AVSP Youth Program

8VAC20-780-160-A

“Based on record review and interview, each staff member did not submit documentation of a negative tuberculosis (TB) screening that was dated within 30 days prior to employment. Evidence: Staff #7 (date of hire: 11/14/2022) TB screening is dated 6/13/2022.”

8VAC20-780-160-A

“Based on record review and interview, each staff member did not submit documentation of a negative tuberculosis (TB) screening that was dated within 30 days prior to employment. Evidence: Staff #7 (date of hire: 11/14/2022) TB screening is dated 6/13/2022.”

8VAC20-770-60-B

“Based on record review, an employee of the child day program has not provided a completed sworn disclosure statement. Evidence: Staff #2 (date of hire: 1/16/2023) record contained a sworn disclosure statement dated 11/18/2019. The program Director confirmed that Staff #2 was a re-hire and did not complete an updated sworn disclosure statement upon rehiring.”

8VAC20-780-40-M

“Based on observation and record review, the center did not maintain a current list of all children's allergies, sensitivities and dietary restrictions. Evidence: Child #4's enrollment for and physical exam documented a food allergy. Child #4's name was not included on the allergy list in the classroom.”

8VAC20-780-60-A

“Based on record review and interview, children's records did not contain all required information. Evidence: Child #4's enrollment form and physical exam state that the child has a diagnosed food allergy. The program Director confirmed that a written allergy care plan has not been obtained for Child #4.”

8VAC20-780-560-G

“Based on observation, requirements were not met when food is brough from home. Evidence: 18 out of 22 lunch boxes were not labeled to identify it's owner.”

8VAC20-780-560-L

“Based on observation, staff did not sit with children during meal times. Evidence: Staff #2 and Staff #3 were observed standing at the front of the classroom socializing while the children ate lunch.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the facility is dated 11/8/2022, however the most recent inspection was 12/9/2022.”

22.1-289.035-B-2

“Based on record review, an employee of the child day program has not submit to fingerprinting prior to employment. Evidence: Staff #2 (date of hire: 1/16/2023) record contained fingerprint results dated 11/20/2019. The program Director confirmed that Staff #2 was a re-hire and did not complete a updated fingerprinting upon rehiring.”

8VAC20-820-120-E-3

“Based on observation, the notice of the superintendent's intent to revoke or deny renewal of the license of a child day program was not posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: The notice of superintendents intent to deny the licensees renewal was posted on the bulletin board next to the directors office.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Staff #4 provided two emergency medications. The medications were stored in individual boxes that were not locked.”

8VAC20-780-80-A

“Based on record review and interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurred. Evidence: 1. Staff #2 stated that there were 31 child present in the program. 2. While reviewing the daily attendance, there were 31 children marked present, several children marked absent, and one child with no indication of present of absent. Staff #2 was requested to confirm whether the unmarked child was present or absent. Staff #2 confirmed that the unmarked child was present in the classroom. 3. There were 32 total children present.”

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: Staff #6's record only contained one reference check.”

8VAC20-780-340-F

“Based on observation and interview, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. At the start of the inspection, child #4 (9 years old) and child #5 (9 years old) were observed sitting in the directors office with an adult with the door closed. 2. Staff #2 stated that the adult in the office with the children was a tutor. Staff #2 confirmed that the tutor was not a staff member of the program. 3. Child #4 and child #5 were not within actual sight and sound supervision of staff for approximately 30 minutes.”

8VAC20-780-550-P

“Based on record review, records of children's injuries did not include all requirements. Evidence: Child #5 had an incident report in their record for a minor injury that had occurred on 12/8/2022. The injury report did not include preventative measures and did not have two signatures.”

8VAC20-780-245-J-3

“Based on interview, children whom emergency medications have been prescribed were not always in the care of a staff member or independent contractor who is trained to administer medication. Evidence: Staff #4 confirmed that child #6 and child #7 have diagnosed food allergies and emergency medication is kept on site in case of an emergency. At the time of the inspection, none of the staff present had medication administration training.”

8VAC20-780-40-M

“Based on interview, the center does not 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. Evidence: When asked about the location of an allergy list, the program director confirmed that they had not created an allergy list to be posted.”

8VAC20-780-130-A

“Based on record review, the center has not obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 and Child #5's records do not contain documentation of immunizations. Both children were in care during today's inspection.”

