The YMCA of South Hampton Roads-Granby

8VAC20-790-600-D-2

“Based on record review the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in first aid appropriate to the ages of the children in care. Evidence: 1.The first aid certification for staff #2 expired on 6/10/2023. 2.The first aid certification for staff #3 expired on 1/11/2023. 3.The first aid certification for staff #4 expired on 6/16/2023.”

8VAC20-790-600-D-1

“Based on record review the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in Cardiopulmonary resuscitation (CPR) appropriate to the ages of the children in care. Evidence: 1.The CPR certification for staff #2 expired on 6/10/2023. 2. The CPR certification for staff #3 expired on 1/11/2023. 3, The CPR certification for staff #4 expired on 6/16/2023.”

8VAC20-780-550-D

“Based on a review of the emergency evacuation drill log and interview, it was determined that the center did not ensure that monthly practice evacuation drills are conducted. Evidence: 1.There was no documentation that a practice evacuation drill was conducted in April 2023. 2.Staff #1 confirmed that an evacuation drill was not documented for April.”

8VAC20-780-270-A

“Based on observation the center did not ensure that areas and equipment outside, are maintained in a clean, safe and operable condition. Evidence: 1. Two areas of plastic coating, measuring approximately 6-8 inches, were torn and pulled away from the steps of the outdoor play structure. 2.The two areas have pulled up and away from the structure frame to a height of approximately two inches, creating tripping hazards. 3.Staff #1 confirmed that the plastic coating was pulled away from the steps of the play structure.”

8VAC20-780-550-P

“Based on a review of injury records the center did not ensure that the written record of children’s serious and minor injuries included the date and time the parents were notified. Evidence: 1.Injury reports provided for Children #9 (dated 6/22/23), #10 (dated 6/22/23), #11 (dated 6/23/23), #12 (dated 6/21/23), #13 (dated 6/21/23), #14 (dated 6/21/23) did not include the times the parents were notified of the children’s injuries. 2.An injury report for Child #9 (dated 6/22/23) did not include the date the parent was notified of the child’s injury.”

8VAC20-780-280-B

“Based on observation it was determined the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A spray bottle of Tilex cleaning solution was observed on a cabinet in the art room. The label included a warning and the precautionary statement ?hazardous to humans and animals?. 2. 7 cans of spray paint with caution labels were in an unlocked cabinet. This cabinet was accessible to children. 3. A spray bottle of Century 256 disinfectant and Tilex cleaning solution was observed in a pool closet open directly to the pool deck. These hazardous substances were accessible to the children on the pool deck.”

8VAC20-780-240-C

“Based on records review and interview the center did not ensure that staff complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. 1.Staff #5 (date of hire 11/16/22) employee record did not have documentation of orientation training. Staff #1 confirmed that documentation of orientation training was not in the record”

8VAC20-780-350-B-5

“Based on observation and interviews the center did not ensure that the staff-child-ratio of 1:18 for children school age eligible up to 9 years was maintained. Evidence: Nineteen children, ages 5-7 years old and 1 staff member were observed with Staff #7 on the playground. Staff #7 who was supervising the children on the playground stated the second staff member had taken a child to the bathroom. This left the group out of ratio. Staff #1 acknowledged that the children were out of ratio on the playground.”

8VAC20-780-350-B-5

“Based on observation and interviews the center did not ensure that the staff-child-ratio of 1:18 for children school age eligible up to 9 years was maintained. Evidence: Nineteen children, ages 5-7 years old and 1 staff member were observed with Staff #7 on the playground. Staff #7 who was supervising the children on the playground stated the second staff member had taken a child to the bathroom. This left the group out of ratio. Staff #1 acknowledged that the children were out of ratio on the playground.”

8VAC20-780-430-K

“Based on observation, the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: In the Game Zone classroom children’s personal belongings including backpacks were piled on top of each other on the floor by the interior window. Staff #1 confirmed that the children did not have individual places to keep their belongings.”

8VAC20-780-240-A

“Based on the review of records and interview the center did not ensure that the Virginia Department of Education sponsored orientation course is completed within 90 calendar days of employment. Evidence: Staff #5 (date of hire 11/16/22) did not have a certificate of completion for the Virginia Department of Education orientation course. Staff #1 confirmed that the staff member had not completed the training.”

8VAC20-780-160-C

“Based on record review, 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: The date of the most recent tuberculosis screening in the file provided for staff #4 was dated 6/9/2021, which is not within the past two years.”

