The YMCA of South Hampton Roads-Camp Red Feather

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews, the center failed to ensure when staff are supervising children, they shall always ensure their care and protection. Evidence: The whereabouts of a five year old child were unknown to staff responsible for his supervision for approximately 45 minutes as demonstrated by the following incident which occurred on the afternoon of July 20, 2022: 1. The parent of child 1, age 5 years, arrived at approximately 4:55 pm on July 20, 2022, at the Greenbrier Family YMCA for pick-up as the child attends Camp Red Feather for summer camp. a. The Greenbrier Family YMCA is a designed pick-up and drop-off site for Camp Red Feather. b. Children are transported by a YMCA bus to and from Camp Red Feather to the Greenbrier Family YMCA. 2. The parent stated that staff 1 indicated her child was gathering his things and would be out shortly. a. A few minutes later the parent was told that her child was not at the Greenbrier YMCA and that they were not sure of child 1?s whereabouts. b. At approximately 5:15 pm the parent was told that child 1 had been left behind at Camp Red Feather. c. The parent stated that staff 1 confirmed that they were unaware that child 1 had failed to get on the bus as was the usual practice. 3. Staff 1, who identified herself as the lead bus counselor, confirmed that they were not aware that child 1 was not on the bus until the parent arrived for pick-up at the Greenbrier Family YMCA. a. Staff 1 stated that she had been in a meeting just prior to the buses leaving Camp Red Feather at approximately 4:30 pm. Staff 1 stated, "I was told to get on a bus which was not the bus I was usually on in the afternoon." b. Staff 1 stated she did not have her written attendance sheet with her and was told that roll had been taken prior to her getting on the bus. c. Staff 1 stated she was aware that child 1 was not on her bus but assumed he was on the 2nd bus utilized for transporting children to the Greenbrier Family YMCA. The second bus had departed just ahead of the bus staff 1 was on. d. Staff 1 confirmed that she initially told the parent of child 1 that the child would be out shortly as she assumed he had been on the bus that had already arrived and was inside of the Greenbrier Family YMCA. e. Staff 1 additionally confirmed that after searching for child 1, she told the parent that he was not on either bus or inside the designed classroom for Camp Red Feather inside the Greenbrier Family YMCA. f. Staff 1 stated she called the Program Director, staff 3, at Camp Red Feather and was told that child 1 was still at the camp. 4. Staff 2 stated that attendance was taken prior to dismissal as was the required practice. a. Staff 2 stated, ?We did a count before we got on the bus and I am not sure how he (child 1) didn?t get counted.? b. Staff 2 confirmed that they were unaware that child 1 had been left behind at Camp Red Feather until the parent arrived to pick him up 5. Staff 3 confirmed that child 1 had been left at Camp Red Feather on the afternoon of July 20, 2022 because staff had failed to properly take attendance prior to departure. a. Staff 3 stated that a different bus had to be obtained for transporting children that day and in the process of procuring a new bus normal attendance protocols had been improperly implemented. b. Staff 3 stated that the staff responsible for taking attendance had taken attendance however, she had somehow overlooked child 1 and did not realize he was not on the bus until the parent arrived to pick him up at the Greenbrier Family YMCA. c. Staff 3 confirmed that staff 1 called him from the Greenbrier Family YMCA to ascertain the whereabouts of child 1. Staff 2 stated he found child 1 in a classroom watching a movie and eating snack.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in first aid. 2. Staff 2, hire date 06/03/2010, lacks current certification in first aid. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current first aid certification was not available for these staff.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in CPR. 2. Staff 2, hire date 06/03/2010, lacks current certification in CPR. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current CPR certification was not available for these staff.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that staff have have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 1, hire date 11/15/2021, lacks a central registry finding. 2. Staff 2, hire date 06/07/2022, lacks a central registry finding. 3. Staff 3, hire date 06/01/2022, lacks a central registry finding. 3. Administrative staff confirmed that a central registry finding was not on file for these staff.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1, hire date 11/15/2021, lacked documentation of a TB screening. a. Staff 1 was observed caring for a group of children during the inspection. 2. Staff 3, hire date 06/01/2022, lacked documentation of a TB screening. a. Staff 3 was observed caring for a group of children during the inspection. 2. Administrative staff confirmed that a TB screening was not on file for staff 1and staff 3.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. Evidence: 1. There was no enrollment record available for child 1 who was in care during the inspection. 2. The enrollment record for child 2 lacked documentation of a second emergency contact and verification of age and identity. 3. Administrative staff verified that an enrollment record could not be located for child 1 and that information was incomplete for child 2.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the required elements: Evidence: 1. The record for staff 1, hire date 11/15/2021, lacked the following required documentation: a. Documentation to demonstrate the individual possesses the education, certification, and experience required by the job position, and orientation training required prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. b. Documentation of job title however, staff 1 identified herself as a program leader during the inspection. 2. Administrative staff stated the file for staff 3 could not be located. a. Staff 3 was working in the summer camp program during the inspection.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center shall be maintained in a safe condition. Evidence: 1. A child was observed playing on the floor, in the camp office, directly beside a window blind cord that was dangling down the wall onto the floor. a. This is an entanglement hazard. 2. An extension cord was observed placed on the floor, running the length of the classroom, located across from the camp office. This extension cord had been placed through a closed window and extended outside down the side of the building and on the ground. The cord was plugged into a golf cart charger which was sitting on the ground. a. This is a trip hazard and a fire safety hazard.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Two children were observed talking and socializing at the grassy area on the side of the classrooms. No staff were present to supervise these children. a. The inspector brought the unsupervised children to the attention of administrative staff who confirmed they were not aware these children had left the group.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Between 3:38 pm and 3:40 pm the inspector observed four children walk unattended from the camp outdoor gathering area to the parking lot where their parent's were waiting at pick up car pool. a. There were no staff in the parking lot to ensure these children arrived safely to the correct parent nor were any staff within sight and sound supervision of the children once they left the outdoor gathering area. b. The outdoor gathering area is located behind the camp office and staff can not see beyond the sidewalk area of the camp office.”

