The YMCA of South Hampton Roads-Great Bridge/Hickory

8VAC20-790-600-D-2

“Based on record review and interview, 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 first aid appropriate to the ages of children in care. Evidence: 1. Staff 1 , hire date 09/06/2022 and staff 2 , hire date 06/20/2022, and staff 3 , hire date 07/13/2022, lack documentation of current certification in first aid. 2. Administrative staff confirmed that documentation was not available to demonstrate that staff 1, staff 2 and staff 3 have current first aid certification.”

8VAC20-790-600-D-1

“Based on record review and interview, 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. Evidence: 1. Staff 1 , hire date 09/06/2022 and staff 2 , hire date 06/20/2022, and staff 3 hire date, 07/13/2022, lack documentation of current certification in CPR. 2. Administrative staff confirmed that documentation was not available to demonstrate that staff 1 , staff 2 and staff 3 have current CPR certification.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to ensure that staff obtain the results of a fingerprint criminal history record check before employment. Evidence: 1. Staff 5, hire date 06/11/2020, lacked the results of a fingerprint criminal history record check. a. Staff 5 was observed working in the licensed program during the inspection. 2. Administrative staff confirmed that the results of the fingerprint criminal history record check had not been obtained for staff 5.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. There was no completed sworn statement or affirmation for staff 7 who has a hire date of 07/13/2022. 2. Administrative staff confirmed that a sworn statement or affirmation was not available for staff 7.”

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. Evidence: 1. Staff 7, hire date 07/13/2022, lacks the results of a central registry finding. a. Staff 7 was observed caring for children during the inspection. 2. Administrative staff confirmed that a central registry finding was not available for staff 7.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Documentation of required immunizations was not available for child 1 and child 2 who were both in care during the inspection. 2. Administrative staff confirmed that immunization documentation was not available for these children.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 2, enrollment date 02/04/2024, lacked documentation of a physical exam. 2. Administrative staff confirmed that written documentation of a physical exam was not on file.”

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. Evidence: 1. There was no documentation of a negative tuberculosis screening for staff 5 who has a hire date of 06/11/2020 and was caring for children during the inspection. 2. There was no documentation of a negative tuberculosis screening for staff 7 who has a hire date of 07/13/2022 and was caring for children during the inspection. 2. Administrative staff confirmed that a TB screening was not on file for staff 5 and staff 7.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The written list of children's allergies, sensitivities and dietary restrictions was not posted in the child care classroom. 2. Administrative staff confirmed that the allergy list was not available to staff in the classroom.”

8VAC20-780-60-A

“Repeat Violation: Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. There was no enrollment record available for child 1 who was in care during the inspection. 2. Administrative staff confirmed that she was not able to locate the enrollment record for child 1.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. Written documentation of the name, address and telephone number for a designated emergency contact was not on site for staff 1, staff, 2, staff 3, staff 4 and staff 7. a. These staff were present during the inspection. b. Administrative staff confirmed that emergency contact information was not available for these staff. 2. Written documentation was not on file to demonstrate that staff 5 possesses the education required by the job position of program director. a. Staff 5 stated she was acting as the program director for the program and her job title is listed as program director. 3. Written documentation was not on file to demonstrate that staff 4 ( hire date 02/20/2024) had completed orientation training within 7 days of employment. 4. The following required information was not on file for staff 7 who has a hire date of 07/13/2022: a. Job title; b. Two reference checks.”

8VAC20-780-80-A

“Based on record review and interview, the center failed to maintain a written record of daily attendance that documents the arrival of each child in care as it occurs. Evidence: 1. When the inspector arrived at 9:30 am 5 children in care were not included on the written attendance sheet. 2. Staff verified that these 5 children had not been included on the written attendance sheet.”

