YMCA Child Care @ Taylor Bend YMCA

8VAC20-780-160-A

“Repeat Violation Based on a review of 5 staff records, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1.There was no documentation of a TB screening in the record for staff #5. 2.The Director confirmed the screening was not in the record.”

8VAC20-780-70

“Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The record for staff #2, staff #3 and staff #5 did not contain documentation that two or more references were checked before employment or volunteering. 2.The name, address, and telephone number of a person to be notified in an emergency was not kept at the center for staff #3, staff #4 and staff #5. 3.The record for staff #5 did not include verification of age requirement and date of employment. 4.The Director confirmed the information listed was not in the records at the center.”

8VAC20-780-210-A

“(A2) 8VAC20-780-210-A Based on the review of records and interview, it was determined the center did not ensure that all the requirements were met for staff assigned as program leaders. Evidence: 1.The record for staff #3 (date of hire 1/22/24) contained documentation that the staff member was a program leader; however, the record did not contain documentation of a minimum of 24 hours of training related to the care of children. There were 8 hours of training documented in the record.”

8VAC20-780-240-A

“Based on the review of records and interview, it was determined the center did not ensure that the Virginia Department of Education sponsored orientation course is completed within 90 calendar days of employment. Evidence: 2.The record for staff #3 (date of hire 1/22/24) did not contain documentation of completion of the Virginia Preservice training. 3.The Director confirmed the documentation was not in the record.”

22.1-289.011-F

“Based on observation and interviews, it was determined that the facility did not ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1.The current license was not posted. 2.The latest inspection summary was not posted. 3.The Director confirmed the license and inspection summary were not posted.”

8VAC20-780-270-A

“Based on records review and interview the center did not ensure that staff complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. Evidence: 1.The record for staff #5 did not contain documentation that orientation was completed within 7 days of hire.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the main classroom where children were gathered the following cleaning materials were accessible to children: a.There was a container of Comet cleanser, Super Zorb and disinfectants in an unlocked cabinet under the sink. b.There were bottles of laundry detergent in the unlocked laundry closet.”

8VAC20-780-430-K

“Repeat Violation Based on observation and interviews, it was determined that the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: 1.Children’s personal belongings including backpacks and lunchboxes were scattered on the floor. 2.The Director confirmed that the children did not have individual places to keep their belongings.”

8VAC20-780-550-P

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1.Two injury reports did not contain documentation of the date and time the parent was notified of an injury. 2.The Director confirmed this information was not documented.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.There were no records for child #4 and child #5. 2.The Director confirmed there were no records.”

8VAC20-790-600-D-2

“Repeat Violation Based on record review and interviews, it was determined the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care. Evidence: 1.Staff #3, date of hire 1/22/24 did not have documentation of current certification in first aid. 2.The most current first aid certification for staff #2 expired 8/25/2022.”

8VAC20-790-600-D-1

“Repeat Violation Based on observation and interviews, it was determined that the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.Staff #3, date of hire 1/22/24 did not have documentation of current certification in cardiopulmonary resuscitation (CPR). 2.The most current CPR certification for staff #2 expired 8/25/2022.”

8VAC20-780-280-B

“Based on observation and interviews it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the mind and body classroom where children gather for lunch there was a bottle of disinfectant and a can of Comet cleanser in an unlocked cabinet.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the center did not ensure that that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1. In the 9-12 year old group there were 6 lunch boxes that did not have dates on them. 2. In the 9-12 year old group there were 2 lunch boxes that did not have names on them.”

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 5. There was no documentation that the center practiced the lockdown procedure in 2022. 6. The Program Director confirmed that there was no documentation that the lockdown procedure had been practiced 2022.”

8VAC20-780-550-E

“Based on record reviews and interviews, it was determined that the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1. There was no documentation of two shelter in place practices were conducted in 2022. 2. The Program Director confirmed there was no documentation that two shelter in place procedures had been practiced 2022.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1. An evacuation drill was not implemented in August 2022, September 2022, October 2022, and November 2022. 2. The Staff #1 (Program Director) confirmed that the evacuations were not practiced in August, September, October and November of 2022.”

8VAC20-780-510-I

“Based on a review of medication being stored at the facility and record review, it was determined the center did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian. (Repeat violation) Evidence: 1. The asthma action plan for Child #7, did not include the parent or guardians written and signed authorization to give the medication. The Program Director confirmed the plan did not include written authorization from the parent.”

