YMCA Child Care at Portsmouth YMCA

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. On the day of the inspection, there was approximately three inches of resilient surfacing on the school age playground, which does not meet the minimum safety standard of six inches.”

8VAC20-790-600-D-2

“Based on record review and interview the vendor did not ensure that all staff who work directly with children 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 did not have documentation of current first aid certification. 2.The program director confirmed that there was no documentation of first aid training in the record for Staff #1.”

8VAC20-790-600-D-1

“Based on record review and interview the vendor did not ensure that all staff who work directly with children 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 did not have documentation of current CPR certification. 2.The program director confirmed that there was no documentation of CPR training in the record for Staff #1.”

8VAC20-780-450-A

“Based on observation and interview the center did not ensure that each child have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1.A total of 20 children out of 46 children in care did not meet the linen requirements for nap time. These children (20 in total) had either a top or a bottom cover. a.Classroom staff confirmed that each child in care did not have the required linens for nap time.”

8VAC20-780-260-B

“Based on record review the center did not ensure that annual approval from the health department is provided. Evidence: 1.There was no documentation of a health department sanitation inspection of the center within the past year.”

8VAC20-780-160-A

“Based on record review the center did not ensure that each staff member submit a Tuberculosis (TB) screening in the required time frame (within 30 days prior to employment). Evidence: 1. Staff #1 (hire date 11/30/23) did not submit a TB screening that was within 30 calendar days prior to the date of employment. a.The TB screening in Staff #1?s record was dated 10/14/23.”

8VAC20-780-80-A

“Based on record review and interview the center did not ensure to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1.The attendance sheet for the four- to five-year-old classroom had 26 children signed in. However, there were only 25 children in care at the time of the inspection. a. One child left and was not signed out by a classroom staff. 2.Classroom staff confirmed that one child was not signed out at the time of their departure.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interview the center did not ensure that areas of the center be maintained in a clean and safe condition. Evidence: 1.A sink in the blue room had areas of accumulated soil and was not in a clean, sanitary condition. 2.There was graffiti written on a stall in a bathroom that school age children use when they are in care. a. School age children were arriving during the end of the inspection. 3.In the interactive room, there was a long cord hanging down from the mounted television and a wobbly free-standing shelf. Both items pose as injury hazards. a.The director confirmed that the television cord and shelf were not safe for the children in care.”

8VAC20-790-600-D-2

“Based on record review and interview the vendor did not ensure that all staff who work directly with children 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 did not have documentation of current first aid certification. 2.The program director confirmed that there was no documentation of first aid training in the record for Staff #1.”

8VAC20-790-600-D-1

“Based on record review and interview the vendor did not ensure that all staff who work directly with children 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 did not have documentation of current CPR certification. 2.The program director confirmed that there was no documentation of CPR training in the record for Staff #1.”

8VAC20-780-450-A

“Based on observation and interview the center did not ensure that each child have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1.A total of 20 children out of 46 children in care did not meet the linen requirements for nap time. These children (20 in total) had either a top or a bottom cover. a.Classroom staff confirmed that each child in care did not have the required linens for nap time.”

8VAC20-780-260-B

“Based on record review the center did not ensure that annual approval from the health department is provided. Evidence: 1.There was no documentation of a health department sanitation inspection of the center within the past year.”

8VAC20-780-160-A

“Based on record review the center did not ensure that each staff member submit a Tuberculosis (TB) screening in the required time frame (within 30 days prior to employment). Evidence: 1. Staff #1 (hire date 11/30/23) did not submit a TB screening that was within 30 calendar days prior to the date of employment. a.The TB screening in Staff #1?s record was dated 10/14/23.”

