YMCA Alexandria

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all required information. On 08/13/2026, Child #1 and Child #2 were having a verbal disagreement which resulted in a physical interaction between the two children. An incident/injury report was written for Child #1 but it did not contain the treatment provided, date and time when parents were notified, future action to prevent reoccurrence, or documentation of how parent was notified.”

22.1-289.035-B-4

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. The center did not request out of state background checks for Staff #1, employed for almost 2 months.”

22.1-289.035-B-3

“REPEAT VIOLATIONS AND SYSTEMIC DEFICIENCY A search of the Virginia central registry ( CPS ) shall be requested prior to the individuals first day of employment. Staff #2 was employed for 2 months before a search of the central registry was requested.”

8VAC20-780-550-G

“The center shall implement and maintain documentation of a monthly practice evacuation drill. The center did not have documentation of completing an evacuation drill for May, June, or July of the current year.”

8VAC20-780-510-I

“SYSTEMIC DEFICIENCY The center may administer prescription medication to a child provided: the center has obtained written authorization; the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Child #2 had emergency medication intended to be administered in case of an allergen exposure. The center did not obtain written authorization to be able to administer the medication. Child #2 had additional medication that was not maintained in the original, labled container.”

8VAC20-780-70

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Staff records shall be kept for each staff person and include documentation that 2 or more references as to character, reputation, and competency were checked before employment. The center did not obtain at least 2 completed reference checks for Staff #2, employed for 2 months.”

8VAC20-780-60-A-8

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken during a suspected or confirmed exposure or reaction to the allergen. The record for Child #2 did not contain a written care plan for a confirmed food allergy.”

8VAC20-780-60-A

“SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: name, address, and phone number of 2 designated people to call in an emergency if a parent cannot be reached. The record for Child #1 did not contain a complete address for one emergency contact.”

22.1-289.035-B-2

“SYSTEMIC DEFICIENCY The center shall obtain the results of a national criminal history record check prior to the individuals first day of employment. The center did not obtain results of a criminal history record check for Staff #1, #2, #3, and #4 prior to their first day of employment. Staff #1 had been employed for 7 days, Staff #2 had been employed for 17 days, Staff #3 had been employed for 16 days, and Staff #4 had been employed for 24 days before results were obtained.”

22.1-289.035-B-3

“SYSTEMIC DEFICIENCY A search of the Virginia central registry ( CPS ) shall be requested prior to the individuals first day of employment. A CPS search had not been requested for Staff #1, employed for 40 days. A CPS search was not requested for Staff #2, #3, and #4 until 16 days after first day of employment.”

8VAC20-780-70

“SYSTEMIC DEFICIENCY Staff records shall be kept for each staff person and include documentation that 2 or more references as to character, reputation, and competency were checked before employment. The center did not obtain at least 2 completed reference checks for Staff #1, #2, and #4 until after their first day of employment. Staff #1 was employed for 16 days, Staff #2 was employed for 23 days, and Staff #4 was employed for 16 days before their reference checks were completed. The record for Staff #3 did not contain documentation that any reference checks had been completed.”

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 conflict. On 6/24/2026, Staff #1 failed to provide appropriate behavioral guidance after being pushed by Child #1, age 10. Staff #1 stated after being pushed by Child #1 multiple times, Staff #1 told Child #1 "if you do that again I'll have to write you up" and made other verbal remarks. Child #1 began crying and was comforted by a different staff member.”

8VAC20-780-410-6

“The following actions or threats thereof are forbidden: verbal remarks which are demeaning to the child. On 6/24/2026, Staff #1 made threatening remarks and used an intimidating movement with their body towards Child #1, age 10, after being pushed by Child #1. Interviews and documentation revealed after Child #1 had pushed Staff #1 multiple times, Staff #1 "bucked up" and said "if I was your age I would swing". Staff #1 continued to make remarks and said "if I was their age things would go differently". Child #1 was close enough to hear the remarks and began to cry.”

