The YMCA of South Hampton Roads - Indian River Family YMCA

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Staff B took medications for children on a field trip, however the authorizations for those medications were not available to the staff during transportation or at the destination.”

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. The center's medication policy says they are not responsible for missed doses. The policy states, "Please understand that it may not always be possible to administer medications as requested, and we cannot be responsible for missed doses."”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a clean, safe and operable condition. a. There was a water spill in the boys bathroom and a second spill in the main daycare room, causing a slipping hazard. b. There was peeling paint on the large window ledge and on the wall in the main daycare room.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff C, employed since March 2006 did not have documentation of having taken the The Virginia Department of Education-sponsored orientation course.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards. The center's medication policy does not align with a requirement in the Medication Administration Training (MAT) program's 5 Rights. The "Right Dose" states, " Give the exact amount of the medication specified on the Consent Form and the pharmacy label. The center's medication policy says they are not responsible for missed doses. The policy states, "Please understand that it may not always be possible to administer medications as requested, and we cannot be responsible for missed doses."”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. A notebook containing all of the children's names, addresses, phone numbers and medical information was observed sitting on the floor of a stairwell. The center is open to the public and non-daycare employees whom could gain access to this information.”

8VAC20-780-70

“The center shall keep a record for each staff person that contains all required information. 1. The records provided for Staff A (Program Director) and Staff E (Program Leader) did not have documentation to demonstrate that the individuals possessed the education and/or experience required by the job positions. 2. The center did not provide the following required records for Staff E: a. Name, age verification, job title, date of hire, emergency contact, 2 references checked prior to employment or documentation to demonstrate that the individual has the education, certification, and/or experience required by the job position.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Multiple bottles of acetone and bottle of 91% isopropyl alcohol were in unlocked cabinets. Staff keys were sitting on a shelf inside one of the locked cabinets.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff did not ensure the care and protection of children when: The center's medication policy does not align with one of the MAT program's 5 Rights. The "Right Dose" states, " Give the exact amount of the medication specified on the Consent Form and the pharmacy label. The center's medication policy says they are not responsible for missed doses. The policy states, "Please understand that it may not always be possible to administer medications as requested, and we cannot be responsible for missed doses."”

8VAC20-780-340-F

“Children under 10 years shall be within actual sight and sound supervision of staff and that staff need only be able to hear a child who is using the restroom provided there is a system to assure individuals who are not staff members do not enter the restroom area while in use by children. There was an adult exercise class (not part of the licensed child day program), occurring in the aerobics room located on the same floor occupied by the daycare/summer camp. To access the aerobics room, adults enter and exit into the main daycare room where there are 2 open and accessible bathroom areas. Two children under the age of 10 years were observed in the bathroom washing their hands and lingering while the class was occurring. There were no staff in sight or sound of the children. There was not a system to assure that individuals who are not staff members do not enter the restroom area while in use by children.”

8VAC20-780-510-E

“The center is required to have a procedure on how to prevent the use of outdated medication. The center's medication policy did not address how staff are to prevent the use of outdated medication.”

8VAC20-780-580-I

“Before leaving on a field trip, a schedule of the trip's events and locations shall be posted and visible at the center site. The center had multiple field trips scheduled on the day of the inspection and did not have the schedule or locations posted and visible at the center site.”

8VAC20-780-580-B

“Any vehicle used by the center for the transportation of children shall be insured with at least the minimum limits established by Virginia state statutes. One of the vans used during to transport children was not insured. The insurance card provided had expired in January 1, 2025.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. There was sections of peeling paint in the main daycare room and the girl's bathroom vanity had peeling linoleum.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Using a harsh tone Staff said statements to children in care such as, "STOP! That's why you do childish stuff." and "Hey! I said now, not your time."”

8VAC20-780-150-B

“Immunizations are required to be signed by a physician, his designee, or an official of a local health department. Child #4 and #5 did not have a physician's signature on their immunization forms stating each child was adequately immunized.”

8VAC20-780-510-E

“The center's procedures for administering medication are required to include methods to prevent the use of outdated medication. The center's medication policy does not include methods to prevent use of outdated medication.”

8VAC20-780-245-J-3

“Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who has Medication Administration Training (MAT). There was not a MAT trained staff available from 3:45pm - 4:10pm, where 5 children in care had emergency medications.”