8VAC20-780-160-C

“Based on record review, 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: The date of the most recent tuberculosis screening in the file provided for staff #4 was dated 6/9/2021, which is not within the past two years.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that documentation of the tuberculosis (T) screening shall be completed within the last 30 calendar days of employment and prior to coming into contact with children. Evidence: TBbscreening for staff #5 was obtained after employment. The TB screening for staff #5 was obtained on 4/13/22 which is after the hire date of 6/19/2020.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. Two areas of plastic coating, measuring approximately 6-8 inches, were torn and pulled away from the steps of the outdoor play structure. 2. These areas are pulled away in such a way as to create a trip hazard. 3. Staff #1 confirmed that the plastic coating was pulled away from the steps of the play structure.”

8VAC20-780-560-G

“Based on observation and interview the center did not ensure that when food is brought from home the food container shall be dated and clearly labeled in a way that identifies the owner. Evidence: 1. Three lunch boxes were not dated. 2. Staff #1 confirmed that the dates were bot on the lunch boxes.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1. A child #5 left the gym by herself and went into another classroom (Play Zone). Alone she opened the door to the classroom, it closed behind her. Out of sight and sound supervision she walked to the far side of the dark classroom by herself and got a tissue. She then returned to the gym and was not seen by staff until she re-entered through the closed door. 2. The staff were in the gym with the door closed. Staff #1 was seated at the closed door of the gym. Staff #1 had his back to the hallway and the other classroom that the child entered.”

8VAC20-780-130-A

“Based on review of five children's records, it was determined that the facility did not ensure that there were immunizations on file for each child prior to attendance. Evidence: The record the center presented for child #6 did not contain immunizations.”

8VAC20-780-60-A

“Based on record review the center did not ensure that the child’s record contained the name, address and phone number of two designated people to call in an emergency if the parent cannot be reached. Evidence: The record for child #4 contained only one emergency contact other than the parent.”

22.1-289.035-B-2

“Based on record review, the center failed to obtain results of fingerprinting prior to the 1st day of employment. Evidence: 1. Staff #5 fingerprint check was dated 6/23/20. Staff #5 began working on 6/19/20, before the Criminal History Records Check was complete.”

8VAC20-780-280-B

“materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A container of Clorox wipes was observed on the lowest shelf of a TV cart in the Play Zone area the children were in.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. One prescription medication, for child 1, was stored inside of her backpack. a. Staff 1 stated she did not have a locked place to store the medication.”

8VAC20-780-510-I

“Based on observation and interview, the center failed to obtain written authorization for a parent for administration of prescription medication. Evidence: 1. Written authorization from the parent of child 1 was not obtained for one prescription medication. a. Staff 1 stated that they had not obtained written authorization for this medication.”

8VAC20-780-510-G

“Based on observation, the center failed to ensure that medication shall be labeled with the child's name. Evidence: One prescription medication, for child 1, was not labeled with the child's name.”

8VAC20-780-550-G

“Based on interview, the center failed to ensure that documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. Evidence: 1. Staff 5 stated there was no written documentation on file to demonstrate that emergency practice drills had been conducted for fire, lockdown and shelter-in-place.”

8VAC20-780-245-J-3

“Based on record review and interview, the center failed to ensure any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member with medication administration training. Evidence: 1. None of the staff caring for children during the inspection had certification in medication administration training. a. Staff 1 stated that she did not have MAT training. Staff 2 stated she did not have MAT training. 2. There was one child in care, child 1, who required an emergency medication, as needed.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records shall contain all of the required elements. Evidence: 1. When the inspector arrived the two staff present, staff 1 and staff 2, stated that emergency contact information was not available for any of the staff working in the licensed child care program. 2. The first date of employment was not documented in the employment file of staff 1, staff 2 and staff 3.”

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. The enrollment record for child 2 lacked the name, address and telephone number of two emergency contacts if the parent can not be reached. 2. The enrollment record for child 1 lacked the name, address and telephone number of a second emergency contact in the event that the parent can not be reached.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that documentation of the TB screening shall be been completed with in the last 30 calendar days of employment and prior to coming into contact with children. Evidence: 1. TB screenings for staff 3 and staff 4 were obtained after employment. a. The TB screening for staff 3 was obtained on 10/28/2022 which is after the hire date of 5/3/2022. b. The TB screening for staff 4 was obtained on 10/28/2022 which is after the hire date of 8/1/2022.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 3 and staff 4 lack the results of an out-of-state central registry search from a state they resided in within the past 5 years.”