8VAC20-780-400-B

“Based on observation, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff 1 who was identified as the program leader for a group of 27 five year old children was heard stating , " Y'all aren't listening" several times to the children in a voice tone that was loud and negative. a. The inspector was siting inside of an office and overheard staff 1 from an open window. b. Staff 1 continued to admonish the children, in a loud voice, several more times until told by the program director that her manner of speaking to the children was inappropriate.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure that provision shall be made for an individual place for each child's personal belongings. Evidence: The inspector observed approximately 45 backpacks & lunch containers stored in a heap on the floor of the classroom located across form the camp office.”

8VAC20-780-510-G

“Based on medication review, the center failed to ensure that edication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. A loose inhaler, for child 3, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given. 2. A loose epi pen, for child 4, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given.”

8VAC20-780-510-I

“Based on medication review, the center failed to ensure that drugs that were dispensed from a pharmacy shall be maintained in the original, labeled container. Evidence: 1. Two prescription medications for child 3 and child 4 were received into the facility without the original prescription label.”

8VAC20-780-550-G

“Based on record review, the center failed to maintain documentation of emergency shelter-in-place, and lockdown drills. Evidence: The emergency log for the facility lacked documentation of any shelter-in-place or lockdown practice drills for the months of June, July and August 2022.”

8VAC20-780-550-P

“Based on record review, the center failed to ensure that the written record of children's serious and minor injuries in which entries are made the day of occurrence include all of the required elements. Evidence: 1. A review of 20 injury reports found the following required information lacking: a. One report lacked a staff and parent signature or two staff signatures; b. Three injury reports lacked a parent signature or a second staff signature; c. Ten injury reports lacked the date and or time the parent was notified; d. Four reports lacked documentation of any future action to prevent recurrence of the injury; e. Four injury reports lacked documentation of how the parent was notified.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated. Evidence: Ten of ten lunch containers reviewed lacked a current date.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises of the facility. Evidence: 1. The most recent violation notice and inspection summary for the 07/11/2022 monitoring inspection were not posted on the facility parent board. a. The inspection reports for the 08/25/2021 inspection were posted.”