8VAC20-780-40-E

“(REPEAT VIOLATION) The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. The center's medication policy states, "If your child requires medication during care, we must have a signed authorization through a Medication Administration Form." Child #2 had 2 emergency medications without the parent's signed authorization.”

8VAC20-780-350-B-5

“The required ratio for school-age children up to 9 years is 1:18. When 2 staff members left the main daycare room, Staff B was alone with 35 children for about 5 minutes (5years & up).”

8VAC20-780-340-A

“(REPEAT VIOLATION) When staff are supervising children, they shall always ensure their care, protection, and guidance. There were 60 children (ages 5-12yrs) present between 2 rooms. Staff A and Staff B whom were responsible for the children in the main daycare room, did not know how many children were present, were not able to identify which children arrived from the last bus run nor could they identify if any of the children they were responsible for were present.”

22.1-289.035-B-2

“(REPEAT VIOLATION) Staff are required to submit fingerprinting. Staff F did not have documentation of fingerprinting and was observed in assisting with the program and records.”

22.1-289.035-B-3

“Staff are required to obtain a copy of the results of a search of the central registry for any founded complaint of child abuse and neglect against them. Staff F did not have documentation of the results of a search of the central registry and was observed participating in the programming and records.”

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

“Children 10 years of age and older shall be within actual sight and sound supervision of staff . Seventeen children, ages 10-12 years, were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Seventy three children ages 5-9 years were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

8VAC20-780-340-C Complaint related: No

“There shall always shall be on field trips when one or more children are present one staff who meets the qualifications of a program leader or 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. The center sent 1 staff member, where 2 are required to local schools to wait for children until the bus arrives to take them to the center.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

8VAC20-780-40-E Complaint related: Yes

“The operational responsibilities of the licensee shall include ensuring that the center's own policies and procedures are maintained in compliance with the required standards. The center's transportation policy states, "We will only release children in our care to an authorized adult." Ninety children on 7 different bus runs whom were transporting to the center's afterschool program were released off the buses and not received by an adult. The children entered the building via a propped open door with no adult supervision.”

8VAC20-780-580-J Complaint related: Yes

“There shall be a communication plan between center staff and staff who are transporting children or on a field trip. Seven groups of children were permitted by staff to exit the center's bus and enter the building via a propped open door. The bus staff did not communicate with the center staff to let them know children were entering the building, nor did they provide the center staff with the roster of children they transported and dropped off in front if the building.”

8VAC20-780-340-I Complaint related: No

“Staff shall greet each child upon arrival at the center. Children in the afterschool program were not greeted by staff when they arrived at the center or when entering their classroom.”

8VAC20-780-340-D

“In each grouping of children there shall be at least one staff member who meets the qualifications of a program leader or program director. A teacher assistant (Staff B) was supervising a group of 17 school-age children by herself from around 2:45pm-5:15pm. Staff #B did not have documentation that she met the qualifications of the program leader position.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent use of outdated medication. A procedure that addresses methods to prevent the use of outdated medication was not included in the center's medication policy.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive and intended to redirect children to appropriate behavior. Staff did not redirect children to appropriate behavior when participating in the following behaviors: 1. Freely roaming between rooms in which they were not assigned to 2. Wrestling on the hard floor 3. Pushing chairs 4. One child flipped himself over in his chair”

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. Child #3 did not have a record at the center. The record was requested again following the inspection and it was not received.”

8VAC20-780-560-F

“When centers choose to provide snacks they shall offer a variety of nutritious foods and shall serve at least three sources of vitamin A and at least three sources of vitamin C on various days each week. In addition a menu listing foods to be served for meals and snacks during the current one-week period shall be posted. The center did not have a menu of snacks posted. Staff stated they don't use a menu and that snacks are taken from the snack shelf, which only contained 1 type of snack.”

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

“Children 10 years of age and older shall be within actual sight and sound supervision of staff . Seventeen children, ages 10-12 years, were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Seventy three children ages 5-9 years were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

8VAC20-780-340-C Complaint related: No

“There shall always shall be on field trips when one or more children are present one staff who meets the qualifications of a program leader or 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. The center sent 1 staff member, where 2 are required to local schools to wait for children until the bus arrives to take them to the center.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

8VAC20-780-40-E Complaint related: Yes

“The operational responsibilities of the licensee shall include ensuring that the center's own policies and procedures are maintained in compliance with the required standards. The center's transportation policy states, "We will only release children in our care to an authorized adult." Ninety children on 7 different bus runs whom were transporting to the center's afterschool program were released off the buses and not received by an adult. The children entered the building via a propped open door with no adult supervision.”

