Eastern Shore Family YMCA

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for three weeks, did not have a current central registry search requested.”

8VAC20-780-70

“Repeat Violation Documentation of at least 2 references as to character, reputation, and competencies are to be checked prior to employment. Staff #1, who was hired 3 weeks ago, did not have any complete reference verifications on file.”

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2 completed the course eleven months late.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff present who meets lead teacher qualifications. The staff on duty were not clear as to which staff member was the qualified lead teacher supervising the group of 12 children. When interviewed Staff 2 and Staff 3 stated they were not the program lead. The job title in the records reviewed on 8/17/26 for Staff 2, Staff 3 and Staff 4 was ?aide?.”

8VAC20-780-520-D

“If insect repellent is used all of the requirements shall be met. On 8/17/26 Staff 2 stated insect repellant was applied to Child 1, Child 2 and Child 3. There was no record that documented the children's names, date of use, frequency of application and any adverse reactions. The insect repellant was left on a table, accessible to children.”

8VAC20-780-510-F

“Medication authorizations shall be available to staff during the entire time it is effective. There were prescription medications stored for potential administration to Child 3 in an emergency without parent authorization.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. There was disinfectant spray labeled ?Keep out of reach of children? in an unlocked closet.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all the required components for emergency medical care, illness and communicable disease. The record for Child 1 did not contain the required signed agreements.”

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. The document the facility reviewed for proof off age and identity for Child 2, does not meet the requirement.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all of the required information. There were five injury reports that did not contain all of the required information.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. There were three water bottles that were not labeled with the child's name and date.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 6/24/25, were not posted.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1 obtained five of the 16 required hours in 2024.”

8VAC20-780-520-B

“If sunscreen is used it shall be labeled with the child's name. There were 4 bottles of sunscreen that were not labeled with the child's name.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all of the required information. There were five injury reports that did not contain all of the required information.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. There were three water bottles that were not labeled with the child's name and date.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 6/24/25, were not posted.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1 obtained five of the 16 required hours in 2024.”

8VAC20-780-520-B

“If sunscreen is used it shall be labeled with the child's name. There were 4 bottles of sunscreen that were not labeled with the child's name.”

8VAC20-780-70

“Staff records shall be kept for each staff person that include the name, address, and telephone number of a person to be notified in an emergency. The emergency contact information for Staff #2 did not include an address.”

8VAC20-780-540-E

“One working, battery-operated radio is required in each building used by children and any camp location without a building. The battery operated radio at the center was not working.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 has not yet completed this course which is overdue by 3 weeks.”

8VAC20-780-70

“Staff records shall be kept for each staff person that include the name, address, and telephone number of a person to be notified in an emergency. The emergency contact information for Staff #2 did not include an address.”

8VAC20-780-540-E

“One working, battery-operated radio is required in each building used by children and any camp location without a building. The battery operated radio at the center was not working.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 has not yet completed this course which is overdue by 3 weeks.”

8VAC20-790-600-F

“Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall, annually complete the departments health and safety update course. 1.The record for staff #3 did not include documentation of the annual health and safety update training course. a.Staff #6 confirmed the training had not been completed.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1.Monthly evacuation drills were not practiced in the months of June and July 2024. a.Staff #6 confirmed the drills were not conducted.”

8VAC20-780-550-P

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1.There were 11 injury reports that did not contain documentation of the date, time, and method used to notify a parent of an injury. a.Staff #6 confirmed the information was not in the record.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1. The record for child #1 did not contain the date of enrollment, parent name, address, and phone number. a. Staff #6 confirmed the information was not in the record.”

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1, There was no documentation of an annual lockdown drill conducted in 2023-2024. a. Staff #6 confirmed a lockdown drill was not documented.”

8VAC20-780-245-A

“Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.Staff #1 (date of hire 7/13/22) had 13 hours of annual training for 2023. 2.Staff #3(date of hire 7/13/22) had no documentation of annual training for 2023.”

8VAC20-780-70

“Based on a review of staff records it was determined the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The record for staff #2 did not include documentation of 2 reference check. a.Staff #6 confirmed the references were not in the record.”

8VAC20-790-600-F

“Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall, annually complete the departments health and safety update course. 1.The record for staff #3 did not include documentation of the annual health and safety update training course. a.Staff #6 confirmed the training had not been completed.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1.Monthly evacuation drills were not practiced in the months of June and July 2024. a.Staff #6 confirmed the drills were not conducted.”