8VAC20-780-80-A

“Based on record review and interview the center did not ensure to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1.The attendance sheet for the four- to five-year-old classroom had 26 children signed in. However, there were only 25 children in care at the time of the inspection. a. One child left and was not signed out by a classroom staff. 2.Classroom staff confirmed that one child was not signed out at the time of their departure.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interview the center did not ensure that areas of the center be maintained in a clean and safe condition. Evidence: 1.A sink in the blue room had areas of accumulated soil and was not in a clean, sanitary condition. 2.There was graffiti written on a stall in a bathroom that school age children use when they are in care. a. School age children were arriving during the end of the inspection. 3.In the interactive room, there was a long cord hanging down from the mounted television and a wobbly free-standing shelf. Both items pose as injury hazards. a.The director confirmed that the television cord and shelf were not safe for the children in care.”

8VAC20-780-500-A

“Based upon observation and staff interview, the facility did not ensured that children's hands are washed before and after eating snacks and lunch. Evidence: The children in the red group were observed eating lunch. The inspector asked staff 2 if the children had washed their hands and staff 2 responded that some of the children did when they went to the bathroom. It did not appear that there was a routine or procedure in place to ensure that all hands were washed.”

8VAC20-780-550-P

“Based upon review of injury records, the facility has not ensured that the written record of children's injuries includes all required information. Evidence: 1. An injury record for child 9, dated 8/16/2023, did not include the date, time and how the parent was notified of the child's injury. 2. An injury record for child 10, dated 5/19/2023, did not include the date, time and how the parent was notified of the child's injury.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached. Evidence: The record provided for child 8 did not include the addresses for the emergency contact persons.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that they maintain a current written list of all children's allergies, sensitivities and dietary restrictions documented in an allergy plan that is dated and kept in each room or area where children are present. Evidence: 1. When asked, staff responded that there was a list of children's allergies kept in the office. Lists were not in each room or area where children were present. 2. Staff 1 was unable to provide a written list of children's allergies, sensitivities and dietary preferences.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that area and equipment are maintained in a clean, safe and operable condition. Evidence: 1. There was a 5 foot blue cord and a telephone cord hanging from the wall in the interactive zone in which a child could become tangled. 2. The cord from the wall mounted television in the interactive zone hung down 5 feet to the electrical outlet. This cord could be tugged, potentially pulling the large television from the wall. 3. There was an orange electrical extension cord pooled on the floor of the interactive zone. 4. The door to the employee closet was unlocked. There was a pair of sharp pointed scissors on a cabinet in the closet. 5. The trash receptacle and the wall and floor around the receptacle in the three year old classroom was covered in both wet and dried food spills and grime. 6. The hinge on the door under the handwashing sink in the three year old classroom is broken.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by children. Evidence: 1. Numerous times during the inspection, children were observed in the front office area. There was a container of disinfecting wipes on a desk and a container of sunscreen on a shelf, both having warning labels. 2. A closet door labeled employees only in the interactive zone was not locked while children in the red group were using the zone. In the closet there was a container of 007 cleaning fluid with a warning and to keep out of reach of children.. 3. There was a container of Aquaphor ointment on a counter in the large B classroom. The container had a warning label and to keep out of reach of children.”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that each staff record includes documentation to determine that the individual possesses the education, certification and experience required by the job position. Evidence: The record provided for staff 2 indicated that staff 2 is a program leader. The record did not include documentation that staff 2 has the required programmatic experience working with children.”

8VAC20-780-340-A

“Based upon observation, the facility has not ensured that when staff are supervising children, they always ensure their care, protection and guidance. Evidence: Eight children from the four year old classroom were observed in the care of stall 8 on the playground with the large climbing structure. Child 4 began down the wavy slide from the six foot high platform. The child jumped off the side of the slide near the top landing. Child 4 was observed jumping off the side four times. Staff 8 did not address the safety issue with child 4 nor did she move from where she was sitting on the bench.”

8VAC20-780-350-B-5

“Based upon observation, the facility has not ensured that there is one staff for every 18 school aged children between the age of eligibility and 9 years. Evidence: Upon arrival at the facility at 11:40 AM, 37 children between the age of eligibility and 9 years (the red group) were observed in care in the interactive zone with two staff. The 37 children were in care with the two staff for ten minutes before a third staff member joined the group.”

