The Family YMCA, Inc. Chatham Heights

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“In group 2 there were 8 children present, but 9 were marked present on the attendance record and in group 4 there were 13 children present, but 12 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of Child 2, who had been enrolled for one year and 4 months.”

Rule 8VAC20-780-140-A.

Inside areas occupied by children shall be maintained no lower than 68 degrees F.

“The temperature the occupied room was 65 degrees.”

Rule 8VAC20-780-270-C.

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

“AF315 disinfectant was unlocked on a countertop.”

Rule 8VAC20-780-280-B.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“Six of the children’s lunchboxes/food containers were not dated or labeled in a way that identifies the owner.”

Rule 8VAC20-780-560-G.

REPEAT VIOLATION Staff records shall be kept for each staff person: name, address and telephone number of a person to be notified in an emergency with shall be kept at the center.

“The on-site record for Staff 3 did not contain name, address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: Children were observed returning to activities after afternoon snack without washing their hands or using a disposable wipe.”

Rule 8VAC20-780-500-A.

Based on medication review and staff interviews, the center failed to medication shall be labeled with child’s name, the name of the medication and dosage amount, and time to times to be given.

“Evidence: Medications 3, 4, and 5 were not labeled with child’s name. Staff 1 confirmed the medications belonged to Child 1.”

Rule 8VAC20-780-510-G.

Based on observations, the center failed to ensure that medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Medications 1, 2, 3, 4, and 5 were stored in an unlocked red bag in an unlocked blue and black duffel bag. Medications 8, and 9 were stored in an unlocked black bag in an unlocked blue and black duffel bag. The blue and black duffel bag was located near tables used by children.”

Rule 8VAC20-780-510-L.

Based on observation, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children.

“Evidence: During the inspection, a working battery-operated radio was not available.”

Rule 8VAC20-780-540-E.

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

“Evidence: The record for Staff 1, 2, 3, and 4 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard.”

Rule 8VAC20-780-70.

Based on record review and interview with staff, the center failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“Evidence: Injury prevention procedures was last updated January 2022. Staff 6 confirmed that was the most recent update.”

Rule 8VAC20-780-40-J.

Based on observation and interviews, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: 1. There were approximately 4 lunch boxes in Group 1 that were not dated or labeled to identify the owner. The staff verified that the food was brought from home. 2. There were approximately 8 lunch boxes in Group 3 that were not dated or labeled to identify the owner. The staff verified that the food was brought from home.”

Rule 8VAC20-780-560-G.

Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Rule 8VAC20-780-80-A.