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews, the center failed to ensure when staff are supervising children, they shall always ensure their care and protection. Evidence: The whereabouts of a five year old child were unknown to staff responsible for his supervision for approximately 45 minutes as demonstrated by the following incident which occurred on the afternoon of July 20, 2022: 1. The parent of child 1, age 5 years, arrived at approximately 4:55 pm on July 20, 2022, at the Greenbrier Family YMCA for pick-up as the child attends Camp Red Feather for summer camp. a. The Greenbrier Family YMCA is a designed pick-up and drop-off site for Camp Red Feather. b. Children are transported by a YMCA bus to and from Camp Red Feather to the Greenbrier Family YMCA. 2. The parent stated that staff 1 indicated her child was gathering his things and would be out shortly. a. A few minutes later the parent was told that her child was not at the Greenbrier YMCA and that they were not sure of child 1?s whereabouts. b. At approximately 5:15 pm the parent was told that child 1 had been left behind at Camp Red Feather. c. The parent stated that staff 1 confirmed that they were unaware that child 1 had failed to get on the bus as was the usual practice. 3. Staff 1, who identified herself as the lead bus counselor, confirmed that they were not aware that child 1 was not on the bus until the parent arrived for pick-up at the Greenbrier Family YMCA. a. Staff 1 stated that she had been in a meeting just prior to the buses leaving Camp Red Feather at approximately 4:30 pm. Staff 1 stated, "I was told to get on a bus which was not the bus I was usually on in the afternoon." b. Staff 1 stated she did not have her written attendance sheet with her and was told that roll had been taken prior to her getting on the bus. c. Staff 1 stated she was aware that child 1 was not on her bus but assumed he was on the 2nd bus utilized for transporting children to the Greenbrier Family YMCA. The second bus had departed just ahead of the bus staff 1 was on. d. Staff 1 confirmed that she initially told the parent of child 1 that the child would be out shortly as she assumed he had been on the bus that had already arrived and was inside of the Greenbrier Family YMCA. e. Staff 1 additionally confirmed that after searching for child 1, she told the parent that he was not on either bus or inside the designed classroom for Camp Red Feather inside the Greenbrier Family YMCA. f. Staff 1 stated she called the Program Director, staff 3, at Camp Red Feather and was told that child 1 was still at the camp. 4. Staff 2 stated that attendance was taken prior to dismissal as was the required practice. a. Staff 2 stated, ?We did a count before we got on the bus and I am not sure how he (child 1) didn?t get counted.? b. Staff 2 confirmed that they were unaware that child 1 had been left behind at Camp Red Feather until the parent arrived to pick him up 5. Staff 3 confirmed that child 1 had been left at Camp Red Feather on the afternoon of July 20, 2022 because staff had failed to properly take attendance prior to departure. a. Staff 3 stated that a different bus had to be obtained for transporting children that day and in the process of procuring a new bus normal attendance protocols had been improperly implemented. b. Staff 3 stated that the staff responsible for taking attendance had taken attendance however, she had somehow overlooked child 1 and did not realize he was not on the bus until the parent arrived to pick him up at the Greenbrier Family YMCA. c. Staff 3 confirmed that staff 1 called him from the Greenbrier Family YMCA to ascertain the whereabouts of child 1. Staff 2 stated he found child 1 in a classroom watching a movie and eating snack.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in first aid. 2. Staff 2, hire date 06/03/2010, lacks current certification in first aid. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current first aid certification was not available for these staff.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in CPR. 2. Staff 2, hire date 06/03/2010, lacks current certification in CPR. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current CPR certification was not available for these staff.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that staff have have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 1, hire date 11/15/2021, lacks a central registry finding. 2. Staff 2, hire date 06/07/2022, lacks a central registry finding. 3. Staff 3, hire date 06/01/2022, lacks a central registry finding. 3. Administrative staff confirmed that a central registry finding was not on file for these staff.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1, hire date 11/15/2021, lacked documentation of a TB screening. a. Staff 1 was observed caring for a group of children during the inspection. 2. Staff 3, hire date 06/01/2022, lacked documentation of a TB screening. a. Staff 3 was observed caring for a group of children during the inspection. 2. Administrative staff confirmed that a TB screening was not on file for staff 1and staff 3.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. Evidence: 1. There was no enrollment record available for child 1 who was in care during the inspection. 2. The enrollment record for child 2 lacked documentation of a second emergency contact and verification of age and identity. 3. Administrative staff verified that an enrollment record could not be located for child 1 and that information was incomplete for child 2.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the required elements: Evidence: 1. The record for staff 1, hire date 11/15/2021, lacked the following required documentation: a. Documentation to demonstrate the individual possesses the education, certification, and experience required by the job position, and orientation training required prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. b. Documentation of job title however, staff 1 identified herself as a program leader during the inspection. 2. Administrative staff stated the file for staff 3 could not be located. a. Staff 3 was working in the summer camp program during the inspection.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center shall be maintained in a safe condition. Evidence: 1. A child was observed playing on the floor, in the camp office, directly beside a window blind cord that was dangling down the wall onto the floor. a. This is an entanglement hazard. 2. An extension cord was observed placed on the floor, running the length of the classroom, located across from the camp office. This extension cord had been placed through a closed window and extended outside down the side of the building and on the ground. The cord was plugged into a golf cart charger which was sitting on the ground. a. This is a trip hazard and a fire safety hazard.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Two children were observed talking and socializing at the grassy area on the side of the classrooms. No staff were present to supervise these children. a. The inspector brought the unsupervised children to the attention of administrative staff who confirmed they were not aware these children had left the group.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Between 3:38 pm and 3:40 pm the inspector observed four children walk unattended from the camp outdoor gathering area to the parking lot where their parent's were waiting at pick up car pool. a. There were no staff in the parking lot to ensure these children arrived safely to the correct parent nor were any staff within sight and sound supervision of the children once they left the outdoor gathering area. b. The outdoor gathering area is located behind the camp office and staff can not see beyond the sidewalk area of the camp office.”