8VAC20-780-550-H

“Based on record review and interview, the center failed to maintain a record of the dates of the practice drills for one year. Evidence: 1. The emergency log for the facility lacked documentation of any fire drill for June, July and August of 2023. a. The emergency log did not indicate a second shelter-in-place practice drill for 2023. 2. Administrative staff stated they were unsure if these practice drills had been conducted in 2023.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure that staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 2, hire date 06/20/2022, lacks documentation of completion of the Virginia Department of Education sponsored orientation course. 2. Staff 6, hire date 06/08/2023, lacks documentation of completion of the Virginia Department of Education sponsored orientation course. 2. Administrative staff confirmed that there was no documentation that staff 2 and staff 6 had completed this training course.”

8VAC20-780-245-A

“Based on record review and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no documentation that staff 7, hire date 07/13/2022, had completed 16 hours of annual training in 2023. Documentation provided indicated that staff 7 had completed 2 hours of training in 2023. 2. Administrative staff stated that no additional training documentation was available for staff 7.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Four bottles of disinfectant cleaning agents were observed stored on the lower shelf of an unlocked cabinet in the child care classroom.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child's personal belongings. Evidence: 1. Approximately 28 backpacks/ lunch containers and 7 coats were observed stacked on a table in the child care classroom. a. All of the children's belongings were stacked in such a way that belongings lacked any individual space as the items were placed on top of and directly beside other.”

8VAC20-780-510-G

“Based on medication review, the center failed to ensure that medication shall be labeled with the child's name. Evidence: 1. One bottle of over-the-counter medication was not labeled with the child's name. 2. Administrative staff confirmed that this medication, for child 3, was not labeled with the child's name.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the findings of the most recent inspection were posted in a conspicuous place on the licensed premises. Evidence: 1. The findings of the most recent inspection of the licensed program, which was the 06/22/2023 renewal inspection, were not posted.”

8VAC20-780-260-A

“Based on record review and interview, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The most recent inspection from the Chesapeake Fire Marshall's Office was conducted on 07/25/2022. 2. Administrative staff confirmed this was the most recent fire inspection on file for the facility.”

8VAC20-790-600-D-2

“Based on record review and interview, 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 first aid appropriate to the ages of children in care. Evidence: 1. Staff 1 , hire date 09/06/2022 and staff 2 , hire date 06/20/2022, and staff 3 , hire date 07/13/2022, lack documentation of current certification in first aid. 2. Administrative staff confirmed that documentation was not available to demonstrate that staff 1, staff 2 and staff 3 have current first aid certification.”

8VAC20-790-600-D-1

“Based on record review and interview, 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. Evidence: 1. Staff 1 , hire date 09/06/2022 and staff 2 , hire date 06/20/2022, and staff 3 hire date, 07/13/2022, lack documentation of current certification in CPR. 2. Administrative staff confirmed that documentation was not available to demonstrate that staff 1 , staff 2 and staff 3 have current CPR certification.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to ensure that staff obtain the results of a fingerprint criminal history record check before employment. Evidence: 1. Staff 5, hire date 06/11/2020, lacked the results of a fingerprint criminal history record check. a. Staff 5 was observed working in the licensed program during the inspection. 2. Administrative staff confirmed that the results of the fingerprint criminal history record check had not been obtained for staff 5.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. There was no completed sworn statement or affirmation for staff 7 who has a hire date of 07/13/2022. 2. Administrative staff confirmed that a sworn statement or affirmation was not available for staff 7.”

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. Evidence: 1. Staff 7, hire date 07/13/2022, lacks the results of a central registry finding. a. Staff 7 was observed caring for children during the inspection. 2. Administrative staff confirmed that a central registry finding was not available for staff 7.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Documentation of required immunizations was not available for child 1 and child 2 who were both in care during the inspection. 2. Administrative staff confirmed that immunization documentation was not available for these children.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 2, enrollment date 02/04/2024, lacked documentation of a physical exam. 2. Administrative staff confirmed that written documentation of a physical exam was not on file.”