8VAC20-780-560-M

“Based upon observation, the facility has not ensured that no child is allowed to drink or eat while walking around. Evidence: Child 11 was observed walking in an out of the classroom and around the hallway while eating from a bag of chips.”

8VAC20-790-600-D-1

“Based upon review of records, the facility has not ensured that staff obtain first aid and cardiopulmonary resuscitation (CPR) certification within the first 90 days of employment. Evidence: 1. The record provided for staff 4, hired on 3/1/2023, did not include documentation of first and CPR certification. 2. The record provided for staff 5, hired on 1/18/2022, did not include documentation of first aid/CPR certification. 3. The record provided for staff 6, hired on 2/20/2023, did not include documentation of first aid/CPR certification. 4. The record provided for staff 7, hired on 10/10/2022, did not include documentation of first aid/CPR certification.”

8VAC20-780-500-A

“Based upon observation and staff interview, the facility did not ensured that children's hands are washed before and after eating snacks and lunch. Evidence: The children in the red group were observed eating lunch. The inspector asked staff 2 if the children had washed their hands and staff 2 responded that some of the children did when they went to the bathroom. It did not appear that there was a routine or procedure in place to ensure that all hands were washed.”

8VAC20-780-550-P

“Based upon review of injury records, the facility has not ensured that the written record of children's injuries includes all required information. Evidence: 1. An injury record for child 9, dated 8/16/2023, did not include the date, time and how the parent was notified of the child's injury. 2. An injury record for child 10, dated 5/19/2023, did not include the date, time and how the parent was notified of the child's injury.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached. Evidence: The record provided for child 8 did not include the addresses for the emergency contact persons.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that they maintain a current written list of all children's allergies, sensitivities and dietary restrictions documented in an allergy plan that is dated and kept in each room or area where children are present. Evidence: 1. When asked, staff responded that there was a list of children's allergies kept in the office. Lists were not in each room or area where children were present. 2. Staff 1 was unable to provide a written list of children's allergies, sensitivities and dietary preferences.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that area and equipment are maintained in a clean, safe and operable condition. Evidence: 1. There was a 5 foot blue cord and a telephone cord hanging from the wall in the interactive zone in which a child could become tangled. 2. The cord from the wall mounted television in the interactive zone hung down 5 feet to the electrical outlet. This cord could be tugged, potentially pulling the large television from the wall. 3. There was an orange electrical extension cord pooled on the floor of the interactive zone. 4. The door to the employee closet was unlocked. There was a pair of sharp pointed scissors on a cabinet in the closet. 5. The trash receptacle and the wall and floor around the receptacle in the three year old classroom was covered in both wet and dried food spills and grime. 6. The hinge on the door under the handwashing sink in the three year old classroom is broken.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by children. Evidence: 1. Numerous times during the inspection, children were observed in the front office area. There was a container of disinfecting wipes on a desk and a container of sunscreen on a shelf, both having warning labels. 2. A closet door labeled employees only in the interactive zone was not locked while children in the red group were using the zone. In the closet there was a container of 007 cleaning fluid with a warning and to keep out of reach of children.. 3. There was a container of Aquaphor ointment on a counter in the large B classroom. The container had a warning label and to keep out of reach of children.”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that each staff record includes documentation to determine that the individual possesses the education, certification and experience required by the job position. Evidence: The record provided for staff 2 indicated that staff 2 is a program leader. The record did not include documentation that staff 2 has the required programmatic experience working with children.”

8VAC20-780-340-A

“Based upon observation, the facility has not ensured that when staff are supervising children, they always ensure their care, protection and guidance. Evidence: Eight children from the four year old classroom were observed in the care of stall 8 on the playground with the large climbing structure. Child 4 began down the wavy slide from the six foot high platform. The child jumped off the side of the slide near the top landing. Child 4 was observed jumping off the side four times. Staff 8 did not address the safety issue with child 4 nor did she move from where she was sitting on the bench.”