8VAC20-780-400-B

“Based on observation, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff 1 who was identified as the program leader for a group of 27 five year old children was heard stating , " Y'all aren't listening" several times to the children in a voice tone that was loud and negative. a. The inspector was siting inside of an office and overheard staff 1 from an open window. b. Staff 1 continued to admonish the children, in a loud voice, several more times until told by the program director that her manner of speaking to the children was inappropriate.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure that provision shall be made for an individual place for each child's personal belongings. Evidence: The inspector observed approximately 45 backpacks & lunch containers stored in a heap on the floor of the classroom located across form the camp office.”

8VAC20-780-510-G

“Based on medication review, the center failed to ensure that edication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. A loose inhaler, for child 3, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given. 2. A loose epi pen, for child 4, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given.”

8VAC20-780-510-I

“Based on medication review, the center failed to ensure that drugs that were dispensed from a pharmacy shall be maintained in the original, labeled container. Evidence: 1. Two prescription medications for child 3 and child 4 were received into the facility without the original prescription label.”

8VAC20-780-550-G

“Based on record review, the center failed to maintain documentation of emergency shelter-in-place, and lockdown drills. Evidence: The emergency log for the facility lacked documentation of any shelter-in-place or lockdown practice drills for the months of June, July and August 2022.”

8VAC20-780-550-P

“Based on record review, the center failed to ensure that the written record of children's serious and minor injuries in which entries are made the day of occurrence include all of the required elements. Evidence: 1. A review of 20 injury reports found the following required information lacking: a. One report lacked a staff and parent signature or two staff signatures; b. Three injury reports lacked a parent signature or a second staff signature; c. Ten injury reports lacked the date and or time the parent was notified; d. Four reports lacked documentation of any future action to prevent recurrence of the injury; e. Four injury reports lacked documentation of how the parent was notified.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated. Evidence: Ten of ten lunch containers reviewed lacked a current date.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises of the facility. Evidence: 1. The most recent violation notice and inspection summary for the 07/11/2022 monitoring inspection were not posted on the facility parent board. a. The inspection reports for the 08/25/2021 inspection were posted.”