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. Evidence: 1. There was no documentation of a negative tuberculosis screening for staff 5 who has a hire date of 06/11/2020 and was caring for children during the inspection. 2. There was no documentation of a negative tuberculosis screening for staff 7 who has a hire date of 07/13/2022 and was caring for children during the inspection. 2. Administrative staff confirmed that a TB screening was not on file for staff 5 and staff 7.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The written list of children's allergies, sensitivities and dietary restrictions was not posted in the child care classroom. 2. Administrative staff confirmed that the allergy list was not available to staff in the classroom.”

8VAC20-780-60-A

“Repeat Violation: Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. There was no enrollment record available for child 1 who was in care during the inspection. 2. Administrative staff confirmed that she was not able to locate the enrollment record for child 1.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. Written documentation of the name, address and telephone number for a designated emergency contact was not on site for staff 1, staff, 2, staff 3, staff 4 and staff 7. a. These staff were present during the inspection. b. Administrative staff confirmed that emergency contact information was not available for these staff. 2. Written documentation was not on file to demonstrate that staff 5 possesses the education required by the job position of program director. a. Staff 5 stated she was acting as the program director for the program and her job title is listed as program director. 3. Written documentation was not on file to demonstrate that staff 4 ( hire date 02/20/2024) had completed orientation training within 7 days of employment. 4. The following required information was not on file for staff 7 who has a hire date of 07/13/2022: a. Job title; b. Two reference checks.”

8VAC20-780-80-A

“Based on record review and interview, the center failed to maintain a written record of daily attendance that documents the arrival of each child in care as it occurs. Evidence: 1. When the inspector arrived at 9:30 am 5 children in care were not included on the written attendance sheet. 2. Staff verified that these 5 children had not been included on the written attendance sheet.”

8VAC20-780-550-H

“Based on record review and interview, the center failed to maintain a record of the dates of the practice drills for one year. Evidence: 1. The emergency log for the facility lacked documentation of any fire drill for June, July and August of 2023. a. The emergency log did not indicate a second shelter-in-place practice drill for 2023. 2. Administrative staff stated they were unsure if these practice drills had been conducted in 2023.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure that staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 2, hire date 06/20/2022, lacks documentation of completion of the Virginia Department of Education sponsored orientation course. 2. Staff 6, hire date 06/08/2023, lacks documentation of completion of the Virginia Department of Education sponsored orientation course. 2. Administrative staff confirmed that there was no documentation that staff 2 and staff 6 had completed this training course.”

8VAC20-780-245-A

“Based on record review and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no documentation that staff 7, hire date 07/13/2022, had completed 16 hours of annual training in 2023. Documentation provided indicated that staff 7 had completed 2 hours of training in 2023. 2. Administrative staff stated that no additional training documentation was available for staff 7.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Four bottles of disinfectant cleaning agents were observed stored on the lower shelf of an unlocked cabinet in the child care classroom.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure provision shall be made for an individual place for each child's personal belongings. Evidence: 1. Approximately 28 backpacks/ lunch containers and 7 coats were observed stacked on a table in the child care classroom. a. All of the children's belongings were stacked in such a way that belongings lacked any individual space as the items were placed on top of and directly beside other.”

8VAC20-780-510-G

“Based on medication review, the center failed to ensure that medication shall be labeled with the child's name. Evidence: 1. One bottle of over-the-counter medication was not labeled with the child's name. 2. Administrative staff confirmed that this medication, for child 3, was not labeled with the child's name.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the findings of the most recent inspection were posted in a conspicuous place on the licensed premises. Evidence: 1. The findings of the most recent inspection of the licensed program, which was the 06/22/2023 renewal inspection, were not posted.”

8VAC20-780-260-A

“Based on record review and interview, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The most recent inspection from the Chesapeake Fire Marshall's Office was conducted on 07/25/2022. 2. Administrative staff confirmed this was the most recent fire inspection on file for the facility.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children shall, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record for staff 3, hired date 2/20/20, did not contain documentation of completion of the required annual health and safety course update. 2. 1. The record for staff 6, hired date 6/28/21, did not contain documentation of completion of the required annual health and safety course update.”

