Boys & Girls Club of Harrisonburg andRockingham County-Bluestone

8VAC20-780-510-F

“Based on review of medication the center failed to have parent authorization to administer medication for two children. Evidence: 1. The medication and medication paperwork was reviewed for two children. 2. Child #1 and Child #2 did not have documentation of parent authorization to administer prescription medicine. 3. Child #1 no authorization for Epi Pen. 4. Child #2 no authorization for Albuterol. 5. Staff confirmed medicine authorization could not be found.”

8VAC20-780-510-G

“Based on review of medication the center failed to have one Albuterol inhaler with the pharmacy label attached. Evidence: 1. The medication and medication paperwork was reviewed for two children. 2. Albuterol for Child #2 was did not have the pharmacy label attached to include the name, dosage amount and times to be given. 3. Staff confirmed the Albuterol did not have a pharmacy label attached.”

8VAC20-780-510-F

“Based on review of medication the center failed to have parent authorization to administer medication for two children. Evidence: 1. The medication and medication paperwork was reviewed for two children. 2. Child #1 and Child #2 did not have documentation of parent authorization to administer prescription medicine. 3. Child #1 no authorization for Epi Pen. 4. Child #2 no authorization for Albuterol. 5. Staff confirmed medicine authorization could not be found.”

8VAC20-780-510-G

“Based on review of medication the center failed to have one Albuterol inhaler with the pharmacy label attached. Evidence: 1. The medication and medication paperwork was reviewed for two children. 2. Albuterol for Child #2 was did not have the pharmacy label attached to include the name, dosage amount and times to be given. 3. Staff confirmed the Albuterol did not have a pharmacy label attached.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review the center failed to obtain a Virginia Central Registry search for one staff within 30 days of employment. Evidence: 1. Six staff records were reviewed. 2. Staff #2 did not have documentation of obtaining a Virginia Central Registry check within 30 days of employment. Date of hire was documented 09/26/2022. 3. The director confirmed Staff #2 did not have documentation of a Virginia Central Registry check within 30 days of employment.”

8VAC20-770-40-C-1-b

“Based on documentation review the center failed to obtain a Virginia Central Registry check within 30 days for one board officer. Evidence: 1. Five board officer records were reviewed. 2. Board Officer #2 did not have documentation of obtaining a Virginia Central Registry check within 30 days of assuming responsibilities. Start date was documented as 1-26-2023. 3. The director confirmed a Virginia Central Registry check had not been submitted within 30 days of Board Office #2 assuming responsibilities.”

8VAC20-780-240-A

“Based on documentation the center failed to have one staff complete the Virginia Department of Education-sponsored orientation course withing 90 calendar days of employment. Evidence: 1. Six staff records were reviewed Staff #2 had not obtained the Virginia Department of Education Orientation sponsored training within 90 calendar days of employment. Staff #2 date of hire was documented as 09/26/2023. 2. The director confirmed Staff #2 had not obtained the orientation course withing 90 calendar days of employment.”

8VAC20-780-160-C

“Based on record review the center failed to have one staff member obtain an updated tuberculosis screen within two years of the prior screening. Evidence: 1. Six staff records were reviewed. 2. Staff #6 did not have documentation of obtaining an updated tuberculosis screening. The last documented screening was 11/30.2020. 3. The director confirmed an updated tuberculosis screening had not been obtained for Staff #6.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review the center failed to obtain a Virginia Central Registry search for one staff within 30 days of employment. Evidence: 1. Six staff records were reviewed. 2. Staff #2 did not have documentation of obtaining a Virginia Central Registry check within 30 days of employment. Date of hire was documented 09/26/2022. 3. The director confirmed Staff #2 did not have documentation of a Virginia Central Registry check within 30 days of employment.”

8VAC20-770-40-C-1-b

“Based on documentation review the center failed to obtain a Virginia Central Registry check within 30 days for one board officer. Evidence: 1. Five board officer records were reviewed. 2. Board Officer #2 did not have documentation of obtaining a Virginia Central Registry check within 30 days of assuming responsibilities. Start date was documented as 1-26-2023. 3. The director confirmed a Virginia Central Registry check had not been submitted within 30 days of Board Office #2 assuming responsibilities.”

8VAC20-780-240-A

“Based on documentation the center failed to have one staff complete the Virginia Department of Education-sponsored orientation course withing 90 calendar days of employment. Evidence: 1. Six staff records were reviewed Staff #2 had not obtained the Virginia Department of Education Orientation sponsored training within 90 calendar days of employment. Staff #2 date of hire was documented as 09/26/2023. 2. The director confirmed Staff #2 had not obtained the orientation course withing 90 calendar days of employment.”