8VAC20-780-430-K

“Based on observation and interviews, it was determined that the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: 1. Children’s personal belongings including backpacks and lunchboxes were laying on the floor in hallways and classrooms. 2. Staff #1 confirmed that the children did not have individual places to keep their belongings.”

8VAC20-790-600-D-1

“Based on observation and interviews, it was determined that the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in cardiopulmonary resuscitation (CPR). 2. Staff #1 confirmed Staff #4 did not have current CPR certification.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care. Evidence: 3. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in first aid. 4. Staff #1 confirmed Staff #4 did not have current certification in first aid.”

8VAC20-790-530-C

“Based on observation and interviews, it was determined that the vendor did not ensure that for each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the 5-7 year old group there was no written hard copy of children’s arrival and departure times. 2. In the 9-12 year old group there was no written hard copy of children’s arrival and departure times. 3. Staff #1 (Program Director) confirmed that there was no written record of children’s arrival and departure.”

8VAC20-780-280-B

“Based on observation and interviews it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the mind and body classroom where children gather for lunch there was a bottle of disinfectant and a can of Comet cleanser in an unlocked cabinet.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the center did not ensure that that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1. In the 9-12 year old group there were 6 lunch boxes that did not have dates on them. 2. In the 9-12 year old group there were 2 lunch boxes that did not have names on them.”

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 5. There was no documentation that the center practiced the lockdown procedure in 2022. 6. The Program Director confirmed that there was no documentation that the lockdown procedure had been practiced 2022.”

8VAC20-780-550-E

“Based on record reviews and interviews, it was determined that the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1. There was no documentation of two shelter in place practices were conducted in 2022. 2. The Program Director confirmed there was no documentation that two shelter in place procedures had been practiced 2022.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1. An evacuation drill was not implemented in August 2022, September 2022, October 2022, and November 2022. 2. The Staff #1 (Program Director) confirmed that the evacuations were not practiced in August, September, October and November of 2022.”

8VAC20-780-510-I

“Based on a review of medication being stored at the facility and record review, it was determined the center did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian. (Repeat violation) Evidence: 1. The asthma action plan for Child #7, did not include the parent or guardians written and signed authorization to give the medication. The Program Director confirmed the plan did not include written authorization from the parent.”

8VAC20-780-430-K

“Based on observation and interviews, it was determined that the center did not ensure that a provision was made for an individual place for each child’s personal belongings. Evidence: 1. Children’s personal belongings including backpacks and lunchboxes were laying on the floor in hallways and classrooms. 2. Staff #1 confirmed that the children did not have individual places to keep their belongings.”

8VAC20-790-600-D-1

“Based on observation and interviews, it was determined that the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in cardiopulmonary resuscitation (CPR). 2. Staff #1 confirmed Staff #4 did not have current CPR certification.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care. Evidence: 3. Staff #4, date of hire 9/19/2022 did not have documentation of current certification in first aid. 4. Staff #1 confirmed Staff #4 did not have current certification in first aid.”

8VAC20-790-530-C

“Based on observation and interviews, it was determined that the vendor did not ensure that for each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the 5-7 year old group there was no written hard copy of children’s arrival and departure times. 2. In the 9-12 year old group there was no written hard copy of children’s arrival and departure times. 3. Staff #1 (Program Director) confirmed that there was no written record of children’s arrival and departure.”

8VAC20-770-60-C-2

“Based on a review of 15 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 30 days of employment. Evidence: 1. The record for staff #2 (date of hire 8/6/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #3 (date of hire 6/6/22) did not contain documentation of a completed search of the central registry finding. 3. The record for staff #4 (date of hire 6/3/22) did not contain documentation of a completed search of the central registry finding. 4. The record for staff #5 (date of hire 6/7/22) did not contain documentation of a completed search of the central registry finding. 5. The record for staff #6 (date of hire 6/17/22) did not contain documentation of a completed search of the central registry finding. 6. The record for staff #6 (date of hire 9/21/21) did not contain documentation of a completed search of the central registry finding. 7. The record for staff #9 (date of hire 1/11/17) did not contain documentation of a completed search of the central registry finding. 8. The record for staff #11 (date of hire 3/28/22) did not contain documentation of a completed search of the central registry finding. 9. The record for staff #12 (date of hire 6/9/22) did not contain documentation of a completed search of the central registry finding. 10. The record for staff #15 (date of hire 6/11/22) did not contain documentation of a completed search of the central registry finding. 11. Staff #2 (Program Director) confirmed that there was not a search of the central registry finding available for viewing during the inspection for the staff listed above.”

