Altavista Area YMCA -Tomahawk Elementary

8VAC20-780-130-A

“Based on record review and staff interviews, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: 1.The record for Child 4 documented the first date of attendance as 08/16/2023. The immunization record was dated 08/28/2023. 2.The record for Child 5 documented the first date of attendance as 08/16/2023. No immunization record was available for review. Staff 1 confirmed no immunization record was available for review.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child contains 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 (both designated people were parents) and written agreements between the parent and the center.”

8VAC20-780-510-G

“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: The label on Medication 1 stated ?Please see attached for detailed directions?. No dosage amount or time(s) to be given was on label. Staff 1 confirmed that no detailed directions were available.”

8VAC20-780-130-A

“Based on record review and staff interviews, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: 1.The record for Child 4 documented the first date of attendance as 08/16/2023. The immunization record was dated 08/28/2023. 2.The record for Child 5 documented the first date of attendance as 08/16/2023. No immunization record was available for review. Staff 1 confirmed no immunization record was available for review.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child contains 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 (both designated people were parents) and written agreements between the parent and the center.”

8VAC20-780-510-G

“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: The label on Medication 1 stated ?Please see attached for detailed directions?. No dosage amount or time(s) to be given was on label. Staff 1 confirmed that no detailed directions were available.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child’s belongings. Evidence: Approximately 12 book bags and 8 jackets/coats were observed lying on the floor around the cafeteria table next to the door.”

8VAC20-780-350-B-4

“Based on observation, interviews with staff and record review, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall be maintained. Evidence: 1. There were 21 children, ages 4 years to 12 years, observed in the purple group with 1 staff member. Staff 3 and 4 and a record review confirmed the age of children. Child 3 was determined to be 4 years old. The required staff ratio for this group of children was 1:10 2. There were 38 children, ages 4 years to 12 years, and 3 staff observed on the playground as one group of children. The required staff ratio for this group of children was 1:10 .”

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child’s belongings. Evidence: Approximately 12 book bags and 8 jackets/coats were observed lying on the floor around the cafeteria table next to the door.”

8VAC20-780-350-B-4

“Based on observation, interviews with staff and record review, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall be maintained. Evidence: 1. There were 21 children, ages 4 years to 12 years, observed in the purple group with 1 staff member. Staff 3 and 4 and a record review confirmed the age of children. Child 3 was determined to be 4 years old. The required staff ratio for this group of children was 1:10 2. There were 38 children, ages 4 years to 12 years, and 3 staff observed on the playground as one group of children. The required staff ratio for this group of children was 1:10 .”