8VAC20-780-540-E

“Based on interview and observation, the center failed to ensure that there was one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff 5 stated the batteries were not working.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall clearly dated and labeled in a way that identifies the owner. Evidence: 1. Four lunch containers reviewed were not dated. 2. 1 of the 4 reviewed lacked any name label.”

8VAC20-780-340-B

“Based on interview, the center failed to ensure that during the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: 1. When the inspection arrived at 10:25 am, staff 1 and staff 2, stated no one was in charge of the program. a. Both staff stated they were not in charge and their only responsibility was to care for the children. 2. Both staff stated that no administrative staff had been present since the program opened at 6:30 am. 3. Administrative staff 5 arrived at approximately 11:00 am.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water or disposable wipes after eating meals. Evidence: 1. Children did not wash their hands after completion of lunch. a. The inspector observed children going directly to an activity in the classroom after discarding lunch trash.”

8VAC20-780-340-A

“Based on interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. The center failed to provide for care and protection of 6 school age children as demonstrated by the following: a. When the inspector arrived at 10:25 am, staff 1 stated they had no access to children's records and staff emergency contact information. b. Staff 1 also stated she did not have access to the first aid kit, battery operated radio and flashlight. 2. Staff 1 additionally stated that no administrative staff, for the child care program, had been on site that day and it was not know when any administrative staff would arrive.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. When the inspector arrived at 10:25 am a quart of bleach, a gallon of hand sanitizer and a 33.8oz container of hand sanitizer was observed placed on the counter in the kitchenette area of the classroom. a. This counter is within easy reach of the children in care. 2. The cabinet, located above the kitchen counter, was unlocked. Six bottles of disinfectant/cleaning agents were stored in this cabinet. 3. A bottle of sanitizing agent was observed on top of the refrigerator.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that outside equipment of the center shall be maintained in a safe condition. Evidence: 1. Two areas of plastic coating, measuring approximately 6 - 9 inches in length, were torn and disconnected from the outdoor play structure stairs. a. These areas of torn plastic are unsecured in such a way at to create a trip hazard for children.”

8VAC20-780-260-B

“Based on interview, the center failed to ensure that after the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply and sewage disposal. Evidence: 1. Staff 5 stated an annual inspection from the Norfolk Health Department was not available for the facility or the outdoor swimming pool. a. The outdoor swimming pool is utilized during the summer months.”

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: 1. Children's backpacks, coats and lunch containers were observed stored on tables and chairs in the child care room. a. These items were placed in such a way that they were not separated as the belongings were directly beside / touching other belongings and some items were spilling onto the floor.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The CPR certification completed by staff 1 lacked an in-person competency demonstration. a. The certificate on file indicated that the in-person skills demonstration had not been completed. b. Staff 1 has been employed more than 90 days according to written information on file.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. One prescription medication, for child 1, was stored inside of her backpack. a. Staff 1 stated she did not have a locked place to store the medication.”

8VAC20-780-510-I

“Based on observation and interview, the center failed to obtain written authorization for a parent for administration of prescription medication. Evidence: 1. Written authorization from the parent of child 1 was not obtained for one prescription medication. a. Staff 1 stated that they had not obtained written authorization for this medication.”

8VAC20-780-510-G

“Based on observation, the center failed to ensure that medication shall be labeled with the child's name. Evidence: One prescription medication, for child 1, was not labeled with the child's name.”

8VAC20-780-550-G

“Based on interview, the center failed to ensure that documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. Evidence: 1. Staff 5 stated there was no written documentation on file to demonstrate that emergency practice drills had been conducted for fire, lockdown and shelter-in-place.”

8VAC20-780-245-J-3

“Based on record review and interview, the center failed to ensure any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member with medication administration training. Evidence: 1. None of the staff caring for children during the inspection had certification in medication administration training. a. Staff 1 stated that she did not have MAT training. Staff 2 stated she did not have MAT training. 2. There was one child in care, child 1, who required an emergency medication, as needed.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records shall contain all of the required elements. Evidence: 1. When the inspector arrived the two staff present, staff 1 and staff 2, stated that emergency contact information was not available for any of the staff working in the licensed child care program. 2. The first date of employment was not documented in the employment file of staff 1, staff 2 and staff 3.”