8VAC20-780-530-A

“Based on a review of eleven staff records and interviews, it was determined that the facility did not ensure that there shall be at least one staff in each classroom or area where children are present that has a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Seven of those groups of children did not contain a staff that had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. 2. Staff #2 (Program Director) confirmed that staff in each of these seven groups did not have a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care available for viewing during the inspection.”

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 the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #6 (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.”

8VAC20-770-70-A

“Based on a review of 15 staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #1 did not include documentation that orientation training had been completed. 2. The record for staff #4 did not include documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for staff #5 did not include documentation that orientation training had been completed. 4. The record for staff #11 did not include documentation that orientation training had been completed. 5. The record for staff #15 did not include documentation that orientation training had been completed. 6. Staff #2 (Program Director) confirmed that the records for the staff listed above were not complete.”

8VAC20-780-140-A

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

8VAC20-780-160-A

“Based on a review of 15 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 (date of hire 6/6/22) contained documentation of a negative tuberculosis screening that was dated 6/16/22. 2. 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 3. The record for staff #5 (date of hire 6/7/22) contained documentation of a negative tuberculosis screening that was dated 6/28/22. 4. The record for staff #12 did not contain documentation of a negative tuberculosis screening. 5. The record for staff #15 (date of hire 6/11/22) contained documentation of a negative tuberculosis screening that was dated 6/23/22. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.”

8VAC20-780-340-D

“Based on observation, a review of 15 staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Eight of those groups of children did not contain a staff that was qualified as a Program Leader. 2. Staff #2 (Program Director) reviewed the records for the staff working, and was unable to provide documentation during the inspection that any of the staff in that grouping of children were qualified. Program Leader qualified.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian. Evidence: 1. The written authorization for the medication for child #11 was not signed by the parent. 2. There was no written authorization for the medication for child #12. 3. Staff #2 (Program Director) confirmed that there was medication listed above did not have written authorization from the parent to be given.”

8VAC20-780-510-P

“Based on a review of the medication being stored at the center, it was determined that the licensee did not ensure that when an authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The long term medication authorization for child #13 expired on 6/1/22, but the medication (Albuterol inhaler) was still at the center. 2. Staff #2 (Program director) confirmed that the medication for child #13 had been present in the center for more than 14 days since the expiration of the written authorization.”

8VAC20-770-60-C-2

“Based on a review of 15 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 30 days of employment. Evidence: 1. The record for staff #2 (date of hire 8/6/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #3 (date of hire 6/6/22) did not contain documentation of a completed search of the central registry finding. 3. The record for staff #4 (date of hire 6/3/22) did not contain documentation of a completed search of the central registry finding. 4. The record for staff #5 (date of hire 6/7/22) did not contain documentation of a completed search of the central registry finding. 5. The record for staff #6 (date of hire 6/17/22) did not contain documentation of a completed search of the central registry finding. 6. The record for staff #6 (date of hire 9/21/21) did not contain documentation of a completed search of the central registry finding. 7. The record for staff #9 (date of hire 1/11/17) did not contain documentation of a completed search of the central registry finding. 8. The record for staff #11 (date of hire 3/28/22) did not contain documentation of a completed search of the central registry finding. 9. The record for staff #12 (date of hire 6/9/22) did not contain documentation of a completed search of the central registry finding. 10. The record for staff #15 (date of hire 6/11/22) did not contain documentation of a completed search of the central registry finding. 11. Staff #2 (Program Director) confirmed that there was not a search of the central registry finding available for viewing during the inspection for the staff listed above.”

8VAC20-780-530-A

“Based on a review of eleven staff records and interviews, it was determined that the facility did not ensure that there shall be at least one staff in each classroom or area where children are present that has a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Seven of those groups of children did not contain a staff that had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. 2. Staff #2 (Program Director) confirmed that staff in each of these seven groups did not have a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care available for viewing during the inspection.”

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 the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #6 (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.”

