Eastern Shore Family YMCA

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. Staff #1, who had been employed for three weeks, did not have a current central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2 completed the course eleven months late.”

Rule 8VAC20-780-240-A.

8VAC20-780-340-D

“Each grouping of children shall have at least one staff present who meets lead teacher qualifications. The staff on duty were not clear as to which staff member was the qualified lead teacher supervising the group of 12 children. When interviewed Staff 2 and Staff 3 stated they were not the program lead. The job title in the records reviewed on 8/17/26 for Staff 2, Staff 3 and Staff 4 was ?aide?.”

Rule 8VAC20-780-340-D.

8VAC20-780-510-F

“Medication authorizations shall be available to staff during the entire time it is effective. There were prescription medications stored for potential administration to Child 3 in an emergency without parent authorization.”

Rule 8VAC20-780-510-F.

8VAC20-780-520-D

“If insect repellent is used all of the requirements shall be met. On 8/17/26 Staff 2 stated insect repellant was applied to Child 1, Child 2 and Child 3. There was no record that documented the children’s names, date of use, frequency of application and any adverse reactions. The insect repellant was left on a table, accessible to children.”

Rule 8VAC20-780-520-D.

8VAC20-780-70

“Repeat Violation Documentation of at least 2 references as to character, reputation, and competencies are to be checked prior to employment. Staff #1, who was hired 3 weeks ago, did not have any complete reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. There was disinfectant spray labeled ?Keep out of reach of children? in an unlocked closet.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. The document the facility reviewed for proof off age and identity for Child 2, does not meet the requirement.”

Rule 8VAC20-780-40-G.

8VAC20-780-90-A

“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. The agreement shall be signed by the parent and include all the required components for emergency medical care, illness and communicable disease. The record for Child 1 did not contain the required signed agreements.”

Rule 8VAC20-780-90-A.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 6/24/25, were not posted.”

Rule 22.1-289.011-F.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1 obtained five of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-520-B

“If sunscreen is used it shall be labeled with the child’s name. There were 4 bottles of sunscreen that were not labeled with the child’s name.”

Rule 8VAC20-780-520-B.

8VAC20-780-550-P

“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 all of the required information. There were five injury reports that did not contain all of the required information.”

Rule 8VAC20-780-550-P.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. There were three water bottles that were not labeled with the child’s name and date.”

Rule 8VAC20-780-560-G.

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 has not yet completed this course which is overdue by 3 weeks.”

Rule 8VAC20-780-240-A.

8VAC20-780-540-E

“One working, battery-operated radio is required in each building used by children and any camp location without a building. The battery operated radio at the center was not working.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

Rule 8VAC20-780-550-E.

8VAC20-780-70

“Staff records shall be kept for each staff person that include the name, address, and telephone number of a person to be notified in an emergency. The emergency contact information for Staff #2 did not include an address.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall, annually complete the departments health and safety update course. 1.The record for staff #3 did not include documentation of the annual health and safety update training course. a.Staff #6 confirmed the training had not been completed.”

Rule 8VAC20-790-600-F.

8VAC20-780-245-A

“Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.Staff #1 (date of hire 7/13/22) had 13 hours of annual training for 2023. 2.Staff #3(date of hire 7/13/22) had no documentation of annual training for 2023.”

Rule 8VAC20-780-245-A.

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1.Monthly evacuation drills were not practiced in the months of June and July 2024. a.Staff #6 confirmed the drills were not conducted.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1, There was no documentation of an annual lockdown drill conducted in 2023-2024. a. Staff #6 confirmed a lockdown drill was not documented.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-P

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children’s serious and minor injuries. Evidence: 1.There were 11 injury reports that did not contain documentation of the date, time, and method used to notify a parent of an injury. a.Staff #6 confirmed the information was not in the record.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1. The record for child #1 did not contain the date of enrollment, parent name, address, and phone number. a. Staff #6 confirmed the information was not in the record.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on a review of staff records it was determined the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The record for staff #2 did not include documentation of 2 reference check. a.Staff #6 confirmed the references were not in the record.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Based on record review and interview, it was determined the center did not ensure that a repeat criminal history check was performed for each staff member at least every five years from the date of the last search. Evidence: 1.The criminal history record check on file for staff #1 was completed on 6/11/2019, therefore it was over 5 years old. a. The Executive Director confirmed, an updated criminal history check was not in the record.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on record review and interview, it was determined the facility did not ensure that a criminal history (fingerprint) background check was obtained prior to the first day of employment. Evidence: 1.The record for staff #4 (date of hire 11/28/23) did not contain documentation that the criminal history background check had been completed. a.The Executive Director confirmed, a criminal history background check was not in the record.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Based on a review of staff records, it was determined the center did not ensure that each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1.The record for staff #4 did not contain documentation that a TB screening had been obtained. a.The Executive Director confirmed, the TB screening was not in the record.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Repeat Violation Based on a record review of staff records, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Evidence: 1. The most recent TB screening for staff #2 was dated 4/11/2022 and was therefore over two years old. a. The Executive Director confirmed, an updated TB screening was not in the record.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-B