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: 1. Staff #1's record does not contain documentation of two reference checks. 2. Staff #4's record does not contain documentation of two reference checks and the name, address and phone number of someone to be contacted in case of an emergency.”

8VAC20-780-245-J-3

“Based on interview, children whom emergency medications have been prescribed were not always be in the care of a staff member or independent contractor who is trained to administer medication. Evidence: The program director stated that Child #6 has a diagnosed food allergy and emergency medication is kept on site in case of an emergency. The program director confirmed that none of the staff on site have current medication administration training.”

8VAC20-780-560-F

“Based on observation, requirements for meals and snacks were not followed. Evidence: The children were observed being served cheese pizza for lunch. The children were not served milk, a fruit or a vegetable. The centers did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when food was served.”

8VAC20-780-560-J

“Based on observation, tables were not sanitized before each use for feeding. Evidence: At the start of the inspection, the tables in the classroom were observed to be covered in craft materials and debris. The children were observed leaving the classroom to wash hands and returning to the classroom to eat lunch. The children were served lunch and observed eating. The tables were not cleaned and sanitized before the children ate lunch.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child #2, Child #3 and Child #4's records did not contain documentation that the children's age and identity had been verified.”

8VAC20-780-350-B-5

“Based on observation, staff to child ratios were not followed whenever children were in care. Evidence: 1. At the start of the inspection, a group of 47 children (ages 5 years through 12 years) was observed in one classroom with staff #3. The observed ratio was 1 staff to 47 children; the required ratio is 1:18. 2. Staff #2 was in the hallway outside of the classroom at the start of the inspection, and then was observed entering the classroom making the classroom ratio 2 staff to 47 children; the required ratio is 1:18. 3. Staff #1 arrived at the center approximately 5 minutes later with staff #4. Staff #1 stated that they had taken staff #4 with them to help pick up pizzas for lunch. This was previously cited on 8/22/2022.”

8VAC20-780-480-B

“Based on record review and interview, the center has not maintained (i) written permission from the parent of each child who participates in swimming or wading and (ii) a statement from the parent advising of a child's swimming skills before the child is allowed in water above the child's shoulder height. Evidence: 1. The center does not have documentation of written permission to participate in swimming and a statement of the child’s swimming skills for Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15. 2. The program director confirmed that the center has not obtained swimming permission and documentation of swimming skills for the above children. 3. The deepest end of the pool where children were observed swimming is 5 feet deep.”

8VAC20-780-480-C

“Based on interview, the staff do not have a system for accounting for all children in water (pool). Evidence: 1. When staff #1 was asked how many children were in the pool, they stated 46, however there were 47 children present. 2. When staff #4 was asked how many children were in the pool, the staff counted the heads of children in the water.”

8VAC20-780-80-A

“Based on record review and interview, the center has not maintained a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were 45 children documented in attendance. 2. There were 47 children counted in attendance. 3. There were 2 children present that were not documented on the daily attendance. 4. The attendance sheet for the day did not document children’s arrival or departure.”

8VAC20-780-340-A

“Based on record review, observation and interview, staff did not ensure care, protection and guidance when supervising children. 1. When asked how many children were present during the inspection, staff #1 stated there were 46 children; however, 47 children were counted as present, and 45 children documented as present on the daily attendance. 2. When staff #3 was asked the name of a child that was observed walking with a juice pouch, the staff stated that they did not know the child’s name. 3. When staff #4 was asked how many children were in the pool, the staff did not know how many children they were responsible for and counted the children’s heads in the water. 4. Staff #2 did not know the name of child #5 (5 years old) who was found in the bathroom alone.”

8VAC20-780-340-F

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. A group of 25 children were observed leaving the women’s locker room and entering the pool area. Two of the children (both 8 years old) were observed leaving the group and walking down a separate hall to pick out goggles to wear. Staff #4 did not notice the two children leave the group. The two children were alone and unsupervised for approximately 3 minutes. 2. One child (6 years old) was observed leaving the pool area and entering the locker room. The child was alone and unsupervised for approximately 5 minutes. 3. One child (5 years old) was observed leaving the pool area alone, looking distraught, and entering the locker room. 4. There is no system to ensure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children. This was previously cited on 3/28/2022, 6/22/2022 and 8/22/2022.”

