October.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-J

“Tables shall be sanitized after each use for feeding. Sanitized means the surface of the item is sprayed with the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Staff 3 and staff 4 used a paper towel to immediately wipe each table after spraying the surface with the disinfectant solution. The manufacturer label states that the surface must remain visibly wet for 5 or 2.5 minutes.”

Rule 8VAC20-780-560-J.

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements. 1. There was no enrollment record on file for child 1 who was in care during the inspection. 2. A written diagnosed food allergy care plan for child 2 and child 3 was not on file. Child 2 and child 3 were in care during the inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Staff records shall be maintained and contain all requirement elements. 1. The record for staff 1 lacked the following required information: Job title, hire date, 2 reference checks and orientation training. 2. The name, address and telephone number of a designated emergency contact was not maintained on site for the 5 staff present during the on-site inspection on 12/10/2025. 3. Documentation of 2 reference checks were not on file for staff 5.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. There was not documentation that staff 3 has completed CPR certification. Staff 3 has been employed for more than 90 days and was working on the date of the inspection.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. There was not documentation that staff 3 has completed first aid certification. Staff 3 has been employed for more than 90 days and was working on the date of the inspection.”

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

8VAC20-790-600-F

“Staff who work directly with children shall annually attend the department’s health and safety update course. There was no documentation that staff 1 and staff 2 have completed the department’s 3-hour annual health and safety update course. Both staff have been employed for more 3 years.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-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 3 lacks documentation of required immunizations. Child 3 was in care during the inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-200-A

“The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation. There was not a qualified program director present during the inspection on 09/24/2025.”

Rule 8VAC20-780-200-A.

8VAC20-780-240-A

“All staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Staff 2, 3, and 4 lack documentation of completion of The Virginia Department of Education-sponsored orientation course. All of these staff have been employed for more than 90 days and were working with children on the day of the inspection.”

Rule 8VAC20-780-240-A.

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes all required elements. There was not documentation of emergency practice drills for school year 2024 - 2025.”

Rule 8VAC20-780-550-G.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements. 1. A written diagnosed food allergy care plan for child 1 and child 2 was not on file. 2. There was no enrollment record on file for child 3 and child 4. Both children were in care during the inspection. 3. The place of employment was not listed for the parent’s of child 5.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The inspection documents from the most recent licensing inspection were not posted.”

Rule 22.1-289.011-F.

All employees shall undergo a background check in accordance with subsection B prior to employment and every five years thereafter.

“The most recent criminal record check for staff 1 was completed more than five years ago.”

Rule 22.1-289.035-A.

When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. *3 year olds up to school age eligible - 1:10 *School-age eligible up to 9 years - 1:18

“38 children, ages 4 years - 9 years, were observed with 2 staff during toileting and hand washing in the hallway area of the school. 4 staff were needed to meet the required ratio for this mixed age group.”

Rule 8VAC20-780-350-C.

The center shall maintain a record of the dates of the practice drills for one year.

“The February 2025 fire drill was not listed on the emergency fire drill log for the program.”

Rule 8VAC20-780-550-H.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the following:

“4 of 8 injury reports reviewed lacked the following required documentation: *Time of parent notification *A parent signature or two staff signatures.”

Rule 8VAC20-780-550-P.

No child shall be allowed to drink or eat while walking around.

“Two children were observed eating food while walking in the cafeteria.”

Rule 8VAC20-780-560-M.

Records and reports on staff required by this chapter shall be made accessible.

“Staff records were not available when the inspector arrived at the central location to review on 10/29/2024. Staff present stated they did not have access to staff records and that no one in the building had access to staff records.”

Rule 8VAC20-780-50-B.

Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The CPR certification for staff #1 expired on 11/09/2020. 2. The CPR certification for staff #3 expired on 08/25/2020.”

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

Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The first aid certification for staff #1 expired on 11/09/2020. 2. The first aid certification for staff #3 expired on 08/25/2020.”

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

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure each staff member does not have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. The staff record for staff #4(hired 6/5/23) did not contain documentation of a central registry search. 2. Staff confirmed this documentation was not available during this inspection.”

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

8VAC20-780-320-B

“Based on observation and interview it was determined the center did not ensure that the restroom area provided for children contained all of the required components. Evidence: 1. The boys restroom did not contain paper towels, subsequently, there was water dripped along the floor. 2. Staff confirmed that there were no paper towels available at this time.”