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews, the center failed to ensure when staff are supervising children, they shall always ensure their care and protection. Evidence: The whereabouts of a five year old child were unknown to staff responsible for his supervision for approximately 45 minutes as demonstrated by the following incident which occurred on the afternoon of July 20, 2022: 1. The parent of child 1, age 5 years, arrived at approximately 4:55 pm on July 20, 2022, at the Greenbrier Family YMCA for pick-up as the child attends Camp Red Feather for summer camp. a. The Greenbrier Family YMCA is a designed pick-up and drop-off site for Camp Red Feather. b. Children are transported by a YMCA bus to and from Camp Red Feather to the Greenbrier Family YMCA. 2. The parent stated that staff 1 indicated her child was gathering his things and would be out shortly. a. A few minutes later the parent was told that her child was not at the Greenbrier YMCA and that they were not sure of child 1?s whereabouts. b. At approximately 5:15 pm the parent was told that child 1 had been left behind at Camp Red Feather. c. The parent stated that staff 1 confirmed that they were unaware that child 1 had failed to get on the bus as was the usual practice. 3. Staff 1, who identified herself as the lead bus counselor, confirmed that they were not aware that child 1 was not on the bus until the parent arrived for pick-up at the Greenbrier Family YMCA. a. Staff 1 stated that she had been in a meeting just prior to the buses leaving Camp Red Feather at approximately 4:30 pm. Staff 1 stated, "I was told to get on a bus which was not the bus I was usually on in the afternoon." b. Staff 1 stated she did not have her written attendance sheet with her and was told that roll had been taken prior to her getting on the bus. c. Staff 1 stated she was aware that child 1 was not on her bus but assumed he was on the 2nd bus utilized for transporting children to the Greenbrier Family YMCA. The second bus had departed just ahead of the bus staff 1 was on. d. Staff 1 confirmed that she initially told the parent of child 1 that the child would be out shortly as she assumed he had been on the bus that had already arrived and was inside of the Greenbrier Family YMCA. e. Staff 1 additionally confirmed that after searching for child 1, she told the parent that he was not on either bus or inside the designed classroom for Camp Red Feather inside the Greenbrier Family YMCA. f. Staff 1 stated she called the Program Director, staff 3, at Camp Red Feather and was told that child 1 was still at the camp. 4. Staff 2 stated that attendance was taken prior to dismissal as was the required practice. a. Staff 2 stated, ?We did a count before we got on the bus and I am not sure how he (child 1) didn?t get counted.? b. Staff 2 confirmed that they were unaware that child 1 had been left behind at Camp Red Feather until the parent arrived to pick him up 5. Staff 3 confirmed that child 1 had been left at Camp Red Feather on the afternoon of July 20, 2022 because staff had failed to properly take attendance prior to departure. a. Staff 3 stated that a different bus had to be obtained for transporting children that day and in the process of procuring a new bus normal attendance protocols had been improperly implemented. b. Staff 3 stated that the staff responsible for taking attendance had taken attendance however, she had somehow overlooked child 1 and did not realize he was not on the bus until the parent arrived to pick him up at the Greenbrier Family YMCA. c. Staff 3 confirmed that staff 1 called him from the Greenbrier Family YMCA to ascertain the whereabouts of child 1. Staff 2 stated he found child 1 in a classroom watching a movie and eating snack.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in first aid. 2. Staff 2, hire date 06/03/2010, lacks current certification in first aid. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current first aid certification was not available for these staff.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that staff shall obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff 1, hire date 11/15/2021, lacks current certification in CPR. 2. Staff 2, hire date 06/03/2010, lacks current certification in CPR. a. The certification card on file indicates an expiration date of 09/2019. 3. Administrative staff stated current CPR certification was not available for these staff.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that staff have have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 1, hire date 11/15/2021, lacks a central registry finding. 2. Staff 2, hire date 06/07/2022, lacks a central registry finding. 3. Staff 3, hire date 06/01/2022, lacks a central registry finding. 3. Administrative staff confirmed that a central registry finding was not on file for these staff.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1, hire date 11/15/2021, lacked documentation of a TB screening. a. Staff 1 was observed caring for a group of children during the inspection. 2. Staff 3, hire date 06/01/2022, lacked documentation of a TB screening. a. Staff 3 was observed caring for a group of children during the inspection. 2. Administrative staff confirmed that a TB screening was not on file for staff 1and staff 3.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. Evidence: 1. There was no enrollment record available for child 1 who was in care during the inspection. 2. The enrollment record for child 2 lacked documentation of a second emergency contact and verification of age and identity. 3. Administrative staff verified that an enrollment record could not be located for child 1 and that information was incomplete for child 2.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the required elements: Evidence: 1. The record for staff 1, hire date 11/15/2021, lacked the following required documentation: a. Documentation to demonstrate the individual possesses the education, certification, and experience required by the job position, and orientation training required prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. b. Documentation of job title however, staff 1 identified herself as a program leader during the inspection. 2. Administrative staff stated the file for staff 3 could not be located. a. Staff 3 was working in the summer camp program during the inspection.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center shall be maintained in a safe condition. Evidence: 1. A child was observed playing on the floor, in the camp office, directly beside a window blind cord that was dangling down the wall onto the floor. a. This is an entanglement hazard. 2. An extension cord was observed placed on the floor, running the length of the classroom, located across from the camp office. This extension cord had been placed through a closed window and extended outside down the side of the building and on the ground. The cord was plugged into a golf cart charger which was sitting on the ground. a. This is a trip hazard and a fire safety hazard.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Two children were observed talking and socializing at the grassy area on the side of the classrooms. No staff were present to supervise these children. a. The inspector brought the unsupervised children to the attention of administrative staff who confirmed they were not aware these children had left the group.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Between 3:38 pm and 3:40 pm the inspector observed four children walk unattended from the camp outdoor gathering area to the parking lot where their parent's were waiting at pick up car pool. a. There were no staff in the parking lot to ensure these children arrived safely to the correct parent nor were any staff within sight and sound supervision of the children once they left the outdoor gathering area. b. The outdoor gathering area is located behind the camp office and staff can not see beyond the sidewalk area of the camp office.”

