Chester Family YMCA

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the Department's health and safety update course. Staff 8 did not have documentation of the 3 hour VA preservice health and safety update course.”

8VAC20-790-600-D-2

“Staff shall have first aid certification within 90 days of employment. Staff 2 and Staff 3 employed for over 90 days, did not have documentation of first aid certification.”

8VAC20-780-80-A Complaint related: Yes

“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. During the inspection on 7/31/2024, the attendance records were as follows: In Huddle 6, there were 17 children physically present, but only 15 were marked present on the attendance record. In Huddle 2, staff were not sure how many children were present; the inspector asked them to do face to name roll call. Thirty three children were physically present, but only 31 were marked present on the attendance record. In Huddle 3, there were 16 children physically present, but 18 were marked present on the attendance record.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was no documentation to support that Staff 5 and Staff 8 had 16 hours of annual training in 2023/2024.”

8VAC20-780-240-B

“Orientation must be completed for each staff member no later than seven days of the date of assuming job responsibilities. Staff 1 did not have documentation of orientation on file until after 23 days of employment.”

8VAC20-780-530-A-2

“At least one staff in each grouping of children shall have current first aid certification. Staff 2 was alone outside with 18 school age children, but does not have documentation of current first aid certification on file.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff who meets lead teacher qualifications. Evidence: Staff 1 is in the position of lead, but does not meet lead teacher qualifications. Staff 2 was alone with Huddle 3, but does not meet lead teacher qualifications. Staff 3 and Staff 9 were alone with Huddle 4; neither meet lead teacher qualifications. Staff 5 and Staff 7 were alone with Huddle 5; neither meet lead teacher qualifications.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the Department's health and safety update course. Staff 8 did not have documentation of the 3 hour VA preservice health and safety update course.”

8VAC20-790-600-D-2

“Staff shall have first aid certification within 90 days of employment. Staff 2 and Staff 3 employed for over 90 days, did not have documentation of first aid certification.”

8VAC20-780-80-A Complaint related: Yes

“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. During the inspection on 7/31/2024, the attendance records were as follows: In Huddle 6, there were 17 children physically present, but only 15 were marked present on the attendance record. In Huddle 2, staff were not sure how many children were present; the inspector asked them to do face to name roll call. Thirty three children were physically present, but only 31 were marked present on the attendance record. In Huddle 3, there were 16 children physically present, but 18 were marked present on the attendance record.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was no documentation to support that Staff 5 and Staff 8 had 16 hours of annual training in 2023/2024.”

8VAC20-780-240-B

“Orientation must be completed for each staff member no later than seven days of the date of assuming job responsibilities. Staff 1 did not have documentation of orientation on file until after 23 days of employment.”

8VAC20-780-530-A-2

“At least one staff in each grouping of children shall have current first aid certification. Staff 2 was alone outside with 18 school age children, but does not have documentation of current first aid certification on file.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff who meets lead teacher qualifications. Evidence: Staff 1 is in the position of lead, but does not meet lead teacher qualifications. Staff 2 was alone with Huddle 3, but does not meet lead teacher qualifications. Staff 3 and Staff 9 were alone with Huddle 4; neither meet lead teacher qualifications. Staff 5 and Staff 7 were alone with Huddle 5; neither meet lead teacher qualifications.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the Department's health and safety update course. Staff 8 did not have documentation of the 3 hour VA preservice health and safety update course.”

8VAC20-790-600-D-2

“Staff shall have first aid certification within 90 days of employment. Staff 2 and Staff 3 employed for over 90 days, did not have documentation of first aid certification.”

8VAC20-780-80-A Complaint related: Yes

“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. During the inspection on 7/31/2024, the attendance records were as follows: In Huddle 6, there were 17 children physically present, but only 15 were marked present on the attendance record. In Huddle 2, staff were not sure how many children were present; the inspector asked them to do face to name roll call. Thirty three children were physically present, but only 31 were marked present on the attendance record. In Huddle 3, there were 16 children physically present, but 18 were marked present on the attendance record.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was no documentation to support that Staff 5 and Staff 8 had 16 hours of annual training in 2023/2024.”

8VAC20-780-240-B

“Orientation must be completed for each staff member no later than seven days of the date of assuming job responsibilities. Staff 1 did not have documentation of orientation on file until after 23 days of employment.”

8VAC20-780-530-A-2

“At least one staff in each grouping of children shall have current first aid certification. Staff 2 was alone outside with 18 school age children, but does not have documentation of current first aid certification on file.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff who meets lead teacher qualifications. Evidence: Staff 1 is in the position of lead, but does not meet lead teacher qualifications. Staff 2 was alone with Huddle 3, but does not meet lead teacher qualifications. Staff 3 and Staff 9 were alone with Huddle 4; neither meet lead teacher qualifications. Staff 5 and Staff 7 were alone with Huddle 5; neither meet lead teacher qualifications.”