8VAC20-780-160-C

“Based on record review and interview, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening At least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent TB screening on file for staff 7 was conducted on 01/10/2021. 2. Administrative staff confirmed that staff 7 had not obtained an updated TB screening.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child contained all of the required information. Evidence: 1. The records for 5 out of 5 children's records reviewed did not contain documentation of previous child day care and schools attended by the child. 2. Administrative staff verified that this information was not on file during this inspection.”

8VAC20-780-260-B

“Based on record review and interview it was determined the center did not have annual approval from the health department as required. Evidence: 1. The health inspection available was dated 6/15/22. 2. Administrative staff confirmed that there was not an updated health inspection available.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 2, hire date 06/20/2022, lacks the findings of a central registry check. 2. Staff 6, hire date 06/28/2021, lacks the findings of a central registry check. 3. Administrative staff verified that the results of a central registry check were not on file for these staff.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure that all staff who work directly with children shall, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record for staff 3, hired date 2/20/20, did not contain documentation of completion of the required annual health and safety course update. 2. 1. The record for staff 6, hired date 6/28/21, did not contain documentation of completion of the required annual health and safety course update.”

8VAC20-780-160-C

“Based on record review and interview, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening At least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent TB screening on file for staff 7 was conducted on 01/10/2021. 2. Administrative staff confirmed that staff 7 had not obtained an updated TB screening.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child contained all of the required information. Evidence: 1. The records for 5 out of 5 children's records reviewed did not contain documentation of previous child day care and schools attended by the child. 2. Administrative staff verified that this information was not on file during this inspection.”

8VAC20-780-260-B

“Based on record review and interview it was determined the center did not have annual approval from the health department as required. Evidence: 1. The health inspection available was dated 6/15/22. 2. Administrative staff confirmed that there was not an updated health inspection available.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 2, hire date 06/20/2022, lacks the findings of a central registry check. 2. Staff 6, hire date 06/28/2021, lacks the findings of a central registry check. 3. Administrative staff verified that the results of a central registry check were not on file for these staff.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of an evacuation drill in March 2023 when the program was in operation. 2. Staff confirmed that there wasn't a drill completed in March 2023.”

8VAC20-780-60-A

“Based on record review and interview it was determined that the center did not ensure the record for each child enrolled contained all the required information. Evidence: 1. The record for child #1(enrolled 2/17/23) and child #3(enrolled 2/17/23) did not contain the address for one of the two required emergency contacts. 2. Staff confirmed that this information was not available during this inspection.”

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure that the signed written agreement between the parent and the center was in each child's record by the first day of the child's attendance as required. Evidence: 1. The record for child #1(enrolled 2/17/23) did not contain the signed written agreement between the parent and the center. 2. Staff confirmed this documentation was not present and the child had been in attendance on 3/1/23.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure staff records contained all the required information. Evidence: 1. The record for staff #5(hired 9/8/22) did not contain the name, number, and address of an emergency contact person. 2. Staff confirmed that this information was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview, 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. Evidence: 1. The following staff lack documentation of current CPR certification: a. Staff 1 - hire date 06/18/2022. b. Staff 2 - has been employed for several years according to administrative staff. c. Staff 3 - CPR expired 06/14/2022. d. Staff 4 - hire date 06/20/2022. e. Staff 5 - hire date 06/20/2022. 2. Administrative staff confirmed that CPR certification was not on file for staff 1, 2, 4 and 5. CPR for staff 3 has not been updated.”

8VAC20-790-600-D-2

“Based on record review and interview, 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 first aid appropriate to the ages of children in care. Evidence: 1. The following staff lack documentation of current first aid certification: a. Staff 1 - hire date 06/18/2022. b. Staff 2 - has been employed for several years according to administrative staff. c. Staff 3 - first aid expired 06/14/2022. d. Staff 4 - hire date 06/20/2022. e. Staff 5 - hire date 06/20/2022. 2. Administrative staff confirmed that first aid certification was not on file for staff 1, 2, 4 and 5. First aid for staff 3 has not been updated.”