8VAC20-780-340-G

“Based on observation, children 10 years of age or older were not always within actual sound supervision of staff. Evidence: Child #3 (10 years old) was observed in the hallway, wet, in swimwear and without shoes at their locker near the gymnasium, alone and unsupervised, while all staff and children were in the pool area.”

8VAC20-780-560-F

“Based on observation, requirements for meals and snacks were not followed. Evidence: 1. The children were observed being served cheese pizza for lunch. The children were not served milk, a fruit or a vegetable. The centers did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when food was served. 2. Children were not allowed to have second helpings of food. A child asked staff #2 if they could have more pizza. The staff stated that they could only have two slices of pizza, and that they couldn?t have more. 3. A food menu listing foods to be served for meals and snacks during the current one- week period was not available when food was served. The children were observed being served cheese pizza for lunch. Staff #1 stated that the children would be served a pre-packaged snack. Staff #1 confirmed that there was no food menu posted in the program. This was previously cited on 3/28/2022.”

8VAC20-780-550-P

“Based on record review, written records of children’s injuries did not include all required information. Evidence: Child #3?s injury report was signed by the parent only, and did not include any future action to prevent recurrence of the injury.”

8VAC20-780-550-A

“Based on interview, the center does not have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. Evidence: When requested, the program director stated that their corporate office is working on establishing the emergency plan. This was previously cited on 8/22/2022.”

8VAC20-780-500-A

“Based on observation, handwashing requirements were not followed. Evidence: 1. The children were observed in a room watching a movie when lunch was served. The children were served immediately. The children’s hands were not washed with soap and running water or disposable wipes before eating. 2. Staff #1 and Staff #4 were observed bringing pizza into the room of children. All staff began serving the children pizza immediately. All staff did not wash their hands with soap and running water before serving the food.”

8VAC20-780-40-M

“Based on interview, the center does not maintain a written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: Staff #1 stated that Child #16 has a peanut allergy and confirmed that there was no written list of children’s allergies or sensitivities in the center.”

8VAC20-780-560-M

“Based on observation, children were allowed to walk while eating and drinking. Evidence: Child #4 was observed walking around the classroom and into the hall to their locker while sipping on a juice pouch with the straw in their mouth.”

8VAC20-780-560-J

“Based on observation, tables were not sanitized before and after each use for feeding. Evidence: At the start of the inspection, the children were observed in one room watching a movie. The children were sitting in chairs, and on top of the tables. Staff #1 and Staff #4 delivered pizza to the classroom and the children were immediately served the food that the children had been sitting on top of. The tables were not clean and sanitized before the children ate. The tables were not sanitized after the children finished eating before the children and staff left the room to go swimming.”

8VAC20-780-40-N

“Based on interview, the center does not have written playground safety procedures. Evidence: When requested, staff #1 stated that the playground safety procedures are in the process of being written. This was previously cited on 12/13/2021, 3/28/2022 and 8/22/2022.”

8VAC20-780-60-A

“Based on record review and interview, the center did not maintain a record for each child, and records did not contain all required information. Evidence: 1. Child #1?s record did not contain the address of their first emergency contact, or a second emergency contact. 2. Child #2 and Child #3?s records did not contain the children’s date of enrollment. 3. Records were not maintained for Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15. 4. Staff #1 stated that Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15 were not enrolled in the program full-time and they were drop-ins. 5. Staff #1 stated that they were unaware that they needed to obtain records for children that were dropped in for ?camp days?.”

8VAC20-780-70

“Based on record review and interview, staff records did not contain all required information. Evidence: 1. Staff #4?s record did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff #1 stated that they had not completed the reference checks because the staff was already working for the gym and they had asked them to work for the after school program. 2. Staff #4?s record did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #1 stated that they had not asked for the staff’s documentation of education.”

8VAC20-780-550-A

“Based on a review of documentation, the center does not have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. Evidence: When requested, the Director could not produce an emergency preparedness plan.”

8VAC20-770-40-D-1-a

“Based on interview, each applicant has not completed a sworn disclosure statement prior to the first date of employment and/or a central registry background check within the first 30 days of employment. Evidence: When asked to view the sworn disclosure statement and central registry background check results of Board Officer #1 (date of hire: 9/20/2021) the program director contacted their corporate office. On 9/7/2022, the licensee's corporate office provided a sworn disclosure statement that was signed on 8/29/2022 and a central registry background check that was notarized on 9/3/2022. The corporate office stated that the central registry background search would me mailed 9/8/2022.”