8VAC20-780-130-A

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #1, enrolled for 6 days, did not contain documentation of immunizations. Child #2 was in attendance for 5 days before the center obtained documentation of immunizations.”

22.1-289.035-B-4

“SYSTEMIC DEFICIENCY The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. On the date of the inspection, the required out of state background checks had not been requested for Staff #2 and Staff #3, employed for 40 days. Both staff had been actively working with children.”

8VAC20-780-160-A

“SYSTEMIC DEFICIENCY Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The record for Staff #1 contained results of a TB screening that was dated 18 days after date of hire. Staff #2 TB results were 19 days after hire, Staff #3 results were 21 days after hire, and Staff #4 results were 24 days after date of hire.”

22.1-289.035-B-1

“SYSTEMIC DEFICIENCY The center shall obtain a complete sworn disclosure statement prior to the individuals first day of employment. The center did not obtain a sworn disclosure statement from Staff #1, #2, #3, and #4 until after their first day of employment. Staff #1 was employed for 23 days, Staff #2 was employed for 19 days, Staff #3 was employed for 18 days, and Staff #4 was employed for 24 days before a sworn disclosure statement was completed.”

8VAC20-780-40-M

“SYSTEMIC DEFICIENCY The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present. The center did not have a written list of childrens allergies, sensitivities, and dietary restrictions accessible to staff in each room where children are present.”

8VAC20-780-60-A-8

“SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food in which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. The record for Child #1 and Child #2, enrolled for 6 days, contained documentation of the children having food allergies. A form completed by the parent indicated over-the-counter medication was needed in case of an exposure to the allergen. Child #1 and Child #2 had a physical examination completed by their physician which indicated the same food allergies. The physical for Child #1 indicated the allergy was severe and required the use of emergency medication in case of an exposure. On the date of the inspection, there was no written care plan or on-site medication for either child.”

8VAC20-780-140-A

“SYSTEMIC DEFICIENCY Each child shall have a physical examination by or under the direction of a physician before the childs attendance or within 30 days after the first day of attendance. The record for Child #1, enrolled for more than 2 months, did not contain a physical.”

8VAC20-780-60-A

“SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following:name and phone number of each parents place of employment; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; previous child day care and schools child has attended; and documentation of viewing proof of the childs identity and age. On the date of the inspection, the record for Child #1, enrolled for more than 2 months, did not contain employment information for each parent, emergency contacts that are not parents, proof of verifying the childs identity, or previous day care or schools the child has attended.”

8VAC20-780-130-A

“SYSTEMIC DEFICIENCY The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #1 did not contain immunizations. Based on center documentation, the child has attended the program 4 times in the last 2 and a half months.”

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: roughly handling or shaking a child. On 4/21/2026, Staff #1 was observed roughly handling a child when they grabbed Child #1, age 8, by the shirt collar and pushed them towards the wall and into a sitting position after the child had used profanity towards the staff member.”

22.1-289.036-A

“The child day center shall obtain the results of: a sex offender registry check for each state the individual has resided in the preceding 5 years, and every 5 years thereafter. The sex offender registry check for Agent #2 had been expired for more than 30 days before a re-check was done.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: work phone and place of employment for each parent; two emergency contacts. On the date of the inspection, the record for Child #1, enrolled for 6 months, did not contain a second emergency contact. The record for Child #2, enrolled for 6 months, did not contain a work phone number for one parent and a phone number for the second emergency contact.”

22.1-289-036-B-4

“The child day center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. On the date of the inspection, Agent #3, employed for more than 5 months, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.”

22.1-289.036-B-2

“The child day center shall obtain the results of a criminal history record check prior to the individuals first day of employment. On the date of the inspection, a criminal history record check had not been requested for Agent #3, employed for more than 5 months.”