8VAC20-780-560-G

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

8VAC20-780-550-D

“Based on record review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: 1. The emergency fire drill practice log did not indicate if a fire drill was conducted in August of 2022. 2. Administrative staff stated she was not sure if a fire drill was done in August of 2022.”

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: Approximately 15 coats, backpacks and lunch containers were observed stored on a table in the multi purpose room. These items were all piled on the table in such a way that all of the items were touching and in some cases completely covering up items underneath..”

8VAC20-780-340-D

“Based on observation, 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. Such a program leader shall supervise no more than two aides. Evidence: 1. The five staff observed caring for children during the inspection lacked documentation to demonstrate they possess the education, certification and experience required to meet program leader qualifications. 2. Administrative staff confirmed that none of the five staff, caring for children, met program leader qualifications.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff 5, hire date 06/15/2020, lacks documentation of any annual training for 2021 and 2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment for all staff. Evidence: 1. Staff 4, hire date 06/18/2022, lacks documentation of Virginia Preservice training.”

8VAC20-780-70

“Based on record review and interview, the center failed to maintain staff records containing all required elements. Evidence: 1. The employment record for staff 6 was empty and lacked any information. a. Administrative staff confirmed that all required information for staff 6 was missing and could not be located during the inspection.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. Child 1, enrollment date 12/26/2022, lacks an enrollment record containing the following information: a. Home address and home phone number of each parent; b. Work phone number and place of employment of each parent; c. Name and phone number of child's physician; d. Name, address and phone number of two designated people to call in an emergency; e. Names of persons authorized to pick up the child; f. Allergies and intolerance to medication or any other substances; g. Chronic physical problems and pertinent development information; h. Previous child day care and schools attended. 2. Administrative staff confirmed this information was not on file for child 1.”

8VAC20-780-40-M

“Based on record review, the center failed to ensure that the current allergy list shall be dated. Evidence: The children's allergy list maintained by classroom staff was not dated.”

8VAC20-780-160-C

“Based on record review and interview, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening At least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent TB screening on file for staff 4 was conducted on 06/01/2020. 2, Administrative staff confirmed that staff 4 had not obtained an updated TB screening.”

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 4, hire date 06/18/2022, lacked written documentation of a TB screening. 2. Staff 6 lacked documentation of a current TB screening. Staff 6 has been employed for several years according to administrative staff. 3. Administrative staff confirmed that a TB screening was not on file for staff 4 or staff 6.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the center has the person's completed sworn statement or affirmation. Evidence: 1. A completed sworn statement or affirmation could not be located for staff 6. a. Staff 6 was working in the licensed program during the inspection. 2. Administrative staff stated that staff 6 had been working in the licensed program for several years and confirmed that the sworn statement for staff 6 was missing.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain the results of a fingerprint background check for staff prior to employment. Evidence: 1. A fingerprint background check was not available for staff 6. a. Staff 6 has been employed for several years according to administrative staff. 2. Administrative staff stated that the results of the fingerprint background check could not be located for staff 6.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 1, hire date 06/20/2022, lacks the findings of a central registry check. 2. Staff 2, employed from 06/20/2022 - 09/06/2022, lacks the findings of a central registry check. 3. Staff 3, employed from 07/12/2022 - 09/06/2022, lacks the findings of a central registry check. 4. Administrative staff verified that the results of a central registry check were not on file for these staff.”

8VAC20-790-600-D-1

“Based on record review and interview, 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. Evidence: 1. The following staff lack documentation of current CPR certification: a. Staff 1 - hire date 06/18/2022. b. Staff 2 - has been employed for several years according to administrative staff. c. Staff 3 - CPR expired 06/14/2022. d. Staff 4 - hire date 06/20/2022. e. Staff 5 - hire date 06/20/2022. 2. Administrative staff confirmed that CPR certification was not on file for staff 1, 2, 4 and 5. CPR for staff 3 has not been updated.”