8VAC20-780-240-B

“Based on review of six staff records, the facility failed to have documentation of orientation prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 1 (date of employment 6/8/2022) did not have documentation of orientation on file. Staff 5 (date of employment 6/8/2023) did not have orientation until 9/12/2023.”

8VAC20-780-70

“Based on review of six staff files, the facility failed to have all documentation of two acceptable references as to character, reputation, and competence should be checked prior to employment. Evidence: one reference for Staff 1 was a relative by blood.”

8VAC20-780-160-A

“Based on review of six staff records, the facility failed to obtain a tuberculosis test or screening from each staff at the time of employment and prior to direct contact with children. Evidence: Staff 4 (date of employment 6/8/2022) did not have documentation of a tuberculosis test or screening until 7/20/2022.”

8VAC20-770-60-B

“Based on review of six staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 1 (date of hire 6/8/2022 signed a sworn disclosure statement form on 6/2/2022, but did not mark an answer to the four questions on the form.”

8VAC20-780-340-D

“Based on review of six staff records, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: Staff 6 (date of employment 12/20/2022) was alone with a group of children. There was no documentation on file to support that Staff 6 meets lead teacher qualifications.”

8VAC20-780-240-B

“Based on review of six staff records, the facility failed to have documentation of orientation prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 1 (date of employment 6/8/2022) did not have documentation of orientation on file. Staff 5 (date of employment 6/8/2023) did not have orientation until 9/12/2023.”

8VAC20-780-70

“Based on review of six staff files, the facility failed to have all documentation of two acceptable references as to character, reputation, and competence should be checked prior to employment. Evidence: one reference for Staff 1 was a relative by blood.”

8VAC20-780-160-A

“Based on review of six staff records, the facility failed to obtain a tuberculosis test or screening from each staff at the time of employment and prior to direct contact with children. Evidence: Staff 4 (date of employment 6/8/2022) did not have documentation of a tuberculosis test or screening until 7/20/2022.”

8VAC20-770-60-B

“Based on review of six staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 1 (date of hire 6/8/2022 signed a sworn disclosure statement form on 6/2/2022, but did not mark an answer to the four questions on the form.”

8VAC20-780-340-D

“Based on review of six staff records, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: Staff 6 (date of employment 12/20/2022) was alone with a group of children. There was no documentation on file to support that Staff 6 meets lead teacher qualifications.”

8VAC20-780-40-E

“Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: 1. The center's ?supervision? policy states ?Staff may never leave a child unsupervised! Staff are expected to maintain sight and sound supervision of all children in their care at all times, and to have an accurate count of the number of students in their group?. 2. The ?attendance? policy states to ?Complete a FACE count before leaving a room, while in the hallway, upon arrival in a location and every 5-7 minutes?. 3. The ?lost/missing child? policy states ?After 10 minutes, the director will notify parents and police if child is not found.? 4. On 1/2/2024, a child was out of sight and sound supervision for over an hour. Staff stated they did not conduct headcounts every 5 to 7 minutes, per policy. The police were not notified for 33 minutes after site management knew the child could not be located. The parent was notified an hour later.”

8VAC20-780-240-D

“Based on staff interviews, staff were not trained in procedures for action in case of lost or missing children and general emergencies. Staff 1 stated that she was not aware of the procedure for a lost or missing child at the YMCA branch. Staff 1 contacted YMCA branch staff to assist with emergency protocol. Staff 4 stated that there was no site specific orientation on emergency preparedness.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, the facility failed to ensure children under the age of 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: At approximately 10:42 a.m. on 1/02/2024, Child 1 left the gym alone, without staff supervision. Law enforcement reunited the child with center staff at approximately 11:40 a.m. It is estimated that the child was out of sight and sound supervision of staff for at approximately one hour.”

8VAC20-780-350-C

“Based on staff interviews and documentation review, it was determined that the center did not ensure that the maximum group size limitations for children 3 years old up to school age eligible is a maximum group size of 30 children. When children are in ongoing mixed age groups, the group size applicable to the youngest child in the group shall apply to the entire group. 1. On 1/2/2024, there were 36 pre-k, kindergarten, and first grade children (ages 4 through 6 years) and 4 staff members in one group. There was one lead teacher in charge of all 36 children in the group. 2. Staff members confirmed that the grouping with 36 children is one large group and exceeded the maximum group size of 30 children. 3. Staff 2 and Staff 5 suggested to Staff 1 that the group be split up because it was too large.”

8VAC20-780-550-N

“Based on interviews, the facility failed to notify the parent immediately if a child is lost. Evidence: Child 1 left the group at approximately 10:42. Management was alerted that the child was missing at approximately 11:05 a.m. Staff 2 contacted the parent at approximately 11:52 p.m. to let the parent know the child had been missing and was found.”