22.1-289.036-B-1

“The child day center shall obtain prior to the individuals first day of employment: a complete sworn statement and three reference letters for any new individual listed as an agent of the business entity. On the date of the inspection, a sworn statement had not been completed for Agent #3, employed for more than 5 months. 2 out of 3 references for Agent #3 were dated more than 4 months after date of employment. The third reference was not dated to confirm when it was received.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. On the date of the inspection, the record for Staff #1 and Staff #2 did not contain documentation of annual training for the year 2025.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided for meeting requirements for: water supply, sewage disposal system, and food service. The most recent environmental sanitation inspection, for water and sewage disposal, was dated 02/21/2025.”

8VAC20-790-600-F

“Staff who work with children shall complete the departments health and safety update course annually. On the date of the inspection, the child day center did not have documentation that Staff #1 completed the departments health and safety update course for 2025.”

22.1-289.036-B-3

“A search of the central registry ( CPS ) shall be requested prior to the individuals first day of employment. On the date of the inspection, a CPS check had not been requested for Agent #3, employed for more than 5 months.”

22.1-289-036-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years. The record for Staff #1 contained results of an out of state sex offender search that was dated 11 days after date of hire.”

8VAC20-780-140-A

“Each child shall have a physical examination completed by a physician before the childs attendance or within 30 days after the first day of attendance. The record for Child #1, enrolled for more than 1 year, did not contain a physical examination.”

8VAC20-820-160-A-1

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The record for Staff #1 contained TB results that were dated 12 days after date of hire.”

22.1-289.036-B-2

“The center is required to obtain a completed national criminal background check prior to the employees first day of employment. The record for Staff #1 had results of a criminal background check that was dated 4 days after their date of hire.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present. A written list of allergies, sensitivities, and dietary restrictions was posted in the main office but not in each classroom or areas where children are present.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The center did not have documentation of an annual fire inspection.”

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment and obtain results within 30 days. The record for Staff #1 contained results of a CPS check that were dated 16 months after the date of hire.”

22.1-289.035-A

“REPEAT VIOLATION The center is required to have employees undergo a background check every 5 years. At the time of the inspection, a recheck of the central registry had not been requested for Staff #2 and was overdue by 7 months.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The center did not have documentation of an annual fire inspection.”

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment and obtain results within 30 days. The record for Staff #1 contained results of a CPS check that were dated 16 months after the date of hire.”

22.1-289.035-A

“REPEAT VIOLATION The center is required to have employees undergo a background check every 5 years. At the time of the inspection, a recheck of the central registry had not been requested for Staff #2 and was overdue by 7 months.”

22.1-289-036-B-4

“REPEAT VIOLATION The child day center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years. Staff #2, employed for 1 year, did not have results of an out of state sex offender or child abuse and neglect registry search.”

22.1-289.035-B-1

“REPEAT VIOLATION The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The record for Staff #1, employed for more than 2 months, did not contain a sworn statement.”

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment. The record for Staff #1, employed for more than 2 months, did not contain documentation or results of a central registry search.”

8VAC20-780-130-A

“REPEAT VIOLATION The center shall obtain documentation that each child has received immunizations required by the State Board of Health before the chid can attend the center. The record for Child #1, enrolled for 2 weeks, did not contain immunizations.”

8VAC20-780-60-A

“REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all required information. The record for Child #1, enrolled for 2 weeks, did not contain proof of the child's identity and age.”

22.1-289.036-B-2

“REPEAT VIOLATION The center is required to obtain a completed national criminal background check prior to the employees first day of employment. The record for Staff #1, employed for more than 2 months, did not contain results of a criminal background check.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #1, employed for more than 2 months and working with children, did not have documentation of a TB screening.”

8VAC20-780-70

“Staff records shall contain documentation that at least 2 references to character, reputation, and competency were checked prior to employment. Staff #1, employed for more than 2 months, did not have documentation of references.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than 7 days of the date of assuming job responsibilities. Staff #1, employed for more than 2 months and Staff #2, employed for 1 year, did not have documentation of completing orientation.”

8VAC20-780-140-A

“Each child shall have a physical examination completed by a physician before the childs attendance or within 30 days after the first day of attendance. The record for Child #2, enrolled for 11 months, did not contain a physical.”