8VAC20-790-600-D-2

“Based on record review and interview, 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 first aid appropriate to the ages of children in care. Evidence: 1. The following staff lack documentation of current first aid certification: a. Staff 1 - hire date 06/18/2022. b. Staff 2 - has been employed for several years according to administrative staff. c. Staff 3 - first aid expired 06/14/2022. d. Staff 4 - hire date 06/20/2022. e. Staff 5 - hire date 06/20/2022. 2. Administrative staff confirmed that first aid certification was not on file for staff 1, 2, 4 and 5. First aid for staff 3 has not been updated.”

8VAC20-780-560-G

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

8VAC20-780-550-D

“Based on record review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: 1. The emergency fire drill practice log did not indicate if a fire drill was conducted in August of 2022. 2. Administrative staff stated she was not sure if a fire drill was done in August of 2022.”

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: Approximately 15 coats, backpacks and lunch containers were observed stored on a table in the multi purpose room. These items were all piled on the table in such a way that all of the items were touching and in some cases completely covering up items underneath..”

8VAC20-780-340-D

“Based on observation, 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. Such a program leader shall supervise no more than two aides. Evidence: 1. The five staff observed caring for children during the inspection lacked documentation to demonstrate they possess the education, certification and experience required to meet program leader qualifications. 2. Administrative staff confirmed that none of the five staff, caring for children, met program leader qualifications.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff 5, hire date 06/15/2020, lacks documentation of any annual training for 2021 and 2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment for all staff. Evidence: 1. Staff 4, hire date 06/18/2022, lacks documentation of Virginia Preservice training.”

8VAC20-780-70

“Based on record review and interview, the center failed to maintain staff records containing all required elements. Evidence: 1. The employment record for staff 6 was empty and lacked any information. a. Administrative staff confirmed that all required information for staff 6 was missing and could not be located during the inspection.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. Child 1, enrollment date 12/26/2022, lacks an enrollment record containing the following information: a. Home address and home phone number of each parent; b. Work phone number and place of employment of each parent; c. Name and phone number of child's physician; d. Name, address and phone number of two designated people to call in an emergency; e. Names of persons authorized to pick up the child; f. Allergies and intolerance to medication or any other substances; g. Chronic physical problems and pertinent development information; h. Previous child day care and schools attended. 2. Administrative staff confirmed this information was not on file for child 1.”

8VAC20-780-40-M

“Based on record review, the center failed to ensure that the current allergy list shall be dated. Evidence: The children's allergy list maintained by classroom staff was not dated.”

8VAC20-780-160-C

“Based on record review and interview, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening At least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent TB screening on file for staff 4 was conducted on 06/01/2020. 2, Administrative staff confirmed that staff 4 had not obtained an updated TB screening.”

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 4, hire date 06/18/2022, lacked written documentation of a TB screening. 2. Staff 6 lacked documentation of a current TB screening. Staff 6 has been employed for several years according to administrative staff. 3. Administrative staff confirmed that a TB screening was not on file for staff 4 or staff 6.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the center has the person's completed sworn statement or affirmation. Evidence: 1. A completed sworn statement or affirmation could not be located for staff 6. a. Staff 6 was working in the licensed program during the inspection. 2. Administrative staff stated that staff 6 had been working in the licensed program for several years and confirmed that the sworn statement for staff 6 was missing.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain the results of a fingerprint background check for staff prior to employment. Evidence: 1. A fingerprint background check was not available for staff 6. a. Staff 6 has been employed for several years according to administrative staff. 2. Administrative staff stated that the results of the fingerprint background check could not be located for staff 6.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 1, hire date 06/20/2022, lacks the findings of a central registry check. 2. Staff 2, employed from 06/20/2022 - 09/06/2022, lacks the findings of a central registry check. 3. Staff 3, employed from 07/12/2022 - 09/06/2022, lacks the findings of a central registry check. 4. Administrative staff verified that the results of a central registry check were not on file for these staff.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain the results of a fingerprint background check for staff prior to employment. Evidence: 1. Staff 2, hire date 06/20/2022, lacks the results of a fingerprint background check. 2. Administrative staff confirmed that a fingerprint background check was not on file for staff 2.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated. Evidence: 10 of 10 lunch containers reviewed were not dated.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. There was no sworn statement or affirmation for staff 6 who began employment on 07/18/2022. 2. Administrative staff confirmed that a sworn statement or affirmation was not on file for staff 6.”