8VAC20-780-350-C

“Based on observation, the center did not follow the staff-to-child ratio applicable to the youngest child in the group in a regularly mixed age group. Evidence: In the classroom there 20 children of a mixed age group of children 5 years through 12 years with one staff. In the gym there were 19 children of a mixed age group of children 5 years through 12 years with one staff. The ratio for children age 5 is one staff per 18 children.”

8VAC20-780-245-L

“Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The program director confirmed that none of the staff have completed daily health observation training. This was previously cited on 12/13/2021, 3/28/2022 and 6/22/2022.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child #1's record did not contain a street address for the emergency contact and did not have a second emergency contact.”

8VAC20-780-40-N

“Based on a review of documentation, the center does not have written playground safety procedures. Evidence: When requested, the Director could not produce the playground safety procedures. This was previously cited on 12/13/2021 and 3/28/2022.”

8VAC20-780-130-A

“Based on record review, the program did not obtain documentation of immunizations for each child before the child can attend the center. Evidence: Child #5's record did not contain documentation of immunizations.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection was not posted. Evidence: The inspection posted at the facility is dated 3/28/2022. The most recent inspection of the center was on 6/22/2022.”

22.1-289.036-B-2

“Based on interview, each applicant has not submitted fingerprint results prior to the first date of employment. Evidence: When asked to view the fingerprint results of Board Officer #1 (date of hire: 9/20/2021) the program director contacted their corporate office. The licensees corporate office confirmed in an email on 9/7/2022 that Board Officer #1 has not yet initiated their fingerprint background check.”

8VAC20-780-340-F

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. At the start of the inspection, the Director was observed in the hallway having a conversation with a family that was dropping their child off. After approximately 2 minutes, the Director joined a group of 19 children in the gym. There was no additional staff supervising the children in the gym while the Director was working with the family down the hall. 2. A child was observed leaving the classroom to place artwork in their locker. The child then lingered in the hallway unsupervised for approximately one minute to watch the children playing in the gym before the Director instructed the child to return to the classroom. This was previously cited on 3/28/2022 and 6/22/2022.”

22.1-289-036-B-4

“Based on record review and interview, an out-of-state child abuse and neglect background check has not been completed within the first 30 days of employment for each agent that has resided outside of the state of Virginia. Evidence: Board Officer #1 documented on their sworn disclosure statement that they reside outside of the state of Virginia. When asked for the out-of-state central registry background check for Board Officer #1, the licensee's corporate office stated in an email on 9/8/2022, that the out-of-state central registry background search would be initiated and mailed that day.”

8VAC20-780-340-F

“Based on observation and record review, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. At approximately 10:46am, two children between the ages of 7 and 9 years of age (based on attendance records) were observed leaving the gym unsupervised to fill water bottles and go to the bathroom down the hall. 2. At approximately 11:10am, two children between the age of 4 and 6 years of age (based on attendance records) were observed leaving the classroom unsupervised to look at the children playing outside. 3. The bathrooms are shared with the public and there are no systems to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the public restroom area while in use by children.”

8VAC20-780-245-L

“Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The program director confirmed that none of the staff have completed daily health observation training. This was previously cited on 12/13/2021 and 3/28/2022.”

8VAC20-780-40-E

“Based on record review, the licensee did not ensure that the center was incompliance with the terms of the current license issued by the department. Evidence: The licensee is currently licensed to enroll children ages 5 years through 12 years of age. Attendance records indicate that Child #6 was 4 years old when they enrolled in the program.”

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: Two reference checks have not been completed for Staff #3, Staff #4 or Staff #5.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child #3's record does not contain a street address for their first emergency contact.”

8VAC20-780-530-A-2

“Based on record review and interview, there was not at least one person present with current first aid training. Evidence: 1. Staff #1's first aid training expired 5/10/2021. 2. Staff #2, Staff #3 and Staff #4 have not yet completed first aid training. This was previously cited at the programs last inspection on 12/13/2021.”

8VAC20-780-160-C

“Based on record review and interview, staff members have not submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: Staff #1 most recent TB screening is dated 7/3/2019. Staff #1 confirmed that they have not completed a follow-up TB screening. This was previously cited at the programs last inspection on 12/13/2021.”