8VAC20-780-580-J Complaint related: Yes

“There shall be a communication plan between center staff and staff who are transporting children or on a field trip. Seven groups of children were permitted by staff to exit the center's bus and enter the building via a propped open door. The bus staff did not communicate with the center staff to let them know children were entering the building, nor did they provide the center staff with the roster of children they transported and dropped off in front if the building.”

8VAC20-780-340-I Complaint related: No

“Staff shall greet each child upon arrival at the center. Children in the afterschool program were not greeted by staff when they arrived at the center or when entering their classroom.”

8VAC20-780-340-D

“In each grouping of children there shall be at least one staff member who meets the qualifications of a program leader or program director. A teacher assistant (Staff B) was supervising a group of 17 school-age children by herself from around 2:45pm-5:15pm. Staff #B did not have documentation that she met the qualifications of the program leader position.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent use of outdated medication. A procedure that addresses methods to prevent the use of outdated medication was not included in the center's medication policy.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive and intended to redirect children to appropriate behavior. Staff did not redirect children to appropriate behavior when participating in the following behaviors: 1. Freely roaming between rooms in which they were not assigned to 2. Wrestling on the hard floor 3. Pushing chairs 4. One child flipped himself over in his chair”

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. Child #3 did not have a record at the center. The record was requested again following the inspection and it was not received.”

8VAC20-780-560-F

“When centers choose to provide snacks they shall offer a variety of nutritious foods and shall serve at least three sources of vitamin A and at least three sources of vitamin C on various days each week. In addition a menu listing foods to be served for meals and snacks during the current one-week period shall be posted. The center did not have a menu of snacks posted. Staff stated they don't use a menu and that snacks are taken from the snack shelf, which only contained 1 type of snack.”

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

“Children 10 years of age and older shall be within actual sight and sound supervision of staff . Seventeen children, ages 10-12 years, were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Seventy three children ages 5-9 years were not in sight and sound supervision of staff when they were dropped off in front of the center's building, when entering the building or while they walked up the staircase and into their classroom.”

8VAC20-780-340-C Complaint related: No

“There shall always shall be on field trips when one or more children are present one staff who meets the qualifications of a program leader or 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. The center sent 1 staff member, where 2 are required to local schools to wait for children until the bus arrives to take them to the center.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Seven groups of children were permitted by staff to exit the center's bus and enter the licensed center via a propped open door with no adult supervision. 1. Inside the door was a flight of stairs that led to the after school program. 2. Children had access to the large area hidden from the doorway under the stairwell and an unlocked door that led to unlit and unoccupied rooms. 3. When the groups of children arrived at the top of the stairs, the doorway to the afterschool program was also propped open with no staff to check them in. 4. The center is accessible to the public and located in a busy shopping area with a high volume of traffic.”

8VAC20-780-40-E Complaint related: Yes

“The operational responsibilities of the licensee shall include ensuring that the center's own policies and procedures are maintained in compliance with the required standards. The center's transportation policy states, "We will only release children in our care to an authorized adult." Ninety children on 7 different bus runs whom were transporting to the center's afterschool program were released off the buses and not received by an adult. The children entered the building via a propped open door with no adult supervision.”

8VAC20-780-580-J Complaint related: Yes

“There shall be a communication plan between center staff and staff who are transporting children or on a field trip. Seven groups of children were permitted by staff to exit the center's bus and enter the building via a propped open door. The bus staff did not communicate with the center staff to let them know children were entering the building, nor did they provide the center staff with the roster of children they transported and dropped off in front if the building.”

8VAC20-780-340-I Complaint related: No

“Staff shall greet each child upon arrival at the center. Children in the afterschool program were not greeted by staff when they arrived at the center or when entering their classroom.”

