Young Men’s Christian Assoc. of VA’s Blue Ridge - Troutville

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 who is licensed to administer medication.

“Child #5 and Child #6 were in care during the inspection and had medications on-site that requires additional training to administer. Staff 1 did not have the additional medication training.”

Rule 8VAC20-780-245-J.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. Two bottles of cleaning solution with labels stating, ?Keep out of reach of children,? were unlocked in the cafeteria, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, Child #1 (age 5 years) was unsupervised for approximately 4 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-90-A

“A written agreement between the parent and the center shall be signed by the parent. The parental agreement for Child #5 was not signed by a parent.”

Rule 8VAC20-780-90-A.

Medication authorization shall be available to staff during the entire time it is effective.

“Medication authorization for Child 1 was unavailable.”

Rule 8VAC20-780-510-F.

Based on record review, a staff person was not certified in first aid within 90 days of hire.

“EVIDENCE: Staff 2 has a documented hire date of 3/31/2023 and is not certified in first aid.”

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

Based on record review, the center failed to have two staff on site currently certified in first aid.

“EVIDENCE: There were two staff on site, and Staff 2 was not currently certified in first aid.”

Rule 8VAC20-780-530-C.

Based on observation, the center failed to have the most recent Violation Notice and Inspection Summary posted.

“EVIDENCE: The Violation Notice and Inspection Summary from 3/8/2023 was not posted. The yellow copy of the Acknowledgement of Inspection is not a Violation Notice and Inspection Summary.”

Rule 22.1-289.011-F.

Based on observation and record review, the center failed to ensure a new staff person completed orientation training in subsection C of this standard prior to working alone with children and no later than seven days of the date of assuming job responsibilities.

“EVIDENCE: Staff 2 has a documented employment date of 8/14/2023 and was observed working alone with children at times during the inspection. The staff record for Staff 2 has no documentation to show that new staff orientation as required by this standard had been done.”

Rule 8VAC20-780-240-B.

Based on observation and record review, the staff failed to have two staff on site with current certification in First Aid and CPR.

“EVIDENCE: On 9/7/2023 Staff 1 and 2 were on site. Staff 2 did not have current certification in First Aid and CPR.”

Rule 8VAC20-780-530-C.

Based on record review, the center failed to have some required information in a child’s record.

“EVIDENCE: The record for child 1 did not show the date of admission.”

Rule 8VAC20-780-60-A.

Based on inspection, the Licensee failed to have required first aid supplies available.

“EVIDENCE: The center’s first aid kit did not include tweezers.”

Rule 8VAC20-780-540-C.

Based on inspection, the Licensee failed to maintain documentation of emergency evacuation, shelter-in-place and lockdown drills to include identity of the person conducting the drill, the date & time of the drill, the method used for notification of the drill, the number of staff participating, the number of children participating, any special conditions simulated, the time it took to complete the drill, problems encountered & weather conditions.

“EVIDENCE: Documentation of the center’s emergency drills, evacuation, shelter-in-place & lock-down drills did note, did not include identity of the person conducting the drill, method of notification used, the number of staff present, any special conditions, weather conditions and any problems encountered.”

Rule 8VAC20-780-550-G.