8VAC20-780-400-B

“Based on observation, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff 1 who was identified as the program leader for a group of 27 five year old children was heard stating , " Y'all aren't listening" several times to the children in a voice tone that was loud and negative. a. The inspector was siting inside of an office and overheard staff 1 from an open window. b. Staff 1 continued to admonish the children, in a loud voice, several more times until told by the program director that her manner of speaking to the children was inappropriate.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure that provision shall be made for an individual place for each child's personal belongings. Evidence: The inspector observed approximately 45 backpacks & lunch containers stored in a heap on the floor of the classroom located across form the camp office.”

8VAC20-780-510-G

“Based on medication review, the center failed to ensure that edication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. A loose inhaler, for child 3, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given. 2. A loose epi pen, for child 4, was observed stored in a plastic bag inside of the locked medication box. a. The bag was labeled with the child's name however, the medication lacked any name label, dosage amount and times to be given.”

8VAC20-780-510-I

“Based on medication review, the center failed to ensure that drugs that were dispensed from a pharmacy shall be maintained in the original, labeled container. Evidence: 1. Two prescription medications for child 3 and child 4 were received into the facility without the original prescription label.”

8VAC20-780-550-G

“Based on record review, the center failed to maintain documentation of emergency shelter-in-place, and lockdown drills. Evidence: The emergency log for the facility lacked documentation of any shelter-in-place or lockdown practice drills for the months of June, July and August 2022.”

8VAC20-780-550-P

“Based on record review, the center failed to ensure that the written record of children's serious and minor injuries in which entries are made the day of occurrence include all of the required elements. Evidence: 1. A review of 20 injury reports found the following required information lacking: a. One report lacked a staff and parent signature or two staff signatures; b. Three injury reports lacked a parent signature or a second staff signature; c. Ten injury reports lacked the date and or time the parent was notified; d. Four reports lacked documentation of any future action to prevent recurrence of the injury; e. Four injury reports lacked documentation of how the parent was notified.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated. Evidence: Ten of ten lunch containers reviewed lacked a current date.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises of the facility. Evidence: 1. The most recent violation notice and inspection summary for the 07/11/2022 monitoring inspection were not posted on the facility parent board. a. The inspection reports for the 08/25/2021 inspection were posted.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that all staff have current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: Staff 1, hire date 05/12/2021 lacks documentation of first aid certification.”