8VAC20-780-510-G

“Based on a review of medication the center failed to ensure that medication shall be labeled with the child's name. Evidence: Two bottles of over-the-counter medication were not labeled with the child's name.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The written allergy list, which was not dated, was stored in the camp office. a. Children are cared for in various indoor and outdoor areas of the facility. 2. Administrative staff stated a copy of the allergy list had not been provided to 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 06/20/2022, lacked written documentation of a TB screening. 2. Staff 2, hire date 06/20/2022, lacked written documentation of a TB screening. 3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 2.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. Staff 1, hire date 6/20/2022, lacked documentation of two written reference checks as to character and reputation as well as competency were checked before employment. 2. Staff 1, staff 3, staff 4 and staff 5 , hire date 6/20/2022 , lacked documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. a. These staff were observed working in a program leader position during the inspection.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 2, Staff 3, Staff 4 and Staff 5, hire date 06/20/2022, lacked the findings of a central registry check. 2. Administrative staff confirmed that the findings of a central registry check were not on filed for these staff.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The cabinet, containing a spray bottle of disinfectant, in the multipurpose classroom was not locked. 2. A bottle of hand sanitizer was observed stored on a shelf in the multipurpose classroom. a. Children were observed in this classroom during the inspection.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to obtain the results of a fingerprint background check for staff prior to employment. Evidence: 1. Staff 2, hire date 06/20/2022, lacks the results of a fingerprint background check. 2. Administrative staff confirmed that a fingerprint background check was not on file for staff 2.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated. Evidence: 10 of 10 lunch containers reviewed were not dated.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. There was no sworn statement or affirmation for staff 6 who began employment on 07/18/2022. 2. Administrative staff confirmed that a sworn statement or affirmation was not on file for staff 6.”

8VAC20-780-510-G

“Based on a review of medication the center failed to ensure that medication shall be labeled with the child's name. Evidence: Two bottles of over-the-counter medication were not labeled with the child's name.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The written allergy list, which was not dated, was stored in the camp office. a. Children are cared for in various indoor and outdoor areas of the facility. 2. Administrative staff stated a copy of the allergy list had not been provided to 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 06/20/2022, lacked written documentation of a TB screening. 2. Staff 2, hire date 06/20/2022, lacked written documentation of a TB screening. 3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 2.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. Staff 1, hire date 6/20/2022, lacked documentation of two written reference checks as to character and reputation as well as competency were checked before employment. 2. Staff 1, staff 3, staff 4 and staff 5 , hire date 6/20/2022 , lacked documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. a. These staff were observed working in a program leader position during the inspection.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. Staff 2, Staff 3, Staff 4 and Staff 5, hire date 06/20/2022, lacked the findings of a central registry check. 2. Administrative staff confirmed that the findings of a central registry check were not on filed for these staff.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The cabinet, containing a spray bottle of disinfectant, in the multipurpose classroom was not locked. 2. A bottle of hand sanitizer was observed stored on a shelf in the multipurpose classroom. a. Children were observed in this classroom during the inspection.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A container of hand sanitizer was observed stored on a table on the classroom.”

8VAC20-780-510-I

“Based on medication review, the center may administer prescription medication that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: The prescription label was not attached to one emergency medication for child 3.”

