Franklin County YMCA - Sontag

Providers must obtain a national criminal background check prior to employment.

“The national criminal background check for Staff 3 was obtained six days after employment.”

Rule 22.1-289.035-B-2.

Repeat violation

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Child 6 (age 9 years) was sent from the cafeteria to the bus drop area of the school to take a clipboard to a staff member. Child 6 walked from the cafeteria, to the bus drop off area and back without the sight and sound supervision of staff.”

Rule 8VAC20-780-340-F.

Systemic violation

“The center is required to have employees undergo a background check every five years. The repeat child abuse and neglect registry check for Staff 2 is more than three months overdue.”

Rule 22.1-289.035-A.

Systemic violation

“A follow-up tuberculosis screening shall be obtained at least every two years from the date of the initial screening. The tuberculosis screening for Staff 1 is five months overdue.”

Rule 8VAC20-780-160-C.

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 trained in medication administration.

“Child 1 (age 4 years), who was present during the inspection, has been prescribed an emergency medication. There was not a staff member on-site that has been trained in medication administration.”

Rule 8VAC20-780-245-J-3.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Systemic violation

Rule 8VAC20-780-40-E.

Systemic violation

“The center shall inform all staff who work with children of children’s allergies, sensitivities, and dietary requirements. Child 1 (age 4 years), present during the inspection, has a diagnosed food allergy. The three staff present during the inspection were unaware of the child’s allergy.”

Rule 8VAC20-780-40-L.

Systemic violation

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy care plan. This list should be dated and kept confidential in each room or area where children are present. The list of children’s allergies, sensitivities, and dietary restrictions was not dated.”

Rule 8VAC20-780-40-M.

Systemic violation

“Staff shall wash their hands with soap and running water before preparing or serving food or beverages. Staff did not wash their hands before serving the afternoon snack.”

Rule 8VAC20-780-500-A.

Systemic violation

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication 1 was found in the bottom of the unlocked first-aid kit; the staff were not aware that the medication was in the first-aid kit.”

Rule 8VAC20-780-510-L.

Systemic violation

“The center shall maintain a written record of children’s serious and minor injuries and the record shall include all of the information required by the standards. Injury Report 1, 2, 3, 4, and 5 did not contain all of the information required by the standards.”

Rule 8VAC20-780-550-P.

Tables shall be sanitized before and after each use for feeding.

“The tables were not sanitized before or after being used for the afternoon snack.”

Rule 8VAC20-780-560-J.

Repeat violation systemic violation

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the information required by the standards. There was not a record on-site for Child 6 or Child 7; both children were present during the inspection.”

Rule 8VAC20-780-60-A.

Repeat violation systemic violation

“Staff records shall be kept for each staff person and shall contain all of the information as required by the standards; and the name, address and phone number of a person to be notified in an emergency shall be kept at the center. The record for Staff 2 did not contain all of the required information. There was no emergency contact information on-site for any of the three staff members present during the inspection.”

Rule 8VAC20-780-70.

Program leads shall be at least 18 years of age and have programmatic experience.

“Staff #1, employed over 3 months, did not have documentation of programmatic experience for her to be a program lead.”

Rule 8VAC20-780-210-A.

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

“Cleaning products were in an unlocked cabinet, which was accessible to the children.”

Rule 8VAC20-780-280-B.

The center must keep a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, enrolled for over 5 months, was missing parental agreement and parent authorization forms. The record for Child #6, enrolled over 30 days, was not available onsite. All required information was missing.”

Rule 8VAC20-780-60-A.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“The authorization for Medication 1 has been expired for more than 2 months; the medication was still on-site.”

Rule 8VAC20-780-510-P.

There shall be at least two staff members who have a current certification in CPR and first aid present on the premises during the center’s hours of operation, on fieldtrips, and wherever children are in care.

“Staff 1 was the only staff member on-site with a current certification in CPR and first aid.”

Rule 8VAC20-780-530-C.

Staff records shall contain all of the required information.

“The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.

The center shall maintain a record of the dates of the practice drills for one year.

“The center did not maintain a record of drills for 12/2024 or 1/2025.”

Rule 8VAC20-780-550-H.

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

“Evidence: The record for Child 2 did not contain an immunization record. Child 2 was present during the on-site inspection.”

Rule 8VAC20-780-130-A.

Based on record review and staff interviews, the center failed to ensure that staff shall complete the VDOE sponsored orientation course within 90 calendar days of employment.

“Evidence: The record for Staff 3 contained a documented hire date of 04/17/2024; there was no documentation that the VDOE sponsored orientation course has been completed. Staff 4 verified that Staff 3 has not completed the course.”

Rule 8VAC20-780-240-A.

Based on record review, the center failed to obtain Central Registry ( CPS ) results by the end of the 30th day of employment.

“EVIDENCE: Staff 1 was hired on 5/11/22, and the Central Registry results were obtained on 8/21/2022.”

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

Based on record review, the center failed to have at least two staff members who are currently certified in First Aid.

“EVIDENCE: Staff 1 and Staff 2 were the only staff present at the center on 1/13/2023. Staff 2 was not currently certified in First Aid.”

Rule 8VAC20-780-530-C.

Based on document review, the center failed to implement monthly evacuation drills.

“EVIDENCE: The evacuation drill log showed that no drill was conducted during the month of 12/2022.”

Rule 8VAC20-780-550-D.

Repeat violation

“Based on record review, the center failed to ensure that a child’s record had all required information. EVIDENCE: The record for Child 1 had one emergency contact, and the contact was missing the name of the city or town. Two emergency contacts are required.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on record review, the center failed to have emergency contact information for staff members on site. EVIDENCE: There was no emergency contact information for Staff 1 or 2 on-site on 1/13/2023.”

Rule 8VAC20-780-70.

Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: The record for Staff 3 contained a documented hire date of 07/27/2022; Staff 3 had not completed the Virginia Department of Education sponsored orientation course as of 11/21/2022.”

Rule 8VAC20-780-240-A.

Based on observations and record review, the center failed to ensure that operational responsibilities of the licensee shall include ensuring that center’s activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department.

“Evidence: The current license issued by the department allows for the care of children ages 4 years 11 months to 12 years. The review of the documented birthdate for Child 1 determined that Child 1 was 4 years 3 months old. Child 1 was in attendance during the 11/15/2022 inspection.”

Rule 8VAC20-780-40-E.

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

“Evidence: The record for Child 1 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the second designated person did not list an address); and the first date of attendance.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: The record for Staff 2 did not contain the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 2 was on-site during the 11/15/2022 inspection.”

Rule 8VAC20-780-70.