8VAC20-780-340-D

“In each grouping of children there shall be at least one staff member who meets the qualifications of a program leader or program director. A teacher assistant (Staff B) was supervising a group of 17 school-age children by herself from around 2:45pm-5:15pm. Staff #B did not have documentation that she met the qualifications of the program leader position.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent use of outdated medication. A procedure that addresses methods to prevent the use of outdated medication was not included in the center's medication policy.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive and intended to redirect children to appropriate behavior. Staff did not redirect children to appropriate behavior when participating in the following behaviors: 1. Freely roaming between rooms in which they were not assigned to 2. Wrestling on the hard floor 3. Pushing chairs 4. One child flipped himself over in his chair”

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. Child #3 did not have a record at the center. The record was requested again following the inspection and it was not received.”

8VAC20-780-560-F

“When centers choose to provide snacks they shall offer a variety of nutritious foods and shall serve at least three sources of vitamin A and at least three sources of vitamin C on various days each week. In addition a menu listing foods to be served for meals and snacks during the current one-week period shall be posted. The center did not have a menu of snacks posted. Staff stated they don't use a menu and that snacks are taken from the snack shelf, which only contained 1 type of snack.”

8VAC20-780-550-G

“The center is required to maintain documentation of emergency evacuations, shelter-in-place, and lockdown drills. The center did not have any emergency drills documented for January, February and March 2025.”

22.1-289.035-B-4

“Out of state background checks to include a criminal record check, central registry check and sex offender check, are required for staff who have lived outside of Virginia within the past 5 years. Staff C listed living outside the state of Virginia on her sworn statement of affirmation and did not have documentation of sending off for the required background checks for the state that was listed.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. The center has been using the first floor izone area, which is not a approved by the Department for childcare. The terms of the license only permits use of the first floor multipurpose room.”

8VAC20-780-60-A-8

“The center is required to maintain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 had a documented food allergy, however did not have a written care plan in his record.”

8VAC20-780-240-B

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff A, Staff B and Staff C did not have documentation that they completed the required orientation training.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff A did not have documentation of having completed the required 16 hours of annual training for 2024.”

8VAC20-780-270-A

“(REPEAT VIOLATION) Areas and equipment of the center shall be maintained in a safe condition. There was peeling paint on the walls of the rooms used for the care of children.”

8VAC20-780-280-B

“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. There was an unlocked cabinet with various cleaning products in the front room and a large container of multipurpose cleaner in an unlocked cabinet in the boys bathroom.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. The designated person in-charge, Staff B did not know the real names of the staff that were supervising children nor was he able to identify which children at the camp had medication. 2. When asked how many children she had in care, Staff A replied, "21 children." The attendance sheet showed there were 24 children in care. It was later confirmed that there were in fact 24 children present at the time of inspection.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have Current certification in cardiopulmonary resuscitation (CPR). Staff A and Staff B were supervising an area where children were present. Staff A did not have a current CPR and First Aid Certification and Staff B did not have a current CPR certification.”

8VAC20-780-550-G

“The center is required to maintain documentation of emergency evacuations, shelter-in-place, and lockdown drills. The center did not have any emergency drills documented for January, February and March 2025.”

22.1-289.035-B-4

“Out of state background checks to include a criminal record check, central registry check and sex offender check, are required for staff who have lived outside of Virginia within the past 5 years. Staff C listed living outside the state of Virginia on her sworn statement of affirmation and did not have documentation of sending off for the required background checks for the state that was listed.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. The center has been using the first floor izone area, which is not a approved by the Department for childcare. The terms of the license only permits use of the first floor multipurpose room.”

8VAC20-780-60-A-8

“The center is required to maintain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 had a documented food allergy, however did not have a written care plan in his record.”

8VAC20-780-240-B

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff A, Staff B and Staff C did not have documentation that they completed the required orientation training.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff A did not have documentation of having completed the required 16 hours of annual training for 2024.”

8VAC20-780-270-A

“(REPEAT VIOLATION) Areas and equipment of the center shall be maintained in a safe condition. There was peeling paint on the walls of the rooms used for the care of children.”

8VAC20-780-280-B

“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. There was an unlocked cabinet with various cleaning products in the front room and a large container of multipurpose cleaner in an unlocked cabinet in the boys bathroom.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. The designated person in-charge, Staff B did not know the real names of the staff that were supervising children nor was he able to identify which children at the camp had medication. 2. When asked how many children she had in care, Staff A replied, "21 children." The attendance sheet showed there were 24 children in care. It was later confirmed that there were in fact 24 children present at the time of inspection.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have Current certification in cardiopulmonary resuscitation (CPR). Staff A and Staff B were supervising an area where children were present. Staff A did not have a current CPR and First Aid Certification and Staff B did not have a current CPR certification.”