8VAC20-780-550-P

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1.There were 11 injury reports that did not contain documentation of the date, time, and method used to notify a parent of an injury. a.Staff #6 confirmed the information was not in the record.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1. The record for child #1 did not contain the date of enrollment, parent name, address, and phone number. a. Staff #6 confirmed the information was not in the record.”

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1, There was no documentation of an annual lockdown drill conducted in 2023-2024. a. Staff #6 confirmed a lockdown drill was not documented.”

8VAC20-780-245-A

“Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.Staff #1 (date of hire 7/13/22) had 13 hours of annual training for 2023. 2.Staff #3(date of hire 7/13/22) had no documentation of annual training for 2023.”

8VAC20-780-70

“Based on a review of staff records it was determined the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The record for staff #2 did not include documentation of 2 reference check. a.Staff #6 confirmed the references were not in the record.”

8VAC20-780-160-C

“Repeat Violation Based on a record review of staff records, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Evidence: 1. The most recent TB screening for staff #2 was dated 4/11/2022 and was therefore over two years old. a. The Executive Director confirmed, an updated TB screening was not in the record.”

22.1-289.035-B-2

“Based on record review and interview, it was determined the facility did not ensure that a criminal history (fingerprint) background check was obtained prior to the first day of employment. Evidence: 1.The record for staff #4 (date of hire 11/28/23) did not contain documentation that the criminal history background check had been completed. a.The Executive Director confirmed, a criminal history background check was not in the record.”

8VAC20-780-260-B

“Based on record review and interview, it was determined the facility did not ensure that an annual approval from the health department was provided for water supply, sewage disposal system and food services, if applicable. Evidence: 1.The facility did not have documentation of current health department approval. a.The most recent health department approval available was a letter from the health inspector dated 4/28/22. b.The Executive Director confirmed that the annual health department approval had not been completed.”

8VAC20-780-280-B

“Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 4 cans of Rustoleum Turf Spray with labels that read "Keep out of reach of children" on the floor of a storage cabinet in the Multi-purpose room. a. Children were in the classroom and the cabinet was unlocked, therefore the turf spray was accessible to children.”

8VAC20-780-160-A

“Based on a review of staff records, it was determined the center did not ensure that each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1.The record for staff #4 did not contain documentation that a TB screening had been obtained. a.The Executive Director confirmed, the TB screening was not in the record.”

22.1-289.035-A

“Based on record review and interview, it was determined the center did not ensure that a repeat criminal history check was performed for each staff member at least every five years from the date of the last search. Evidence: 1.The criminal history record check on file for staff #1 was completed on 6/11/2019, therefore it was over 5 years old. a. The Executive Director confirmed, an updated criminal history check was not in the record.”

8VAC20-780-160-C

“Repeat Violation Based on a record review of staff records, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Evidence: 1. The most recent TB screening for staff #2 was dated 4/11/2022 and was therefore over two years old. a. The Executive Director confirmed, an updated TB screening was not in the record.”

22.1-289.035-B-2

“Based on record review and interview, it was determined the facility did not ensure that a criminal history (fingerprint) background check was obtained prior to the first day of employment. Evidence: 1.The record for staff #4 (date of hire 11/28/23) did not contain documentation that the criminal history background check had been completed. a.The Executive Director confirmed, a criminal history background check was not in the record.”

8VAC20-780-260-B

“Based on record review and interview, it was determined the facility did not ensure that an annual approval from the health department was provided for water supply, sewage disposal system and food services, if applicable. Evidence: 1.The facility did not have documentation of current health department approval. a.The most recent health department approval available was a letter from the health inspector dated 4/28/22. b.The Executive Director confirmed that the annual health department approval had not been completed.”

8VAC20-780-280-B

“Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 4 cans of Rustoleum Turf Spray with labels that read "Keep out of reach of children" on the floor of a storage cabinet in the Multi-purpose room. a. Children were in the classroom and the cabinet was unlocked, therefore the turf spray was accessible to children.”

8VAC20-780-160-A

“Based on a review of staff records, it was determined the center did not ensure that each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1.The record for staff #4 did not contain documentation that a TB screening had been obtained. a.The Executive Director confirmed, the TB screening was not in the record.”

22.1-289.035-A

“Based on record review and interview, it was determined the center did not ensure that a repeat criminal history check was performed for each staff member at least every five years from the date of the last search. Evidence: 1.The criminal history record check on file for staff #1 was completed on 6/11/2019, therefore it was over 5 years old. a. The Executive Director confirmed, an updated criminal history check was not in the record.”