8VAC20-780-350-B-5

“Based upon observation, the facility has not ensured that there is one staff for every 18 school aged children between the age of eligibility and 9 years. Evidence: Upon arrival at the facility at 11:40 AM, 37 children between the age of eligibility and 9 years (the red group) were observed in care in the interactive zone with two staff. The 37 children were in care with the two staff for ten minutes before a third staff member joined the group.”

8VAC20-780-560-M

“Based upon observation, the facility has not ensured that no child is allowed to drink or eat while walking around. Evidence: Child 11 was observed walking in an out of the classroom and around the hallway while eating from a bag of chips.”

8VAC20-790-600-D-1

“Based upon review of records, the facility has not ensured that staff obtain first aid and cardiopulmonary resuscitation (CPR) certification within the first 90 days of employment. Evidence: 1. The record provided for staff 4, hired on 3/1/2023, did not include documentation of first and CPR certification. 2. The record provided for staff 5, hired on 1/18/2022, did not include documentation of first aid/CPR certification. 3. The record provided for staff 6, hired on 2/20/2023, did not include documentation of first aid/CPR certification. 4. The record provided for staff 7, hired on 10/10/2022, did not include documentation of first aid/CPR certification.”

8VAC20-780-560-G

“Based upon observation and staff interview, the facility has not ensured that food that is brought from home is clearly dated and labeled in such a way as to identify the owner. Evidence: 1. There was a container in which were two small round slices of lunch meat and a biscuit in a cubby belonging to child 6. The container was not dated nor labeled to identify the owner. 2. Staff 1 acknowledged that the food in the child's cubby was not dated and labeled to identify the owner.”

8VAC20-780-280-B

“Based upon observation and staff interview on 01/27/2023, the facility has not ensured that hazardous substances are kept in locked places using safe locking mechanisms that prevent access by the children. Evidence: 1. There was an instant cold pack on the counter in the school age classroom. The packet was labeled external use only and keep out of reach of children. 2. Staff 1 acknowledged the cold pack on the counter in the school age classroom before moving it to a locked location.”

8VAC20-780-560-G

“Based upon observation and staff interview, the facility has not ensured that food that is brought from home is clearly dated and labeled in such a way as to identify the owner. Evidence: 1. There was a container in which were two small round slices of lunch meat and a biscuit in a cubby belonging to child 6. The container was not dated nor labeled to identify the owner. 2. Staff 1 acknowledged that the food in the child's cubby was not dated and labeled to identify the owner.”

8VAC20-780-280-B

“Based upon observation and staff interview on 01/27/2023, the facility has not ensured that hazardous substances are kept in locked places using safe locking mechanisms that prevent access by the children. Evidence: 1. There was an instant cold pack on the counter in the school age classroom. The packet was labeled external use only and keep out of reach of children. 2. Staff 1 acknowledged the cold pack on the counter in the school age classroom before moving it to a locked location.”

8VAC20-780-340-A

“Based upon observation and staff interview, the facility has not ensured that when supervising children, they always ensure their care. Evidence: When asked how many children were in her care in the three year old classroom, staff 11 responded that some of the children were by the bathroom and that there were 20 children. She stated that she had only been on duty about half an hour and that she wasn't sure. There were actually 17 children in the classroom.”

8VAC20-780-560-G

“Based upon observation, and staff interview, the facility has not ensured that when food is brought from home it is clearly labeled and identified for the child to whom it belonged. Evidence: 1. Three lunch boxes in the preschool hallway were not identified as to the child to whom it belonged. 2. None of the lunch boxes were dated. 3. Staff 10 observed that some lunch boxes did not have children's names and none of the lunch boxes were date.”

