Altavista Area YMCA-Altavista

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 TB was dated 16 months prior to date of employment.”

Rule 8VAC20-780-160-A.

All staff who work directly with children shall have within 90 days of date of employment certification in CPR.

“Staff #5 did not have a certification in CPR for children and has been employed over 90 days.”

Rule 8VAC20-790-600-D-1.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Chipped and peeling paint was observed on the handrail that children use to enter and exit the building from the playground.”

Rule 8VAC20-780-270-A.

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

“On 09/19/2025, Child 1 (age 2 years) was not within actual sight and sound supervision of staff for approximately 2 minutes.”

Rule 8VAC20-780-340-F.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

“The center’s procedures for identifying where attending children are at all times states that ?it is the Lead Teacher’s responsibility to account for all the children in his/her care during their time at the center. On 09/19/2025, Child 1 (age 2 years) was unaccounted for and not in the care of staff for approximately 2 minutes.”

Rule 8VAC20-780-40-E.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“One infant pain reliever and two children’s pain relievers were located in an unlocked cabinet over the sink in the Toddler 1 room.”

Rule 8VAC20-780-510-L.

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.

“At approximately 2:30 p.m. on 10/06/2025, there were 7 children present in the Toddler 2 room, but 8 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

Hazardous substances must be in a locked place that prevents access by children.

“In Room 2, the cleaning solution and sanitizing solution were in an unlocked cabinet, accessible to children.”

Rule 8VAC20-780-280-B.

Cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other.

“In Room 2 ant/roach spray was storage on the same shelf with cleaning materials.”

Rule 8VAC20-780-280-E.

When centers chose to provide meals or snacks, the centers shall follow the most recent requirements of Child and Adult Care Food Program.

“For a.m. snack, the center served one food component. Two food components are required for snack.”

Rule 8VAC20-780-560-F.

REPEAT VIOLATION Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: An aerosol can of ?Lysol? was located on the changing table in The Toddler 2 room. Plan of correction: Lysol was removed and locked during inspection.”

Rule 8VAC20-780-280-B.

Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 2-year-olds.

“Evidence: At approximately 8:42 am., there were 9 children observed with 1 staff member, Staff 11. Staff 11 confirmed that 9 children had been in their care for approximately 15 minutes. The youngest child was 2 years old. The required staff ratio for this group of children was 1:8. Two staff would be required.”

Rule 8VAC20-780-350-B-3.

Based on video footage, the center failed to ensure that actions towards children that are forbidden by the standards (physical punishment, striking a child, roughly handling or shaking a child) were not used at the center.

“In video footage from 01/11/2024 at approximately 11:22 am, Staff 1 was observed closely holding Child 1 while leaning their head down close to the head of Child 1. Staff 1 was observed striking Child 1 twice on the buttocks. Child 1 is observed holding their buttocks after the second strike.”

Rule 8VAC20-780-410-1.

Based on record review and interview with staff, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 7 contained documentation that Staff 7 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from the state in which the individual has resided in the preceding five years available for review during the inspection for Staff 7. Staff 10 confirmed this was not available for review. The documented hire date in the Record for Staff 7 was 04/03/2023.”

Rule 22.1-289.035-B-4.

Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. A spray bottle of surface disinfectant was observed on the shelf over the changing table in Toddler 2 room. 2. A swifter wet jet with the bottle of cleaning materials attached was observed next to the door in Pre-school 1 room.”

Rule 8VAC20-780-280-B.

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: Child 11?s prescription ointment was observed in an unlocked storage tub on a shelf in Toddler 1 room.”

Rule 8VAC20-780-510-L.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.