Rule 8VAC20-780-320-B.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure the record for each child contained all of the required information. Evidence: 1. Five of the five records reviewed did not contain documentation of any previous child day care and schools attended by the child. 2. Five of the five records reviewed did not contain documentation of proof of the child’s identity and age. 3. Staff confirmed that these records did not contain this documentation.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that staff records contain all of the required elements.

“1. Staff #3 is listed as a program leader in her employment file however, there is no written documentation to demonstrate that she possess the education, certification and experience required by the program leader job position. 2. Staff confirmed that this documentation is not available.”

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. Documentation of immunizations were not available for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 who were in care during the inspection. 2. Staff confirmed that immunization documentation was not available for these children.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to ensure that each child had 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.

“Evidence: 1. Documentation of a physical exam was not available for child 1, child 2, child 3, child 4, child 5, child 6, and child 8. These children were all in care during this inspection. 2. Staff confirmed that they did not have this information on file nor did they have access to the electronic copy of children’s enrollment information.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. Staff 3, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course. 2. Staff 2 confirmed documentation of completion of Virginia Preservice training - 10 hour course was not available during this inspection.”

Rule 8VAC20-780-240-A.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

Rule 8VAC20-780-340-A.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff except when staff are able to hear children, are nearby so they can provide immediate intervention and there is a system to ensure that staff know where the children are and what they are doing.

Rule 8VAC20-780-340-G.

Based on observation and interview, the center failed to ensure when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. *Ratio Requirements: 1:10 for 3 years old up to school age eligible; 1:18 for school age eligible up to 9 years; 1: 20 for 9 years through 12 years. *Maximum Group Size Requirements: 30 for 3 year olds up to school age eligible.

“Evidence: 1. 43 children, ages 4 years - 12 years, were present with 3 staff from dismissal 2:05-2:28pm when staff 4 arrived. Four of these children were four year olds who are not school age eligible. 2. The required group size of 30 was exceeded by 13 children for the four-year old children in care with the entire group of 43 children.”

Rule 8VAC20-780-350-C.

Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Evidence: 1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The CPR certification for staff 3, expired on 08/25/2022. 2. Staff 2 confirmed that staff 3 did not have current CPR certification.”

Rule 8VAC20-780-530-A-1.

Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Evidence: 1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The first aid certification for staff 3, expired on 08/25/2022. 2. Staff 2 confirmed that staff 3 did not have current first aid certification”

Rule 8VAC20-780-530-A-2.

Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

“Evidence: 1. Enrollment records for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 were not available. These children were all in care during the inspection on 5/12/2023. 2. Staff 2 and 3, confirmed that these enrollment records were not available and that they had no access to any information for these children aside for a contact number for a parent.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that staff records contain all of the required elements.

“1. Staff 3 is listed as a program leader in her employment file however, there is no written documentation to demonstrate that she possess the education, certification and experience required by the program leader job position. 2. Staff 2 confirmed that this documentation is not available.”

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and center shall be in each child’s record by the first day of the child’s attendance.

“Evidence: 1. A written parent agreement was not on file for child 1, child 2, child 3, child 4, child 5, child 6, child 7, and child 8. 2. Staff confirmed that they did not have these agreements on file nor did they have access to the electronic copy of children’s enrollment information.”

Rule 8VAC20-780-90-A.

Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The CPR certification for staff 1 expired on 08/25/2022. 2. The CPR certification for staff 2 expired on 11/09/2020.”

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

Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The first aid certification for staff 1 expired on 08/25/2022. 2. The first aid certification for staff 2 expired on 11/09/2020.”

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

Based on record review, the center failed to ensure that all employees shall undergo a background check every five years.

“Evidence: 1. The central registry check for staff 2 has not been updated every five years as required. a. The most recent central registry check was conducted on 11/10/2016.”

Rule 22.1-289.035-A.

Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years.

“Evidence: 1. A criminal record check was not available for another state that staff 3 has resided in within the past five years.”

Rule 22.1-289.035-B-4.

Based on record review, the center failed to ensure that all staff have a central registry finding within 30 days of employment.

“Evidence: 1. There is no central registry finding on file for staff 3 who began employment on 11/07/2022.”