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. The enrollment record for child 2 lacked the name, address and telephone number of two emergency contacts if the parent can not be reached. 2. The enrollment record for child 1 lacked the name, address and telephone number of a second emergency contact in the event that the parent can not be reached.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that documentation of the TB screening shall be been completed with in the last 30 calendar days of employment and prior to coming into contact with children. Evidence: 1. TB screenings for staff 3 and staff 4 were obtained after employment. a. The TB screening for staff 3 was obtained on 10/28/2022 which is after the hire date of 5/3/2022. b. The TB screening for staff 4 was obtained on 10/28/2022 which is after the hire date of 8/1/2022.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 3 and staff 4 lack the results of an out-of-state central registry search from a state they resided in within the past 5 years.”

8VAC20-780-540-E

“Based on interview and observation, the center failed to ensure that there was one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff 5 stated the batteries were not working.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall clearly dated and labeled in a way that identifies the owner. Evidence: 1. Four lunch containers reviewed were not dated. 2. 1 of the 4 reviewed lacked any name label.”

8VAC20-780-340-B

“Based on interview, the center failed to ensure that during the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: 1. When the inspection arrived at 10:25 am, staff 1 and staff 2, stated no one was in charge of the program. a. Both staff stated they were not in charge and their only responsibility was to care for the children. 2. Both staff stated that no administrative staff had been present since the program opened at 6:30 am. 3. Administrative staff 5 arrived at approximately 11:00 am.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water or disposable wipes after eating meals. Evidence: 1. Children did not wash their hands after completion of lunch. a. The inspector observed children going directly to an activity in the classroom after discarding lunch trash.”

8VAC20-780-340-A

“Based on interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. The center failed to provide for care and protection of 6 school age children as demonstrated by the following: a. When the inspector arrived at 10:25 am, staff 1 stated they had no access to children's records and staff emergency contact information. b. Staff 1 also stated she did not have access to the first aid kit, battery operated radio and flashlight. 2. Staff 1 additionally stated that no administrative staff, for the child care program, had been on site that day and it was not know when any administrative staff would arrive.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. When the inspector arrived at 10:25 am a quart of bleach, a gallon of hand sanitizer and a 33.8oz container of hand sanitizer was observed placed on the counter in the kitchenette area of the classroom. a. This counter is within easy reach of the children in care. 2. The cabinet, located above the kitchen counter, was unlocked. Six bottles of disinfectant/cleaning agents were stored in this cabinet. 3. A bottle of sanitizing agent was observed on top of the refrigerator.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that outside equipment of the center shall be maintained in a safe condition. Evidence: 1. Two areas of plastic coating, measuring approximately 6 - 9 inches in length, were torn and disconnected from the outdoor play structure stairs. a. These areas of torn plastic are unsecured in such a way at to create a trip hazard for children.”

8VAC20-780-260-B

“Based on interview, the center failed to ensure that after the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply and sewage disposal. Evidence: 1. Staff 5 stated an annual inspection from the Norfolk Health Department was not available for the facility or the outdoor swimming pool. a. The outdoor swimming pool is utilized during the summer months.”

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: 1. Children's backpacks, coats and lunch containers were observed stored on tables and chairs in the child care room. a. These items were placed in such a way that they were not separated as the belongings were directly beside / touching other belongings and some items were spilling onto the floor.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The CPR certification completed by staff 1 lacked an in-person competency demonstration. a. The certificate on file indicated that the in-person skills demonstration had not been completed. b. Staff 1 has been employed more than 90 days according to written information on file.”

8VAC20-780-80-A

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained. Evidence: 1. The document used for recording attendance of the children in care did not record the arrival and departure of each child as it occurs. 2. Staff #1 (Program Director) confirmed that the current document used for attendance did not document arrival and departure as it occurs.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #1 did not contain the addresses for both emergency contacts. 2. The record for child #2 did not indicate whether or not the child had previously attended child care. 3. The record for child #3 did not contain the two emergency contacts and did not indicate whether or not the child had previously attended child care. 4. The record for child #4 did not contain two complete emergency contacts. 5. The record for child #5 did not contain the addresses for the two emergency contacts. 6. Staff #1 (Program Director) confirmed that the records for each child reviewed did not contain all of the required information.”

8VAC20-780-160-C

“Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #1, contained documentation of TB screening that was dated 12/11/19. 2. Staff #1 (Program Director), reviewed his record, confirmed that an updated TB screening had not been received.”

8VAC20-780-140-A

“Based on a review of five children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child #1 did not contain a physical examination. 2. Staff #1 (Program Director) confirmed that the record for child #1 did not contain a physical examination, and had been enrolled for more than 30 days.”