8VAC20-770-60-C-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment or they have denied continued employ of the staff member. Evidence: 1. The record provided for staff 2 indicated a hire date of 9/21/2022. The record did not include the results of a central registry finding. 2. The record provided for staff 3 indicated a hire date of 9/9/2022. The record did not include the results of a central registry finding. 3. The record provided for staff 4 indicated a hire date of 9/7/2022. The record did not include the results of a central registry finding. 4. The record provided for staff 7 indicated a hire date of 9/6/2022. The record did not include the results of a central registry finding. 5. The record provided for staff 9 indicated a hire date of 9/12/2022. The record did not include the results of a central registry finding. 6. Staff 1 verified that the results of central registry findings were not in the records of the above staff and that the staff were still employed to work with the children.”

8VAC20-780-160-A

“Based upon review of staff records, the facility has not ensured that each staff member submits documentation of a negative tuberculosis screening at the time of employment and before coming into contact with the children and that the screening was completed within the last 30 calendar days prior to employ. Evidence: 1. The record provided for staff 4 indicated a hire date of 9/7/2022. The tuberculosis screening in the record was obtained 5/12/2022 which is not within 30 days prior to employ. 2. The record for staff 6 indicated a hire date of 8/12/2022. The tuberculosis screening in the record was obtained on 8/22/2022 which was not prior to employ.”

8VAC20-780-70

“Based upon review of staff records and staff interview, the facility has not ensured that each staff record include the name, address and telephone number of a person to be contacted in an emergency. Evidence: 1. The records for staff 2, 3 and 8 did not include the names, addresses and telephone numbers of a person to be contact in an emergency. 2. Staff 1 verified that the records for staff 2, 3 and 8 did not include emergency contact persons.”

8VAC20-780-80-A

“Based upon observation, the facility has not ensured that they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There were 18 children in care in the older 4/5 year old classroom at the time of the inspection. The written attendance record in the classroom had 19 children documented as being in care. Staff 10 stated that one child had gone to school. The departure of the child had not been documented on the attendance sheet.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that areas inside the center are maintained to be clean and safe. Evidence: 1. Upon arrival of the inspector at 9:45 AM, the girls bathroom used by the school age children before going to public school was inspected. One toilet containing feces had not been flushed. In another stall, there was an empty potato chip bag and there were potato chips strewn across the floor. 2.Staff 10 also saw the condition of the girls bathroom. 3. The hinges on the door to the tall cabinet in the school age classroom are broken, causing the door to sage.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: There was a case and several loose cans of chafing fuel labeled combustible, caution and keep out of reach of children in an unlocked upper cabinet in the school ager classroom.”

8VAC20-780-140-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician before attending or within 30 days after the first date of attending. Evidence: 1. The record provided for child 5 indicated that child 5 began attending on 6/1/2022. The record did not include documentation of a physical examination. 2. Staff 1 verified that the record for child 5 did not include documentation of a physical examination.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two people to be contacted in an emergency when a parent cannot be reached. Evidence: 1. The record provided for child 5 had only the parents listed as persons to be contacted in an emergency. 2. Staff 1 verified that two emergency contacts other than parents were not in the child's record.”

8VAC20-780-340-A

“Based upon observation and staff interview, the facility has not ensured that when supervising children, they always ensure their care. Evidence: When asked how many children were in her care in the three year old classroom, staff 11 responded that some of the children were by the bathroom and that there were 20 children. She stated that she had only been on duty about half an hour and that she wasn't sure. There were actually 17 children in the classroom.”

8VAC20-780-560-G

“Based upon observation, and staff interview, the facility has not ensured that when food is brought from home it is clearly labeled and identified for the child to whom it belonged. Evidence: 1. Three lunch boxes in the preschool hallway were not identified as to the child to whom it belonged. 2. None of the lunch boxes were dated. 3. Staff 10 observed that some lunch boxes did not have children's names and none of the lunch boxes were date.”