8VAC20-780-245-A

“Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training. Evidence: Staff #1 (hired 12/09/2022) did not have documentation of having received at least 16 hours of training in 2023.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. The window frame where children gather in the main room was broken with jagged edges and their was peeling paint on the concrete wall. 2. There was debris on the floor and carpets in the rooms used by children. a. There were stains and dried play-doh on carpet, pieces of broken crayons, small strips of papers, broken toy pieces, dirt and dust on the floors b. Children were observed sitting and playing games on the floor.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. The window frame where children gather in the main room was broken with jagged edges and their was peeling paint on the concrete wall. 2. There was debris on the floor and carpets in the rooms used by children. a. There were stains and dried play-doh on carpet, pieces of broken crayons, small strips of papers, broken toy pieces, dirt and dust on the floors b. Children were observed sitting and playing games on the floor.”

8VAC20-780-160-C

“Based on a record review the center did not ensure a repeat tuberculosis(TB) screening at least every 2 years from the date of the first screening/test. Evidence: Staff #1's last TB test was dated 01/19/2022.”

8VAC20-780-60-A

“Based on record review the center did not ensure all required information was kept for each enrolled child. 1. Child #1, who was in care at the time of inspection, did not have a file. 2. Child #3 did not have documentation of the child's first day of enrollment. 3. None of the child enrollment forms used by the center included a space to document the child's nickname.”

8VAC20-780-60-A

“Based on record review the center did not ensure all required information was kept for each enrolled child. 1. Child #1, who was in care at the time of inspection, did not have a file. 2. Child #3 did not have documentation of the child's first day of enrollment. 3. None of the child enrollment forms used by the center included a space to document the child's nickname.”

8VAC20-780-70

“Based on a record review the center did not ensure all required information was kept for each staff person. Evidence: 1. Staff #2, #3 and # 6 did not have documentation of their date of hire. 2. Staff #1 (hired 12/09/2022) did not have documentation of having an orientation. 3. Staff #3 did not have documentation to demonstrate that the individual possessed the education, certification, and/or experience required by the job position as a program leader.”

8VAC20-780-245-A

“Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training. Evidence: Staff #1 (hired 12/09/2022) did not have documentation of having received at least 16 hours of training in 2023.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. The window frame where children gather in the main room was broken with jagged edges and their was peeling paint on the concrete wall. 2. There was debris on the floor and carpets in the rooms used by children. a. There were stains and dried play-doh on carpet, pieces of broken crayons, small strips of papers, broken toy pieces, dirt and dust on the floors b. Children were observed sitting and playing games on the floor.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. The window frame where children gather in the main room was broken with jagged edges and their was peeling paint on the concrete wall. 2. There was debris on the floor and carpets in the rooms used by children. a. There were stains and dried play-doh on carpet, pieces of broken crayons, small strips of papers, broken toy pieces, dirt and dust on the floors b. Children were observed sitting and playing games on the floor.”

8VAC20-780-160-C

“Based on a record review the center did not ensure a repeat tuberculosis(TB) screening at least every 2 years from the date of the first screening/test. Evidence: Staff #1's last TB test was dated 01/19/2022.”

8VAC20-780-60-A

“Based on record review the center did not ensure all required information was kept for each enrolled child. 1. Child #1, who was in care at the time of inspection, did not have a file. 2. Child #3 did not have documentation of the child's first day of enrollment. 3. None of the child enrollment forms used by the center included a space to document the child's nickname.”

8VAC20-780-60-A

“Based on record review the center did not ensure all required information was kept for each enrolled child. 1. Child #1, who was in care at the time of inspection, did not have a file. 2. Child #3 did not have documentation of the child's first day of enrollment. 3. None of the child enrollment forms used by the center included a space to document the child's nickname.”

8VAC20-780-70

“Based on a record review the center did not ensure all required information was kept for each staff person. Evidence: 1. Staff #2, #3 and # 6 did not have documentation of their date of hire. 2. Staff #1 (hired 12/09/2022) did not have documentation of having an orientation. 3. Staff #3 did not have documentation to demonstrate that the individual possessed the education, certification, and/or experience required by the job position as a program leader.”