“Based on record review and interview, it was determined the facility did not ensure that an annual approval from the health department was provided for water supply, sewage disposal system and food services, if applicable. Evidence: 1.The facility did not have documentation of current health department approval. a.The most recent health department approval available was a letter from the health inspector dated 4/28/22. b.The Executive Director confirmed that the annual health department approval had not been completed.”

Rule 8VAC20-780-260-B.

8VAC20-780-280-B

“Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 4 cans of Rustoleum Turf Spray with labels that read “Keep out of reach of children” on the floor of a storage cabinet in the Multi-purpose room. a. Children were in the classroom and the cabinet was unlocked, therefore the turf spray was accessible to children.”

Rule 8VAC20-780-280-B.

Based on a review of staff records and interviews, it was determined that the facility did not ensure that each staff member obtained an updated tuberculosis (Tb) screening within two years of the their last screening.

“Evidence: 1. The most recent Tb screening for staff #1 was dated 9/15/20, and was therefore over two years old. 2. Staff #2 (program director verified that the test was expired.”

Rule 8VAC20-780-160-C.

Based on a review of six staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

“Evidence: 1. The record for staff #4, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for staff #6, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 3. Staff #7 (Program Director) reviewed the record for the staff #5 and confirmed that he had not received the results of the national criminal record check (finger printing) before either staff began employment.”

Rule 22.1-289.035-B-2.

Based on a review of six staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed.

“Evidence: 1. The record for staff #6, working during the inspection, did not contain a sworn statement or affirmation. 2. Staff #7 (Program Director) reviewed the record for staff #6, and confirmed the sworn statement or affirmation was not completed prior to employment.”

Rule 8VAC20-770-60-B.

Based on a review of six staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing.

“Evidence: 1. The record for staff #4, working during the inspection, did not contain documentation of a negative tuberculosis screening. 2. The record for staff #6, working during the inspection, did not contain documentation of a negative tuberculosis screening. 3. Staff #7 (Program Director) reviewed the record for staff #4 and staff #6, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.”

Rule 8VAC20-780-160-A.

Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian.

“Evidence: 1.The written authorization for the medication (Benadryl) for child #6 was not signed by the parent. 2. Staff #7 (Program Director) confirmed that there was medication that did not have written authorization from the parent to be administered.”

Rule 8VAC20-780-510-I.

Based on a review of documentation and interview, it was determined that the facility did not ensure that the emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: 1. The maps and procedures for emergency evacuation and shelter-in-place were not posted in the facility. 2. Staff #7 (Program Director) confirmed that the maps and procedures for emergency evacuation and shelter-in-place were not posted anywhere in the facility.”

Rule 8VAC20-780-550-C.

Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. None of the lunch boxes for the children present at the facility were labeled with their name or the date 2. Staff #7 (Program Director) acknowledged that the lunch boxes brought by the children were not labeled with their name or the date.”

Rule 8VAC20-780-560-G.

Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The results from the most recent inspection (4/13/22) was not posted anywhere in the facility. 2. Staff #7 (Program Director) confirmed that the findings of the most recent inspection were not posted in the facility.”

Rule 8VAC20-820-120-E-2.

Based on a review of three staff records and interviews, it was determined that the facility did not ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the center’s hours of operation, on fieldtrips, and wherever children are in care.

“Evidence: 1. The Licensing Inspector reviewed the records for both staff present and only staff #1 had a current CPR/First aid certification. 2. Staff #1 confirmed that staff #2 did not have a current CPR/First aid certification.”

Rule 8VAC20-780-530-C.

Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. The Licensing Inspector observed that none of the lunch boxes the children had brought from home were labeled with their name or the date. 2. Staff #1 acknowledged that all of the lunch boxes used by the children at the facility were not labeled with their name and the date.”

Rule 8VAC20-780-560-G.