8VAC20-770-60-C-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment or they have denied continued employ of the staff member. Evidence: 1. The record provided for staff 2 indicated a hire date of 9/21/2022. The record did not include the results of a central registry finding. 2. The record provided for staff 3 indicated a hire date of 9/9/2022. The record did not include the results of a central registry finding. 3. The record provided for staff 4 indicated a hire date of 9/7/2022. The record did not include the results of a central registry finding. 4. The record provided for staff 7 indicated a hire date of 9/6/2022. The record did not include the results of a central registry finding. 5. The record provided for staff 9 indicated a hire date of 9/12/2022. The record did not include the results of a central registry finding. 6. Staff 1 verified that the results of central registry findings were not in the records of the above staff and that the staff were still employed to work with the children.”

8VAC20-780-160-A

“Based upon review of staff records, the facility has not ensured that each staff member submits documentation of a negative tuberculosis screening at the time of employment and before coming into contact with the children and that the screening was completed within the last 30 calendar days prior to employ. Evidence: 1. The record provided for staff 4 indicated a hire date of 9/7/2022. The tuberculosis screening in the record was obtained 5/12/2022 which is not within 30 days prior to employ. 2. The record for staff 6 indicated a hire date of 8/12/2022. The tuberculosis screening in the record was obtained on 8/22/2022 which was not prior to employ.”

8VAC20-780-70

“Based upon review of staff records and staff interview, the facility has not ensured that each staff record include the name, address and telephone number of a person to be contacted in an emergency. Evidence: 1. The records for staff 2, 3 and 8 did not include the names, addresses and telephone numbers of a person to be contact in an emergency. 2. Staff 1 verified that the records for staff 2, 3 and 8 did not include emergency contact persons.”

8VAC20-780-80-A

“Based upon observation, the facility has not ensured that they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There were 18 children in care in the older 4/5 year old classroom at the time of the inspection. The written attendance record in the classroom had 19 children documented as being in care. Staff 10 stated that one child had gone to school. The departure of the child had not been documented on the attendance sheet.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that areas inside the center are maintained to be clean and safe. Evidence: 1. Upon arrival of the inspector at 9:45 AM, the girls bathroom used by the school age children before going to public school was inspected. One toilet containing feces had not been flushed. In another stall, there was an empty potato chip bag and there were potato chips strewn across the floor. 2.Staff 10 also saw the condition of the girls bathroom. 3. The hinges on the door to the tall cabinet in the school age classroom are broken, causing the door to sage.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: There was a case and several loose cans of chafing fuel labeled combustible, caution and keep out of reach of children in an unlocked upper cabinet in the school ager classroom.”

8VAC20-780-140-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician before attending or within 30 days after the first date of attending. Evidence: 1. The record provided for child 5 indicated that child 5 began attending on 6/1/2022. The record did not include documentation of a physical examination. 2. Staff 1 verified that the record for child 5 did not include documentation of a physical examination.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two people to be contacted in an emergency when a parent cannot be reached. Evidence: 1. The record provided for child 5 had only the parents listed as persons to be contacted in an emergency. 2. Staff 1 verified that two emergency contacts other than parents were not in the child's record.”

8VAC20-790-600-D-1

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #2 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. The record for staff #3 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 3. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2 and staff #3 had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-600-D-2

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #2 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 2. The record for staff #3 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 3. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2 and staff #3 had a current certification in first aid appropriate to the ages of children in care.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning Evidence: 1. The record for staff #3 did not contain documentation of a negative tuberculosis screening. 2.The record for staff #5 did not contain documentation of a negative tuberculosis screening. 3. Staff #4 (Program Director) reviewed the records for staff #3 and staff #5, and confirmed that there was not any documentation of a negative tuberculosis screening available for viewing during the inspection for either staff.”

8VAC20-780-550-F

“Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that an annual lockdown drill is completed. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that an annual lockdown drill was completed during the 2021. 2. Staff #4 (Program Director) confirmed that there was no annual lockdown drill completed during the year of 2021.”