8VAC20-780-340-A

“Based on review of video footage and interviews, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: The following was determined from review of video footage recorded by the center on January 2, 2024: 1. At approximately 10:42 a.m., Child 1 (age 6 years with special needs) leaves the gym alone, without staff supervision. At 10:44, the child is upstairs alone, attempting to open several locked doors. The child opened a janitor’s closet that leads to the outdoors. At 10:51 a.m., the child is walking along the windows outside of the indoor pool area. At 10:52 a.m., Child 1 is at the front of the building; at 10:54 a.m. the child is walking along the fence of the soccer field and across Parker Lane, a side street. On Parker Lane, which has a speed limit of 25 mph, a car drives by, narrowly missing the child. At 10:54 a.m., Child 1 goes into a business on Parker Lane. 2. According to interviews, at 11:05 a.m., Child 2 asked staff the whereabouts of Child 1. Staff 2 conducted a head count and realized Child 1 was missing. Staff 2 told management, who then alerted the Y branch staff that a child was missing from the childcare program. Center staff and YMCA branch staff began looking for the child. 3. Law enforcement received a call from a local business regarding a child alone at their door. The police report shows that Staff 3 contacted the police at 11:38 a.m. Law enforcement reunited the child to center staff at approximately 11:40 a.m.”

8VAC20-780-140-A

“Based on record review, and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for child #3, date of enrollment 06/12/23, did not contain evidence of a physical examination. Interview with the Director confirmed that the child's record did not contain evidence of a physical.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: The record for staff #1, date of employment 01/16/23, the record for staff #5, date of employment 04/11/2023, and the record for staff #6, date of employment 08/11/22, did not contain documentation of the Virginia Department of Education sponsored orientation course.”

8VAC20-780-140-A

“Based on record review, and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for child #3, date of enrollment 06/12/23, did not contain evidence of a physical examination. Interview with the Director confirmed that the child's record did not contain evidence of a physical.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: The record for staff #1, date of employment 01/16/23, the record for staff #5, date of employment 04/11/2023, and the record for staff #6, date of employment 08/11/22, did not contain documentation of the Virginia Department of Education sponsored orientation course.”

8VAC20-780-70

“Based on records review, the center failed to keep at the center the required staff records to include the name, address, and telephone number of a person to be notified in an emergency and any health problems that may interfere with fulfilling the job responsibilities. Evidence: The record for staff #2, date of employment 1/14/23, could not be located.”

8VAC20-780-550-G

“Based on documentation review and interview, the center failed to document that a monthly practice evacuation drill occurred. Evidence: The documentation of emergency evacuation drills did not have any drills documented during the months of October, November, December 2022 or January 2023. When interviewed, the Director acknowledged that the drills were not documented.”

8VAC20-780-540-E

“Based on observation and interview, the center failed to have one working, battery-operated radio in each building used by children. Evidence: When asked to see the battery-operated radio the Director could not locate one and stated that they did not have one.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: There were no allergy lists in any of the areas where the children were present. When asked, the Director stated that she was working on creating the list but hasn?t finished it yet.”

8VAC20-780-70

“Based on interview, the center failed to ensure that the name, address, and telephone number of a person to be notified in an emergency was kept for each staff person at the center. Evidence: When asked the Director stated that she hadn?t had the staff complete the emergency contact forms with that information yet.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: The kitchen area does not have a door. There were several bottled cleaning agents in the cabinet under the sink in the kitchen. The cabinet doors did not have a lock.”

8VAC20-780-540-E

“Based on observation and interview, the center failed to have one working, battery-operated radio in each building used by children. Evidence: When asked to see the battery-operated radio the Director could not locate one and stated that they did not have one.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: There were no allergy lists in any of the areas where the children were present. When asked, the Director stated that she was working on creating the list but hasn?t finished it yet.”

8VAC20-780-70

“Based on interview, the center failed to ensure that the name, address, and telephone number of a person to be notified in an emergency was kept for each staff person at the center. Evidence: When asked the Director stated that she hadn?t had the staff complete the emergency contact forms with that information yet.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: The kitchen area does not have a door. There were several bottled cleaning agents in the cabinet under the sink in the kitchen. The cabinet doors did not have a lock.”

8VAC20-780-550-G

“Based on review of the emergency drill log and staff interview, there was no documentation to support that emergency evacuation drills were conducted 10/2021, 11/2021, 12/2021, or 1/2022.”

8VAC20-780-510-P

“Based on review of medications and staff interview, the facility failed to return medication to the parents when the authorization expires. Evidence: an emergency medication in the medication box belonged to a child no longer in attendance. The medication expired 10/2020 and the authorization expired 6/21/2020. The medication had not been returned to the parents or discarded within 14 days as required.”