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

Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. Documentation of immunizations were not available for child 1 and child 2 who were in care during the inspection. 2. The immunizations on file for child 5 and child 6 were incomplete as the documentation on file was missing page 1 of two pages listing immunizations administered. 3. Administrative staff confirmed that complete immunization documentation was not available for these children.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after attendance.

“Evidence: 1. A written physical exam was not on file for child 1 and child 2 who were in care during the inspection. a. Administrative staff stated these children had been in care more than 30 days. 2. Administrative staff additionally stated he had no access to electronic records and confirmed that a hard copy was not on hand at the after school site.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that the documentation of a tuberculosis screening shall be obtained within the last 30 days of employment and prior to coming into contact with children .

“Evidence: 1. The TB screening for staff 1 was obtained on 06/23/2022 which is after her employment date of 05/28/2022.”

Rule 8VAC20-780-160-A.

Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. Staff 4, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course. 2. Staff 2, hire date 09/30/2016, lacks documentation of completion of Virginia Preservice training - 10 hour course.”

Rule 8VAC20-780-240-A.

Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1. Staff 4 lacks documentation of any annual training for calendar year 2022.”

Rule 8VAC20-780-245-A.

Based on observation and interview, the center failed to ensure that If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“Evidence: 1. A bottle of sanitizing agent was not labeled to indicate the contents. a. Administrative staff stated the bottle contained the sanitizing liquid used to sanitize tables.”

Rule 8VAC20-780-280-G.

Based on interview and record review, the center failed to maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements.

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance.

“Evidence: 1. The written parent agreement was not available for child 1 and child 2 who were in care during the inspection. 2. Administrative staff verified this information was not on site and access to electronic records was not available to staff in the after school program.”

Rule 8VAC20-780-90-A.

Based on a review of three staff records, it was determined that the facility did not ensure that sworn statement or affirmation statements and central registry checks are updated every five years from the last check.

“Evidence: 1. The most recent central registry check on file for staff 3, the designated program director, was conducted on 11/10/2016. 2. The most recent sworn statement or affirmation on file for staff 3 was completed on 09/24/2016.”

Rule 22.1-289.035-B-4.

Based on record review, the center failed to ensure that staff have a central registry finding within 30 days of employment.

“Evidence: 1. Staff 2, hire date 05/28/2022, lacks a central registry finding.”

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

Based on record review and interview, the center failed to documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. Documentation of all required immunizations were not available for child 1, child 2, child 3, child 4, child 5 and child 6. These children were all in care during the inspection on 11/01/2022. a. Administrative staff confirmed that she did not have this information on file nor did she have access to the electronic copy of children’s enrollment information.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to ensure that 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.

“Evidence: 1. Documentation of a physical exam was not available for child 1, child 2, child 3, child 4, child 5 and child 6. These children were all in care during the inspection on 11/01/2022. a. Administrative staff confirmed that she did not have this information on file nor did she have access to the electronic copy of children’s enrollment information.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing.

“Evidence: 1. The most recent TB screening for staff 1 was conducted on 11/18/2019. a. Staff 1 was caring for children during the inspection on 11/01/2022.”

Rule 8VAC20-780-160-C.

Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education - sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. Staff 2, hire date 05/28/2022, lacks documentation of completion of the Virginia Preservice training course.”

Rule 8VAC20-780-240-A.

Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the ages of children in care.

“Evidence: 1. Staff 1, hire date 11/13/2019, lacks documentation of any annual training during the last 12 months. 2. Staff 3, hire date 09/30/2016, lacks documentation of any annual training during the last 12 months. 3. Staff 1 and staff 3 lack documentation of completion of the required three-hour Virginia preservice annual training.”

Rule 8VAC20-780-245-A.

Based on medication and record review, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of medication administration training -MAT.

“Evidence: 1. There was a child present who had an inhaler (albuterol) on site. 2. Staff 1, who was the only staff present , did not have documentation of MAT certification.”

Rule 8VAC20-780-245-J-3.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

Rule 8VAC20-780-340-A.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: 1. Child 7, age 6 years, left the cafeteria to use the restroom without any staff supervision. The child was gone from approximately 3:30 pm - 3:36 pm. a. The location of the bathrooms do not allow for sight or sound supervision as the bathrooms are approximately 35 feet from the cafeteria. 2. Child 11, age four years, left the cafeteria to use the restroom without any staff supervision at approximately 3:43 pm.”

Rule 8VAC20-780-340-F.

Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff except when staff are able to hear children, are nearby so they can provide immediate intervention and there is a system to ensure that staff know where the children are and what they are doing.

Rule 8VAC20-780-340-G.

Based on observation and interview, the center failed to ensure when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. *Ratio Requirements: 1:10 for 3 years old up to school age eligible; 1:18 for school age eligible up to 9 years; 1: 20 for 9 years through 12 years. *Maximum Group Size Requirements: 30 for 3 year olds up to school age eligible.

Rule 8VAC20-780-350-C.

Based on observation and interview, the center failed to ensure that the center’s activities, services and facilities are maintained in compliance with these standards.

Rule 8VAC20-780-40-E.

Based on observation, the center failed to make provision for an individual place for each child’s personal belongings.

“Evidence: 1. When the inspector arrived children’s backpacks, lunch boxes and jackets were observed stored in a pile on three cafeteria tables. Approximately 6 jackets and backpacks were observed on the floor where it appeared they had fallen from the tables. a. Staff 1 had a child set up the baskets for storage at approximately 3:15 pm however, only half of children’s belongings were placed in baskets while many coats and backpacks remained in a pile on the table with some spilling onto the floor.”

Rule 8VAC20-780-430-K.

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 snack.

“Evidence: Children did not wash their hands with soap and water or a disposable wipe before and after eating snack on 11/01/2022.”

Rule 8VAC20-780-500-A.

Based on record review, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Evidence: The CPR certification for the only staff caring for children, staff 1, on 11/01/2022 expired on 08/25/2022.”

Rule 8VAC20-780-530-A-1.

Based on record review the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid.

“Evidence: 1. The first aid certification for the only staff caring for children on 11/01/2022 (staff 1) expired on 08/25/2022.”

Rule 8VAC20-780-530-A-2.

Based on observation the center failed to ensure that when centers choose to provide meals or snacks, the following shall apply: *Centers shall follow the most recent, age appropriate nutritional requirements of USDA; *A menu listing foods to be served for snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents.

“Evidence: 1. The snack served on 11/01/2022 lacked two required food components. a. Children were provided a choice of either gold fish crackers or animal crackers. b. Each child was given one package of cookies or crackers without a second food component. 2. The snack menu for 11/01/2022 was not posted on the parent board. a. The posted menu was for the month of October 2022. b. Staff 1 confirmed that the current snack menu was not posted.”

Rule 8VAC20-780-560-F.

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

“Evidence: 1. The tables used for snack, which was served at approximately 3:30 pm, were not sanitized before or after use for feeding. 2. The tables were observed in use for children’s activities before use for snack and after snack was completed.”

Rule 8VAC20-780-560-J.

Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that staff records contain all of the required elements.

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and center shall be in each child’s record by the first day of the child’s attendance.

“Evidence: 1. A written parent agreement was not on file for child 1, child 2, child 3, child 4, child 5 and child 6. a. Administrative staff confirmed that she did not have these agreements on file nor did she have access to the electronic copy of children’s enrollment information.”

Rule 8VAC20-780-90-A.

Based on review of three staff records, it was determined that the facility did not ensure that sworn disclosure or affirmation statements, fingerprints and search of the central registry checks are updated every five years from the last check.

“Evidence: The most recent background checks for staff #3, who was on duty at the time of the inspection, were all over five years old. The dates are noted below: Sworn statement or affirmation - 9/29/16 Fingerprints - 10/10/16 Search of the central registry - 10/14/16”

Rule 22.1-289.035-B-4.

Based on review of three staff records, it was determined that the facility did not ensure that staff obtained updated tuberculosis (Tb) screenings every two years from the date of the last Tb screening.

“Evidence: 1. The last Tb screening for staff #1, who was on duty at the time of the inspection, was dated 11/20/19 and was, therefore, over two years old. 2. The last Tb screening for staff #2, who was on duty at the time of the inspection, was dated 11/18/19 and was, therefore, over two years old.”

Rule 8VAC20-780-160-C.

Based on review of three staff records and other information submitted by the center, it was determined that the facility di not ensure that when a child that had emergency medication had been prescribed that they were always in the care of a staff member who had current Medication Administration Training (MAT).

“Evidence: 1. There was a child enrolled who had an Epi-pen, Benedryl and Albuteral on site. 2. There was not a staff member currently assigned to the site who has current MAT training.”

Rule 8VAC20-780-245-J-3.