YMCA School Age Child Care @ Occohannock Elementary

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #4, who is working with children, has not yet completed this course which is overdue by 2 months.”

Rule 8VAC20-780-240-A.

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 plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“There was no allergy list in the areas with children with documented food allergies.”

Rule 8VAC20-780-40-M.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Staff were observed using a loud whistle and loud voice tone in the cafeteria to gain the attention of the children in care without directing children to appropriate behaviors.”

Rule 8VAC20-780-400-B.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“There was no label on the medication for child #6. There was no dosage and administration instructions on the medication.”

Rule 8VAC20-780-510-G.

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. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“The authorization for medication for child #7 expired December 2025. The authorization had not been renewed, the medications had not been returned to the parent or disposed of.”

Rule 8VAC20-780-510-P.

The center shall implement a monthly practice evacuation drill.

“There was no evacuation drill practiced February 2026.”

Rule 8VAC20-780-550-D.

Shelter in place procedures shall be practiced a minimum of twice per year.

“Shelter in place procedures had not been practiced since December 2024.”

Rule 8VAC20-780-550-E.

Name, address, verification of age requirement, job title, and date of employment or volunteering; and name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“This information was not onsite for staff #4 and #5.”

Rule 8VAC20-780-70.

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 and license, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“There was no immunization documentation for child #1 or #2.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician.

“There was no physical examination documentation for child #1 or #2.”

Rule 8VAC20-780-140-A.

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

“Staff released all 40 children to the tutors during this inspection. Children were not signed out of the program and the tutors are not staff of the program.”

Rule 8VAC20-780-340-F.

The required ratio for children school age up to 9 years is one staff per eighteen children.

“Staff # 1 and #2 were observed supervising forty children upon inspector’s arrival at 3:20 pm until 4:00 pm.”

Rule 8VAC20-780-350-B-5.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Children were observed rough housing and running around in the cafeteria. Staff did not provide appropriate redirection for these behaviors.”

Rule 8VAC20-780-400-B.

Children’s hands shall be washed with soap and running water or disposable wipes before an after eating meals or snacks.

“Children did not wash their hands before or after snack.”

Rule 8VAC20-780-500-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

“There was no record for child #2, #3, and #4. There was no date of enrollment for child #1. There was only one of two emergency contacts for child #5.”

Rule 8VAC20-780-60-A.

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.

“Staff were not documenting the arrival of each child as they came into the after school program. Staff could not tell inspector how many children were present at the time of arrival and could not get an accurate count due to the number of children coming and going in the room.”

Rule 8VAC20-780-80-A.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4, employed for more than 9 months, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.”

Rule 22.1-289.035-B-4.

For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

“Caregiver #4 did not have central registry search results during the inspection and has been employed for over 9 months. Caregiver #7 did not have central registry search results during the inspection and has been employed for over 50 days.”

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

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #1 had no documentation and had been employed for over two years, Staff #3 had no documentation and had been employed for two days, Staff #5 had no documentation and had been employed for nine days, and Staff #3 had no documentation and had been employed for two days.”

Rule 8VAC20-780-160-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #4, who is working with children, has not yet completed this course which is overdue by 6 months.”

Rule 8VAC20-780-240-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“The injury record for child #6 did not contain future action to prevent recurrence.”

Rule 8VAC20-780-550-P.

Emergency contacts shall be kept on site for each staff person.

“There were no emergency contacts for staff on site.”

Rule 8VAC20-780-70.

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

“Several children were play fighting, running, standing on cafeteria tables tools, and roughhousing while waiting to transition from snack to tutoring. Three staff members were at a table working on attendance and one staff member was positioned at the doorway. Staff did not redirect the children’s behaviors for approximately 5 mins.”

Rule 8VAC20-780-340-A.

The center shall implement a monthly practice evacuation drill.

“There were no evacuation drills practiced, the center has been operating since the end of September 2024.”

Rule 8VAC20-780-550-D.

The center shall maintain a written record of children’s serious and minor injuries that contains all of the required information.

“There was no time, date, method of parental notification, future action to prevent recurrence, and only one of two required signatures on the injury report for child #6 dated 11/15/24.”

Rule 8VAC20-780-550-P.