Franklin County YMCA - Callaway

During the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who qualifies as program lead or director and an immediately available staff member, volunteer or other employee who is at least 16 years of age with direct means for communication between the two of them.

“Staff #1 was observed alone supervising 5 children while the inspector was on-site on 8/11/2026.”

Rule 8VAC20-780-340-C.

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.

“The allergy care plan for Child 3 was not updated to include the new dosage amount.”

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

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff 1?s certification in CPR was not current. It was overdue by 3 months.”

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

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

“Staff 1?s certification in first aid was not current. It was overdue by 3 months”

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

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

“Evidence: 1.The record for Child 2 with an enrollment date of 10/25/2023, did not contain documentation that they received the immunizations required by the State Board of Health during the inspection on 1/18/2024. 2. The record for Child 3 with an enrollment date of 10/25/2023, did not contain documentation that they received the immunizations required by the State Board of Health during the inspection on 1/18/2024.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: 1.Child #2, which was enrolled on 10/25/2023 had no documentation of a physical on file during the inspection on 1/18/2024. 2. Child #3, which was enrolled on 10/25/2023 had no documentation of a physical on file during the inspection on 1/18/2024.”

Rule 8VAC20-780-140-A.

Based on medication review, the center failed to notify the parent of expired medication for pick-up or the parent to renew the authorization.

“Evidence: Child #4 had medication that expired on 07/23 on site during the inspection on 01/18/2024.”

Rule 8VAC20-780-510-P.

Based on record review and interviews with staff, the center failed to obtain documentation 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: The record for Child 3 contained a documented first day of attendance of 08/10/2023. There was no documentation of a physical examination in the record for Child 3. Staff 1 confirmed there was no documentation of a physical examination available for review.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

“Evidence: The record for Child 1 did not contain the following information: phone number of child’s physician and address of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment.

“Evidence: Staff #1 was hired on 8/8/2022. A returned search of the central registry was not in the record. Staff #1 did not provide documentation when requested.”

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

Based on interview and observation, the center failed to ensure any child with emergency medications shall always be in the care of a staff member who is MAT certified.

“Evidence: Child #3 has emergency medication on site. Child #3 was at the center on 08/29/2022. There was no staff member present with MAT certification on 08/29/2022.”

Rule 8VAC20-780-245-J.

Based on review of medication, the center failed to obtain written permission from a parent or guardian to administer medication.

“Evidence: Child #3 had no written authorization to administer prescription medication observed at the center from parent or guardian”

Rule 8VAC20-780-510-I.

Based on review of medication, the center failed to keep all medication in a locked place using a safe locking method that prevents access by children.

“Evidence: Observed medication for child in the First Aid kit in a Ziploc bag. There was no lock on the first aid kit. This poses a hazard to children.”

Rule 8VAC20-780-510-L.