The Family YMCA, Inc. Smith Memorial

REPEAT VIOLATION Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time to be given.

“Medication 1 was not labeled with the child’s name or the time to be given.”

Rule 8VAC20-780-510-G.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A spray bottle of disinfectant, an aerosol can of disinfectant and two containers of disinfectant wipes were in an unlocked cabinet in the four-year-old classroom.”

Rule 8VAC20-780-280-B.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

“The center has a medication policy to document all administered medication. Between 03/13/2026 and 03/24/2026, medication 3 was administered to Child 5, seven times without being documented on the medication log sheet.”

Rule 8VAC20-780-40-E.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The center’s procedures for administering medication did not include methods to prevent the use of outdated medication.”

Rule 8VAC20-780-510-E.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time to be given.

“Medication 3 was not labeled with the child’s name, the name of the medication, the dosage amount, or the time to be given.”

Rule 8VAC20-780-510-G.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center administers only those that were dispensed from a pharmacy and maintained in the original labeled container with the prescription label attached.

“Medication 3 was administered to Child 5 and not maintained in the original labeled container with the prescription label attached.”

Rule 8VAC20-780-510-I.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication 1 was stored in an unlocked lunchbox, and Medications 2 and 3 were stored in an unlocked backpack. The lunch box and backpack were being carried by Staff 1.”

Rule 8VAC20-780-510-L.

Centers shall keep a record of medication given children, which shall include all required information.

“Between 03/13/2026 and 03/24/2026, medication 3 was administered to Child 5, seven times. The required documentation did not have the child’s name, the type of medication, and any adverse reactions/medication errors.”

Rule 8VAC20-780-510-N.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff 2 was alone with a group of six children (age 4 years) and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“During the inspection, there were 6 children present in the four-year-old room and 7 children were marked present on the attendance record. The attendance did not document departure as it occurs.”

Rule 8VAC20-780-80-A.

Based on video footage, the center failed to ensure that actions towards children that are forbidden by the standards (physical punishment, striking a child, roughly handling, or shaking a child) were not used at the center.

“Staff 1 was observed roughly handling Child 1. The video footage shows Staff 1 repeatedly picking up Child 1 off of the ground by one arm.”

Rule 8VAC20-780-410-1.

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

“Evidence: An unlabeled spray bottle containing a clear liquid was located in a cabinet in the 2-3 year old room. Staff 3 verified the clear liquid was disinfectant.”

Rule 8VAC20-780-280-G.

Complaint related Based on interviews with staff and document review, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: On 04/02/2024, Child 1 (age 3) left the group of children being taken to the bathroom and was out of actual sight and sound supervision for approximately 2-3 minutes. Child 1 was located approximately 10 feet from the exit of the building.”

Rule 8VAC20-780-340-F. From a complaint.

Based on record review and interview with staff, the center failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“Evidence: Injury prevention procedures were last updated January 2022. Staff 6 confirmed that was the most recent update.”

Rule 8VAC20-780-40-J.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-340-F

“Based on record review and interviews with staff, the center failed to ensure that children shall always be within actual sight and sound supervision of staff. Evidence: Child 1 and Child 2 were observed in the room across from the kitchen receiving services from an outside agency. There was not a staff member present in the room. The children were not within sight and sound supervision of a staff member during this time. Staff 1 confirmed that the person providing service was not considered a staff person.”

Rule 8VAC20-780-340-F.

Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.

“Evidence: The record for Staff 5 contained a documented hire date of 02/15/2022. The central registry search was dated 03/22/2022.”

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

Based on observation and discussion with staff, the center failed to ensure that 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.

Rule 8VAC20-780-280-B.

Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age electrical outlets shall have protective covers.

“Evidence: There were uncovered electrical outlets in the following areas used by children of preschool age: the Group 2 Classroom, the Group 3 Classroom and the gym.”

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

Based on observation and discussion with the staff, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present.

“Evidence: Staff 1 was identified as the Program Lead for Group 2. The review of the record for Staff 1 determined that Staff 1 was not qualified for the role of Program Lead. Staff 1 was the only staff member assigned to Group 2 during the inspection.”

Rule 8VAC20-780-340-D.