8VAC20-780-350-B-5

“Based on observation, the center failed to follow the required staff-to-children ratio is required whenever children are in care: *School age eligible up to 9 years- ratio 1:18 (staff:children) Evidence: 1. When the inspector arrived at 11:05 am two staff were observed with a total of 20 children ranging in age from five years - 12 years. Three staff were needed. a. The program director stated that a 3rd staff was unexpectedly absent. 3. A 3rd staff arrived at 11:50 am.”

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. Evidence: 1. The findings from the most recent monitoring inspection, dated 08/31/2021 were not posted. a. The findings from the monitoring inspection on 04/02/2021 were posted on the parent board.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure that provisions shall be made for an individual place for each child's personal belongings. Evidence: 1. Children's backpacks and jackets were observed placed on a table in the school age classroom. The backpacks and jackets lacked any defining space as they were all on top of and beside each other. 2. Children's lunch containers were observed spilling out of the cooler as there were too many for the cooler to safety store. Three lunch containers were observed on the floor beside the cooler.”

8VAC20-780-60-A

“Based on observation and interview, the center failed to ensure that each child has an enrollment record. Evidence: 1. Enrollment records were not available for child 1 and child 2 who were in care during the inspection. 2. Administrative staff stated that enrollment records were not on hand for these two children.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. A plastic storage shelve, measuring 74 inches x 34 inches, was not secured to the wall in the classroom used for spring break camp. This is a toppling hazard. a. Multiple items, including but limited to, boards, a heavy bag of jenga game blocks, assorted craft materials and office supplies were stored on this shelving unit. 2. Accessible cords from the wall mounted television were observed in the child care classroom.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that staff complete CPR certification which includes an in-person competency demonstration. Evidence: The CPR certification obtained by staff 1 lacked an in-person skills demonstration.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A container of hand sanitizer was observed stored on a table on the classroom.”

8VAC20-780-510-I

“Based on medication review, the center may administer prescription medication that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: The prescription label was not attached to one emergency medication for child 3.”

8VAC20-780-350-B-5

“Based on observation, the center failed to follow the required staff-to-children ratio is required whenever children are in care: *School age eligible up to 9 years- ratio 1:18 (staff:children) Evidence: 1. When the inspector arrived at 11:05 am two staff were observed with a total of 20 children ranging in age from five years - 12 years. Three staff were needed. a. The program director stated that a 3rd staff was unexpectedly absent. 3. A 3rd staff arrived at 11:50 am.”

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. Evidence: 1. The findings from the most recent monitoring inspection, dated 08/31/2021 were not posted. a. The findings from the monitoring inspection on 04/02/2021 were posted on the parent board.”

8VAC20-780-430-K

“Based on observation, the center failed to ensure that provisions shall be made for an individual place for each child's personal belongings. Evidence: 1. Children's backpacks and jackets were observed placed on a table in the school age classroom. The backpacks and jackets lacked any defining space as they were all on top of and beside each other. 2. Children's lunch containers were observed spilling out of the cooler as there were too many for the cooler to safety store. Three lunch containers were observed on the floor beside the cooler.”

8VAC20-780-60-A

“Based on observation and interview, the center failed to ensure that each child has an enrollment record. Evidence: 1. Enrollment records were not available for child 1 and child 2 who were in care during the inspection. 2. Administrative staff stated that enrollment records were not on hand for these two children.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. A plastic storage shelve, measuring 74 inches x 34 inches, was not secured to the wall in the classroom used for spring break camp. This is a toppling hazard. a. Multiple items, including but limited to, boards, a heavy bag of jenga game blocks, assorted craft materials and office supplies were stored on this shelving unit. 2. Accessible cords from the wall mounted television were observed in the child care classroom.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that staff complete CPR certification which includes an in-person competency demonstration. Evidence: The CPR certification obtained by staff 1 lacked an in-person skills demonstration.”