Knights of Columbus Summer Day Camp

8VAC20-780-520-B

“REPEAT VIOLATION Based on record review and interview, written parent authorization noting any known adverse reactions was not obtained for sunscreen. Evidence: Children #3, #4, #5 and #9, written authorization forms for sunscreen did not note any known adverse reactions. 2. Children #3, #4, #5 and #9, written authorization forms did not have product name.”

Rule 8VAC20-780-520-B.

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, children’s records did contain all required information. Evidence: 1. Children #2, #3 and #4’s records did not have address of two designated people to call in an emergency if a parent cannot be reached. 2. Child #3 and Child #5 did not have documentation of viewing proof of the child’s identity. and age”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review and interview, staff records did not contain required information for staff hired after March 1, 1996, documenting that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1.Staff #4 and Staff #7 references were not dated. 2. Staff #5’s references were blood relatives.”

Rule 8VAC20-780-70.

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not have annual approval from the health department containing all required information. Evidence: Most current Environmental Sanitation report was dated 2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-60-A

“Based on record review the center did not maintain a record for each child containing all required information. Evidence: 1. Child #2’s record did not have addresses of two designated people to contact in an emergency if a parent cannot be reached. 2. Child #3’s record did not have addresses of a second designated person to contact in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on observation and review of medication, the program did not keep prescription medication in the original labeled container.

“Evidence: The prescription medication for Child #6 was not in the original container with a prescription labeled attached.”

Rule 8VAC20-780-510-I.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #2’s record was missing a complete address for one of two emergency contacts (the city name was documented, but not the street name or house number), and the address for the second required emergency contact.”

Rule 8VAC20-780-60-A.

Based on record review, children’s records did not contain all required information.

“Evidence: Child #4’s record did not contain a complete address for one of two required emergency contacts. The address was missing the house number and the street name.”

Rule 8VAC20-780-60-A.

Based on record review, the program did not obtain a written care plan 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.

“Evidence: Child #1 and Child #5’s records contain physical forms that indicate that both children have diagnosed food allergies, their records did not contain written allergy care plans.”

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

Based on record review, the program did not obtain two required references for all staff members.

“Evidence: Staff #1 and Staff #2’s records contain one of two required references.”

Rule 8VAC20-780-70.

Based on record review, the center did not obtain results of a criminal history record check from a state in which staff had resided in the preceding five years prior to the first day of employment.

“Evidence: The records for Staff #1 and Staff #2 (DOH: 5/21/2022) did not include out of state criminal record checks. Staff #2’s (DOH: 5/21/2022) record did not include out of state criminal record checks for two”

Rule 22.1-289.035-B-4.

Based on record review, the program did not obtain references as to character and reputation as well as competency before employment for all staff members.

“Evidence: 1. The records for Staff #2 and Staff #4 did not contain 1 of 2 required references. 2. Staff #3’s record did not contain 2 of 2 required references.”

Rule 8VAC20-770-70-A.

Based on record review and interview, there was not at least one staff member on duty who had obtained within the last 3 years instruction in performing the daily health observation of children.

“Evidence: There was not one staff member on duty with a current Daily Health Observation certification.”

Rule 8VAC20-780-245-L.

Based on review of injury reports, the program’s written records of children’s injuries did not include all required information.

“Evidence: Six minor injury reports were reviewed and they were missing following information: 1. Six reports were missing the future action to prevent injury. 2. Four were missing the date the parent was notified. 3. Four were missing the time the parent was notified. 4. Two were missing one of two signatures and one was missing two signatures. 5. Three were missing how the parent was notified.”

Rule 8VAC20-780-550-P.