8VAC20-780-60-A

“Based on review of three children's files, the facility failed to have the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: there were no emergency contacts listed for Child C.”

8VAC20-770-60-B

“Based on review of four staff files, the facility failed to have a sworn disclosure statement for each employee prior to employment. Evidence: Staff A (date of hire 10/18/2021) did not complete a sworn disclosure statement until 1/6/2022.”

22.1-289.035-A

“Based on review of four staff files, the facility failed to have fingerprint results prior to hiring each employee. Evidence: Staff A was hired by the agency on 8/25/2021 and began working in a licensed facility on 10/18/2021. The fingerprint results were dated 10/25/2021.”

8VAC20-780-550-G

“Based on review of the emergency drill log and staff interview, there was no documentation to support that emergency evacuation drills were conducted 10/2021, 11/2021, 12/2021, or 1/2022.”

8VAC20-780-510-P

“Based on review of medications and staff interview, the facility failed to return medication to the parents when the authorization expires. Evidence: an emergency medication in the medication box belonged to a child no longer in attendance. The medication expired 10/2020 and the authorization expired 6/21/2020. The medication had not been returned to the parents or discarded within 14 days as required.”

8VAC20-780-60-A

“Based on review of three children's files, the facility failed to have the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: there were no emergency contacts listed for Child C.”

8VAC20-770-60-B

“Based on review of four staff files, the facility failed to have a sworn disclosure statement for each employee prior to employment. Evidence: Staff A (date of hire 10/18/2021) did not complete a sworn disclosure statement until 1/6/2022.”

22.1-289.035-A

“Based on review of four staff files, the facility failed to have fingerprint results prior to hiring each employee. Evidence: Staff A was hired by the agency on 8/25/2021 and began working in a licensed facility on 10/18/2021. The fingerprint results were dated 10/25/2021.”

22VAC40-665-580-B

“Based on review of five staff files, the facility failed to have documentation that each staff has VA Preservice training within 90 days of employment. Evidence: Staff A (date of hire in a licensed facility 3/12/2021) and Staff C (date of hire 5/22/2018) did not have documentation of VA Preservice Training.”

22VAC40-665-580-E-2

“Based on review of five staff files, the facility failed to have documentation that each staff has first aid certification within 90 days of employment. Evidence: Staff C (date of hire 5/22/2018) and Staff D (date of hire 6/22/2020) did not have documentation of first aid certification.”

22VAC40-665-580-E-1

“Based on review of five staff files, the facility failed to have documentation that each staff has CPR certification within 90 days of employment. Evidence: Staff C (date of hire 5/22/2018) and Staff D (date of hire 6/22/2020) did not have documentation of CPR training.”

22VAC40-185-240-A

“Based on review of five staff records, the facility failed to have documentation that each staff received orientation training by the end of their first day of assuming job responsibilities. Evidence: Staff A (date of hire 3/12/2021) and Staff B (date of hire 6/27/2021) had documentation of orientation training, but it was not dated.”

22VAC40-191-60-C-2

“Based on review of five staff files, the facility failed to have a completed search of the central registry ( CPS check) within 30 days of employment for each staff. Evidence: Staff 1 was hired by the agency 7/6/2020 and worked in a licensed child day center from 3/12/2021 to present. There is no documentation of a search of the central registry for Staff A on file.”

22VAC40-665-580-B

“Based on review of five staff files, the facility failed to have documentation that each staff has VA Preservice training within 90 days of employment. Evidence: Staff A (date of hire in a licensed facility 3/12/2021) and Staff C (date of hire 5/22/2018) did not have documentation of VA Preservice Training.”

22VAC40-665-580-E-2

“Based on review of five staff files, the facility failed to have documentation that each staff has first aid certification within 90 days of employment. Evidence: Staff C (date of hire 5/22/2018) and Staff D (date of hire 6/22/2020) did not have documentation of first aid certification.”

22VAC40-665-580-E-1

“Based on review of five staff files, the facility failed to have documentation that each staff has CPR certification within 90 days of employment. Evidence: Staff C (date of hire 5/22/2018) and Staff D (date of hire 6/22/2020) did not have documentation of CPR training.”

22VAC40-185-240-A

“Based on review of five staff records, the facility failed to have documentation that each staff received orientation training by the end of their first day of assuming job responsibilities. Evidence: Staff A (date of hire 3/12/2021) and Staff B (date of hire 6/27/2021) had documentation of orientation training, but it was not dated.”

22VAC40-191-60-C-2

“Based on review of five staff files, the facility failed to have a completed search of the central registry ( CPS check) within 30 days of employment for each staff. Evidence: Staff 1 was hired by the agency 7/6/2020 and worked in a licensed child day center from 3/12/2021 to present. There is no documentation of a search of the central registry for Staff A on file.”