8VAC20-780-460-A

“Based on observation, the center failed to ensure that at no time shall there be fewer than two staff members supervising the swimming activity. Evidence: 1. A group of nine SA children were observed swimming and diving into the deep end of the pool with no staff supervision for approximately five minutes. a. During this time children were observed diving multiple times into areas where groups of children were present in the water. b. One child was observed pushing another child into the water where a group of children were present. c. One child was observed running on the pool deck - which the lift guard did address. 2. The staff person responsible for this group stated she had left the group in order to use the restroom.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. A sample of five children's records reviewed lacked documentation of the first day of attendance. 2. Two emergency contacts were not indicated in the enrollment record for child 1.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Child 2, age eight, was observed leaving his group at approximately 9:40 am, without knowledge of the staff responsible for his care. a. Child 2 walked away from the group and entered the building utilized for classroom space. Child 2 walked through the classroom and exited from a second door. b. No staff were in this building. c. Child 2 then walked across the breezeway and entered the building used for office space. d. Child 2 told the inspector he was going to get a drink of water. 2. The counselor, responsible for child 2's supervision, remained with the larger group which was engaged in the morning welcome. a. This counselor stated he was not aware that child 2 had left his group.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. Two bottles of spray disinfectant were not labeled to indicate contents. a. These bottles were stored in a locked container and were identified as the disinfecant used to sanitize tables by administrative staff.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. 8 of 12 lunch containers reviewed were not dated. 2. 7 of 12 lunch containers reviewed lacked any type of name label.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 1, hire date 06/07/2022, lacks a central registry check finding. 2. Administrative staff confirmed that a central registry check was not on file for staff 1.”

8VAC20-780-480-A

“Based on observation, the center failed to have emergency procedures and written safety rules for swimming or wading that are posted in the swimming area. Evidence: 1. No swimming safety rules or procedures were posted in the swimming pool area utilized by children in the licensed program. a. Administrative staff confirmed that safety rules were not posted.”

8VAC20-780-340-D

“Based on observation and record review, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. Staff 1 lacks the 6 months of full time programmatic experience required to meet program leader qualification 8VAC20-210-A.4 based on written documentation in the employment file. a. Staff 1 was observed functioning as a program leader with a group of children during the inspection. b. Staff 1's job title is indicated as a counselor in the employment file. 2. Administrative staff confirmed that staff 1 lacked the required 6 months of programmatic experience working with a group of children.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that all staff have current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: Staff 1, hire date 05/12/2021 lacks documentation of first aid certification.”

8VAC20-780-460-A

“Based on observation, the center failed to ensure that at no time shall there be fewer than two staff members supervising the swimming activity. Evidence: 1. A group of nine SA children were observed swimming and diving into the deep end of the pool with no staff supervision for approximately five minutes. a. During this time children were observed diving multiple times into areas where groups of children were present in the water. b. One child was observed pushing another child into the water where a group of children were present. c. One child was observed running on the pool deck - which the lift guard did address. 2. The staff person responsible for this group stated she had left the group in order to use the restroom.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. A sample of five children's records reviewed lacked documentation of the first day of attendance. 2. Two emergency contacts were not indicated in the enrollment record for child 1.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Child 2, age eight, was observed leaving his group at approximately 9:40 am, without knowledge of the staff responsible for his care. a. Child 2 walked away from the group and entered the building utilized for classroom space. Child 2 walked through the classroom and exited from a second door. b. No staff were in this building. c. Child 2 then walked across the breezeway and entered the building used for office space. d. Child 2 told the inspector he was going to get a drink of water. 2. The counselor, responsible for child 2's supervision, remained with the larger group which was engaged in the morning welcome. a. This counselor stated he was not aware that child 2 had left his group.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. Two bottles of spray disinfectant were not labeled to indicate contents. a. These bottles were stored in a locked container and were identified as the disinfecant used to sanitize tables by administrative staff.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. 8 of 12 lunch containers reviewed were not dated. 2. 7 of 12 lunch containers reviewed lacked any type of name label.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff 1, hire date 06/07/2022, lacks a central registry check finding. 2. Administrative staff confirmed that a central registry check was not on file for staff 1.”

8VAC20-780-480-A

“Based on observation, the center failed to have emergency procedures and written safety rules for swimming or wading that are posted in the swimming area. Evidence: 1. No swimming safety rules or procedures were posted in the swimming pool area utilized by children in the licensed program. a. Administrative staff confirmed that safety rules were not posted.”

8VAC20-780-340-D

“Based on observation and record review, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. Staff 1 lacks the 6 months of full time programmatic experience required to meet program leader qualification 8VAC20-210-A.4 based on written documentation in the employment file. a. Staff 1 was observed functioning as a program leader with a group of children during the inspection. b. Staff 1's job title is indicated as a counselor in the employment file. 2. Administrative staff confirmed that staff 1 lacked the required 6 months of programmatic experience working with a group of children.”