8VAC20-780-40-N

“Based on interview, the center has not developed written playground safety procedures. Evidence: The program director stated that playground procedures have not yet been established. This was previously cited at the programs last inspection on 12/13/2021.”

8VAC20-780-245-A

“Based on record review and interview, staff have not completed 16 hours of training annually. Evidence: Staff #1 and Staff #2's records do not contain documentation of any training completed in 2021. The program director confirmed that the staff did not complete any training in 2021.”

8VAC20-780-560-F

“Based on observation, a food menu was not available when food was served. Evidence: The children were observed eating a snack served by the staff. The program director stated that they do not have a food menu.”

8VAC20-780-245-L

“Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The program director confirmed that none of the staff have completed daily health observation training. This was previously cited at the programs last inspection on 12/13/2021.”

8VAC20-780-340-F

“Based on observation and interview, children under 10 years of age were not always within sight and sound supervision of staff. Evidence: 1. At the start of the inspection, large groups of children were observed running off the centers buses and into the building by themselves. The children were observed lingering in the hallways around the bathrooms and lockers before entering the gym area, where the staff were located. 2. Children were observed freely running back and forth from the classrooms to the bathrooms without any supervision from staff. 3. Children were frequently observed pacing back and forth in the hallways between the classroom, gym and bathrooms while the staff were in the classrooms. 4. There are no systems to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the public restroom area while in use by children.”

8VAC20-780-560-M Complaint related: No

“Based on observation, children were allowed to eat and drink while walking around. Evidence: Large groups of children were observed being split into groups while eating their afternoon snack. Several children were observed walking around in the hallway eating chips while lining up and putting their coats on to go outside.”

8VAC20-780-580-C Complaint related: Yes

“Based on photographic evidence, the center did not ensure that during transportation, children remained seated. Evidence: Photograph #1 displays the centers vehicle transporting children from their elementary school and pulling into the center parking lot. A child is observed standing up behind the drivers seat with their hands on the window and their head leaning out of the window.”

8VAC20-780-140-A Complaint related: No

“Based on record review, the center has not obtained documentation of a physical exam for each child within the first 30 days of enrollment. Evidence: Child #3 (date of enrollment: 8/26/2021) record does not contain documentation of a physical exam.”

8VAC20-780-160-C Complaint related: No

“Based on record review and interview, staff members have not submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: Staff #1 most recent TB screening is dated 7/3/2019. Staff #1 confirmed that they have not completed a follow-up TB screening.”

8VAC20-780-530-A-2 Complaint related: No

“Based on record review and interview, there was not at least one staff person present with current first aid training. Evidence: Staff #1's first aid training expired 5/10/2021. Staff #2 and Staff #3 have not completed first aid training. The program director confirmed that there were not staff with current first aid training.”

8VAC20-780-40-N Complaint related: No

“Based on interview, the center has not developed written playground safety procedures. Evidence: When discussing playground safety procedures, the program director stated that the program does not have written procedures.”

8VAC20-780-340-G Complaint related: No

“Based on observation and interview, there are no systems to ensure that staff know where the children are and what they are doing. Evidence: At several times during the inspection, children were observed moving freely and independently from room-to-room, back and forth from the room to their lockers or bathrooms, or from outdoors to indoors. Children were frequently moved from group-to-group to maintain compliance with ratios. When asked whether groups of children were assigned to a particular staff person to ensure that staff knew who they were responsible for, the program director responded "no".”

8VAC20-780-130-A Complaint related: No

“Based on record review, the center has not obtained documentation that each child has received immunizations before attending the center. Evidence: Child #3 record does not contain documentation of immunizations.”

8VAC20-780-245-L Complaint related: No

“Based on record review and interview, there was not at least one staff member on duty who has obtained instruction in performing the daily health observation of children. Evidence: Staff #1, Staff #2 and Staff #3 records do not contain documentation of daily health observation training. The program director stated that they don't think any staff have completed the training.”

8VAC20-780-530-A-1 Complaint related: No

“Based on record review and interview, there was not at least one staff person present with current cardiopulmonary resuscitation (CPR) training. Evidence: Staff #1's CPR training expired 5/10/2021. Staff #2 and Staff #3 have not completed CPR training. The program director confirmed that there were not staff with current CPR training.”