8VAC20-770-70-A

“Based on a review of 15 staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #1 did not include documentation that orientation training had been completed. 2. The record for staff #4 did not include documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for staff #5 did not include documentation that orientation training had been completed. 4. The record for staff #11 did not include documentation that orientation training had been completed. 5. The record for staff #15 did not include documentation that orientation training had been completed. 6. Staff #2 (Program Director) confirmed that the records for the staff listed above were not complete.”

8VAC20-780-140-A

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

8VAC20-780-160-A

“Based on a review of 15 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 (date of hire 6/6/22) contained documentation of a negative tuberculosis screening that was dated 6/16/22. 2. 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 3. The record for staff #5 (date of hire 6/7/22) contained documentation of a negative tuberculosis screening that was dated 6/28/22. 4. The record for staff #12 did not contain documentation of a negative tuberculosis screening. 5. The record for staff #15 (date of hire 6/11/22) contained documentation of a negative tuberculosis screening that was dated 6/23/22. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.”

8VAC20-780-340-D

“Based on observation, a review of 15 staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. The Licensing Inspector observed nine groups of children during the inspection. Eight of those groups of children did not contain a staff that was qualified as a Program Leader. 2. Staff #2 (Program Director) reviewed the records for the staff working, and was unable to provide documentation during the inspection that any of the staff in that grouping of children were qualified. Program Leader qualified.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian. Evidence: 1. The written authorization for the medication for child #11 was not signed by the parent. 2. There was no written authorization for the medication for child #12. 3. Staff #2 (Program Director) confirmed that there was medication listed above did not have written authorization from the parent to be given.”

8VAC20-780-510-P

“Based on a review of the medication being stored at the center, it was determined that the licensee did not ensure that when an authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The long term medication authorization for child #13 expired on 6/1/22, but the medication (Albuterol inhaler) was still at the center. 2. Staff #2 (Program director) confirmed that the medication for child #13 had been present in the center for more than 14 days since the expiration of the written authorization.”

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 #4 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 3. The record for staff #5 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 4. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2, staff #4 or staff #5 had a current The record for staff #2 did not contain documentation of a current certification in first aid appropriate to the ages of children in care.”

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 #4 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 3. The record for staff #5 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 4. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2, staff #4 or staff #5 had a current 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.”

8VAC20-780-260-A

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. There was no documentation to demonstrate the annual fire inspection had been completed. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual fire inspection report had been completed.”

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 #2 (date of hire (4/12/21) did not contain documentation of a negative tuberculosis screening. 2.The record for staff #5 (date of hire (10/4/21) did not contain documentation of a negative tuberculosis screening. 3. Staff #4 (Program Director) reviewed the records for staff #2 and staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for either staff.”

8VAC20-770-60-C-2

“Based on a review of five 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 30 days of employment. Evidence: 1. The record for staff #3 (date of hire 1/11/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #4 (date of hire 8/6/21) did not contain documentation of a completed search of the central registry finding. 3. Staff #4 (Program Director) reviewed the records for the staff #3 and staff #4, and confirmed that there was not a search of the central registry finding available for viewing during the inspection for either staff.”

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.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The inspection that was posted on the Licensing Board was dated 1/8/21.The results from the most recent inspection, 8/18/21, were not posted anywhere in the facility. 2. Staff #4 (Program Director) confirmed that the results from the most recent inspection were not posted anywhere in the building.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that the annual approval from the health department was received. Evidence: 1. There was no documentation to demonstrate the annual approval from the health department had been received. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual approval from the health department had been received.”

8VAC20-780-40-M

“Based on a review of documentation and interviews, it was determined that the facility did not ensure that a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8 is maintained, in a way that is accessible to all staff who work with children. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. There was no list of all children's allergies, sensitivities, and dietary restrictions available for viewing during the inspection. 2. Staff #4 (Program Director) confirmed that the list of of all children's allergies, sensitivities, and dietary restrictions was not maintained in the classroom where the children were located.”

8VAC20-780-340-D

“Based on observation, a review of five staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. Staff #1, staff #3, and staff #5 were working with a group of School Age children during the inspection. The records for staff #1, staff #3, and staff #5 did not contain documentation to demonstrate that any of the staff were Program Leader qualified. The records for staff #1 and staff #3 indicated that they were Program Leaders. 2. Staff #4 (Program Director) reviewed the records for the staff #1, staff #3, and staff #5, and was unable to provide documentation during the inspection that any of the staff in that grouping of children were qualified. Program Leader qualified.”