8VAC20-780-160-C

“Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #2, contained documentation of TB screening that was dated 12/14/18. 2. Staff #4 (Program Director), reviewed the record for staff #2 and confirmed that an updated TB screening had not been received.”

8VAC20-780-280-B

“Based on observation, it was determined that the facility did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The door for the cabinet under the sink in the Pre-K classroom was not secured with any type of locking mechanism. The cabinet contained several bottles of hazardous substances used for cleaning. 2. Staff #4 (Program Director) confirmed there were hazardous substances present that were not kept in a locked place.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents. 2.The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents. 3. Staff #4 (Program Director) confirmed that the record for child #1 and child #3 did not contain all of the required information.”

8VAC20-790-600-D-1

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #2 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. The record for staff #3 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 3. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2 and staff #3 had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-600-D-2

“Based on a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in first aid appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #2 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 2. The record for staff #3 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 3. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2 and staff #3 had a current certification in first aid appropriate to the ages of children in care.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning Evidence: 1. The record for staff #3 did not contain documentation of a negative tuberculosis screening. 2.The record for staff #5 did not contain documentation of a negative tuberculosis screening. 3. Staff #4 (Program Director) reviewed the records for staff #3 and staff #5, and confirmed that there was not any documentation of a negative tuberculosis screening available for viewing during the inspection for either staff.”

8VAC20-780-550-F

“Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that an annual lockdown drill is completed. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that an annual lockdown drill was completed during the 2021. 2. Staff #4 (Program Director) confirmed that there was no annual lockdown drill completed during the year of 2021.”

8VAC20-780-160-C

“Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #2, contained documentation of TB screening that was dated 12/14/18. 2. Staff #4 (Program Director), reviewed the record for staff #2 and confirmed that an updated TB screening had not been received.”

8VAC20-780-280-B

“Based on observation, it was determined that the facility did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The door for the cabinet under the sink in the Pre-K classroom was not secured with any type of locking mechanism. The cabinet contained several bottles of hazardous substances used for cleaning. 2. Staff #4 (Program Director) confirmed there were hazardous substances present that were not kept in a locked place.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents. 2.The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents. 3. Staff #4 (Program Director) confirmed that the record for child #1 and child #3 did not contain all of the required information.”

22.1-289.035-B-4

“Based on a review of 8 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 45 days of employment from any other state in which the employee has resided in the preceding five years. Evidence: 1. The record for staff #7 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding from Hawaii. The sworn statement indicated staff #7 had previously lived in Hawaii within the last 5 years. 2. Staff #9 (Program Director) review the record for the staff #7 and confirmed that the search of the central registry finding from the state (Hawaii) in which staff #7 previously resided in has not been received.”

8VAC20-780-160-A-1

“Based on a review of 8 staff records, it was determined that the facility did not ensure that all staff provide documentation of a negative TB screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #5 (date of hire 9/18/21) did not contain documentation of a negative TB screening. 2. The record for staff #7 (date of hire 9/10/21) did not contain documentation of a negative TB screening. 3. Staff #9 (Program Director) confirmed that the both listed above did not have a negative TB screening available for viewing during the inspection.”

22.1-289.035-B-4

“Based on a review of 8 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 45 days of employment from any other state in which the employee has resided in the preceding five years. Evidence: 1. The record for staff #7 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding from Hawaii. The sworn statement indicated staff #7 had previously lived in Hawaii within the last 5 years. 2. Staff #9 (Program Director) review the record for the staff #7 and confirmed that the search of the central registry finding from the state (Hawaii) in which staff #7 previously resided in has not been received.”

8VAC20-780-160-A-1

“Based on a review of 8 staff records, it was determined that the facility did not ensure that all staff provide documentation of a negative TB screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #5 (date of hire 9/18/21) did not contain documentation of a negative TB screening. 2. The record for staff #7 (date of hire 9/10/21) did not contain documentation of a negative TB screening. 3. Staff #9 (Program Director) confirmed that the both listed above did not have a negative TB screening available for viewing during the inspection.”