8VAC20-780-160-C

“Based on record review the center failed to have one staff member obtain an updated tuberculosis screen within two years of the prior screening. Evidence: 1. Six staff records were reviewed. 2. Staff #6 did not have documentation of obtaining an updated tuberculosis screening. The last documented screening was 11/30.2020. 3. The director confirmed an updated tuberculosis screening had not been obtained for Staff #6.”

8VAC20-790-600-F

“Based on record review the center failed to have one staff member complete 16 hours of annual training to include the departments health and safety course update. Evidence: 1. Five staff records were reviewed and updated. 2. Staff #2 and Staff #5 had not completed the departments 3 hour health and safety update. 3. Staff #2 completed the required 10 hours of health and safety training on 12/22/2020. 4. Staff #5 completed the required 10 hours of health and safety training on 11/29/2020. 5. The director confirmed the 3 hour update had not be completed for Staff #3 and Staff #5.”

8VAC20-780-500-A

“Based on observation, the center failed to have the children wash their hands before and after eating snack. Evidence: 1. Children were observed not washing hands before eating snack. 2. Children were observed not washing hands after eating snack. 3. The director confirmed the children did not wash hands.”

8VAC20-770-60-C-2

“Based on staff documentation review, the center failed to obtain a central registry check within 30 days of employment for 1 staff. Evidence: 1. Four staff records were reviewed. 2. Staff # 3 did not have documentation of obtaining a central registry search within 30 days of employment. Staff #3's date of hire was documented on 09/26/2022. 3. Staff confirmed the documentation could not be provided.”

8VAC20-790-600-F

“Based on record review the center failed to have one staff member complete 16 hours of annual training to include the departments health and safety course update. Evidence: 1. Five staff records were reviewed and updated. 2. Staff #2 and Staff #5 had not completed the departments 3 hour health and safety update. 3. Staff #2 completed the required 10 hours of health and safety training on 12/22/2020. 4. Staff #5 completed the required 10 hours of health and safety training on 11/29/2020. 5. The director confirmed the 3 hour update had not be completed for Staff #3 and Staff #5.”

8VAC20-780-500-A

“Based on observation, the center failed to have the children wash their hands before and after eating snack. Evidence: 1. Children were observed not washing hands before eating snack. 2. Children were observed not washing hands after eating snack. 3. The director confirmed the children did not wash hands.”

8VAC20-770-60-C-2

“Based on staff documentation review, the center failed to obtain a central registry check within 30 days of employment for 1 staff. Evidence: 1. Four staff records were reviewed. 2. Staff # 3 did not have documentation of obtaining a central registry search within 30 days of employment. Staff #3's date of hire was documented on 09/26/2022. 3. Staff confirmed the documentation could not be provided.”

8VAC20-780-160-A-2

“Based on review of staff records and discussion with the director, the tuberculosis (TB) screening for one new staff member was completed more than 30 days before her date of employment. Evidence: 1. The record for Staff Member #1 had documentation of having received a TB screening on 01/02/2022 which was more than 30 days before her date of employment. Date of employment was 03/02/2022. 2. The director confirmed the TB for the staff member was completed too early.”

8VAC20-780-140-A

“Based on review of children's records and confirmation from the director, the was not a physical examination report on file for one child. Evidence: 1. The record for Child #1 did not contain a physical examination report. Date of enrollment for the child was 08/24/2021. 2. The director confirmed they had not obtained a physical examination report for the child.”

8VAC20-780-160-A-2

“Based on review of staff records and discussion with the director, the tuberculosis (TB) screening for one new staff member was completed more than 30 days before her date of employment. Evidence: 1. The record for Staff Member #1 had documentation of having received a TB screening on 01/02/2022 which was more than 30 days before her date of employment. Date of employment was 03/02/2022. 2. The director confirmed the TB for the staff member was completed too early.”

8VAC20-780-140-A

“Based on review of children's records and confirmation from the director, the was not a physical examination report on file for one child. Evidence: 1. The record for Child #1 did not contain a physical examination report. Date of enrollment for the child was 08/24/2021. 2. The director confirmed they had not obtained a physical examination report for the child.”

8VAC20-780-510-I

“Based on observation and review of medication and medication paperwork, the center failed to maintain a prescription medication in the original container with the prescription label attached. Evidence: 1. The prescription medication for Child A was not in the original labeled container showing the medication was dispensed fo Child A from the pharmacy. 2. Staff Member #1 confirmed the emergency medication was not in the box with the prescription label attached.”

8VAC20-780-510-I

“Based on observation and review of medication and medication paperwork, the center failed to maintain a prescription medication in the original container with the prescription label attached. Evidence: 1. The prescription medication for Child A was not in the original labeled container showing the medication was dispensed fo Child A from the pharmacy. 2. Staff Member #1 confirmed the emergency medication was not in the box with the prescription label attached.”