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 #4 did not contain the enrollment agreement with all of the required information about the child and the parents. 2. Staff #4 (Program Director) confirmed that the record for child #4 did not contain all of the required information.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items. Evidence: 1. The first aid kit for the facility did not include an antiseptic cleaner and triangle bandages. 2. Staff #4 (Program Director) confirmed that the facility's first aid kit did not contain all of the required items.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, it was determined that the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. The Licensing Inspector observed child #1 walking down a hallway adjacent to the gym alone. 2. Staff #3 stated that she had brought three children in from the playground and allowed child #1 to go to the bathroom that was down the hallway while she assisted the other two children in the classroom 3. Staff #3 confirmed that she did not maintain sight and sound supervision of child #1.”

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 #4 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 3. The record for staff #5 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 4. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2, staff #4 or staff #5 had a current The record for staff #2 did not contain documentation of a current certification in first aid appropriate to the ages of children in care.”

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 #4 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 3. The record for staff #5 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 4. Staff #4 (Program Director) confirmed that she was unable to provide documentation during the inspection to demonstrate staff #2, staff #4 or staff #5 had a current 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.”

8VAC20-780-260-A

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. There was no documentation to demonstrate the annual fire inspection had been completed. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual fire inspection report had been completed.”

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 #2 (date of hire (4/12/21) did not contain documentation of a negative tuberculosis screening. 2.The record for staff #5 (date of hire (10/4/21) did not contain documentation of a negative tuberculosis screening. 3. Staff #4 (Program Director) reviewed the records for staff #2 and staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for either staff.”

8VAC20-770-60-C-2

“Based on a review of five 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 30 days of employment. Evidence: 1. The record for staff #3 (date of hire 1/11/21) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #4 (date of hire 8/6/21) did not contain documentation of a completed search of the central registry finding. 3. Staff #4 (Program Director) reviewed the records for the staff #3 and staff #4, and confirmed that there was not a search of the central registry finding available for viewing during the inspection for either staff.”

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.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The inspection that was posted on the Licensing Board was dated 1/8/21.The results from the most recent inspection, 8/18/21, were not posted anywhere in the facility. 2. Staff #4 (Program Director) confirmed that the results from the most recent inspection were not posted anywhere in the building.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that the annual approval from the health department was received. Evidence: 1. There was no documentation to demonstrate the annual approval from the health department had been received. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual approval from the health department had been received.”

8VAC20-780-40-M

“Based on a review of documentation and interviews, it was determined that the facility did not ensure that a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8 is maintained, in a way that is accessible to all staff who work with children. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. There was no list of all children's allergies, sensitivities, and dietary restrictions available for viewing during the inspection. 2. Staff #4 (Program Director) confirmed that the list of of all children's allergies, sensitivities, and dietary restrictions was not maintained in the classroom where the children were located.”

8VAC20-780-340-D

“Based on observation, a review of five staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. Staff #1, staff #3, and staff #5 were working with a group of School Age children during the inspection. The records for staff #1, staff #3, and staff #5 did not contain documentation to demonstrate that any of the staff were Program Leader qualified. The records for staff #1 and staff #3 indicated that they were Program Leaders. 2. Staff #4 (Program Director) reviewed the records for the staff #1, staff #3, and staff #5, and was unable to provide documentation during the inspection that any of the staff in that grouping of children were qualified. Program Leader qualified.”

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 #4 did not contain the enrollment agreement with all of the required information about the child and the parents. 2. Staff #4 (Program Director) confirmed that the record for child #4 did not contain all of the required information.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items. Evidence: 1. The first aid kit for the facility did not include an antiseptic cleaner and triangle bandages. 2. Staff #4 (Program Director) confirmed that the facility's first aid kit did not contain all of the required items.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, it was determined that the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. The Licensing Inspector observed child #1 walking down a hallway adjacent to the gym alone. 2. Staff #3 stated that she had brought three children in from the playground and allowed child #1 to go to the bathroom that was down the hallway while she assisted the other two children in the classroom 3. Staff #3 confirmed that she did not maintain sight and sound supervision of child #1.”