8VAC20-780-530-A-2

“Based on a review of one staff records and interviews, it was determined that the licensee did not ensure that there shall be at least two staff members trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1 was working at the facility alone during the inspection. 2. Staff #1 (Program director) confirmed that there was not two staff working during the inspection that had a current certification in cardiopulmonary resuscitation (CPR) and First Aid.”

8VAC20-780-340-C

“Based on observation and interviews, it was determined that the facility did not ensure that during the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. The Licensing Inspector arrived to the facility at 3:30pm and observed staff #1 alone with 25 school age children. 2. When asked if there were any other staff present, staff #1 (Program Director) stated no because two staff quit and he was working alone.”

8VAC20-780-260-A

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 1/12/21. 2. Staff #1 (Program Director) confirmed that the annual fire inspection report had not been completed.”

8VAC20-780-540-E

“Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #1 (Program Director) confirmed that there was not a working battery-operated radio available for viewing during the inspection.”

8VAC20-780-350-B-5

“Based on on observation and interviews, it was determined that the licensee did not ensure that for children, from the age of eligibility to attend public school through eight years, one staff member for every 18 children is maintained at all times children are in care. Evidence: 1. The Licensing Inspector observed staff #1 working alone in the main classroom with 25 children, so the facility was not maintaining the required 1 staff for every 18 children. 2. Staff #1 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (12/7/21) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #1 (Program Director) confirmed that the results were not posted.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year. Evidence: 1. The emergency drill log did not have documentation to indicate an emergency evacuation drill was completed for the month of April 2022. 2. Staff #1 (Program Director) stated that an emergency evacuation drill had been completed during the month of April 2022, but that he had not documented it on the emergency drill log.”

8VAC20-780-80-A

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained. Evidence: 1. The document used for recording attendance of the children in care did not record the arrival and departure of each child as it occurs. 2. Staff #1 (Program Director) confirmed that the current document used for attendance did not document arrival and departure as it occurs.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #1 did not contain the addresses for both emergency contacts. 2. The record for child #2 did not indicate whether or not the child had previously attended child care. 3. The record for child #3 did not contain the two emergency contacts and did not indicate whether or not the child had previously attended child care. 4. The record for child #4 did not contain two complete emergency contacts. 5. The record for child #5 did not contain the addresses for the two emergency contacts. 6. Staff #1 (Program Director) confirmed that the records for each child reviewed did not contain all of the required information.”

8VAC20-780-160-C

“Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #1, contained documentation of TB screening that was dated 12/11/19. 2. Staff #1 (Program Director), reviewed his record, confirmed that an updated TB screening had not been received.”

8VAC20-780-140-A

“Based on a review of five children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child #1 did not contain a physical examination. 2. Staff #1 (Program Director) confirmed that the record for child #1 did not contain a physical examination, and had been enrolled for more than 30 days.”

8VAC20-780-530-A-2

“Based on a review of one staff records and interviews, it was determined that the licensee did not ensure that there shall be at least two staff members trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1 was working at the facility alone during the inspection. 2. Staff #1 (Program director) confirmed that there was not two staff working during the inspection that had a current certification in cardiopulmonary resuscitation (CPR) and First Aid.”

8VAC20-780-340-C

“Based on observation and interviews, it was determined that the facility did not ensure that during the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. The Licensing Inspector arrived to the facility at 3:30pm and observed staff #1 alone with 25 school age children. 2. When asked if there were any other staff present, staff #1 (Program Director) stated no because two staff quit and he was working alone.”

8VAC20-780-260-A

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 1/12/21. 2. Staff #1 (Program Director) confirmed that the annual fire inspection report had not been completed.”

8VAC20-780-540-E

“Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #1 (Program Director) confirmed that there was not a working battery-operated radio available for viewing during the inspection.”

8VAC20-780-350-B-5

“Based on on observation and interviews, it was determined that the licensee did not ensure that for children, from the age of eligibility to attend public school through eight years, one staff member for every 18 children is maintained at all times children are in care. Evidence: 1. The Licensing Inspector observed staff #1 working alone in the main classroom with 25 children, so the facility was not maintaining the required 1 staff for every 18 children. 2. Staff #1 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (12/7/21) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #1 (Program Director) confirmed that the results were not posted.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year. Evidence: 1. The emergency drill log did not have documentation to indicate an emergency evacuation drill was completed for the month of April 2022. 2. Staff #1 (Program Director) stated that an emergency evacuation drill had been completed during the month of April 2022, but that he had not documented it on the emergency drill log.”