YMCA of Pulaski County-Pulaski Elementary

8VAC20-780-510-E

“Based on review of medication and authorization to administer medication the center failed to ensure authorization to administer met requirements. Evidence: The emergency medication for child #1 had only the parental authorization that was dated August 10, 2023. Parental authorization is only good for 10 days. There was no long term authorization document from the physician, and the parent had not renewed every 10 days as required.”

8VAC20-780-510-E

“Based on review of medication and authorization to administer medication the center failed to ensure authorization to administer met requirements. Evidence: The emergency medication for child #1 had only the parental authorization that was dated August 10, 2023. Parental authorization is only good for 10 days. There was no long term authorization document from the physician, and the parent had not renewed every 10 days as required.”

8VAC20-780-510-E

“Based on review of medications and related documentation the facility failed to ensure that there was current authorization to administer the medication. Evidence: The emergency medication for child #1 did not have a current authorization to administer document. The document was signed by the parent but had not been renewed after the allowed 10 days of authorization. There was no long term authorization by the physician.”

8VAC20-780-510-I

“Based on review of staff files and discussions with staff the facility failed to ensure that a staff was present who meets Medication Administration requirements. Evidence: On 5/23/23 the sole staff member who has Medication Administration Certification was not on site, but was on site at another Y program that was being inspected by licensing. There were 2 children present on 5/23/23 who have emergency medications and there was no staff present holding MAT Certification on this day as required.”

8VAC20-780-510-E

“Based on review of medications and related documentation the facility failed to ensure that there was current authorization to administer the medication. Evidence: The emergency medication for child #1 did not have a current authorization to administer document. The document was signed by the parent but had not been renewed after the allowed 10 days of authorization. There was no long term authorization by the physician.”

8VAC20-780-510-I

“Based on review of staff files and discussions with staff the facility failed to ensure that a staff was present who meets Medication Administration requirements. Evidence: On 5/23/23 the sole staff member who has Medication Administration Certification was not on site, but was on site at another Y program that was being inspected by licensing. There were 2 children present on 5/23/23 who have emergency medications and there was no staff present holding MAT Certification on this day as required.”

8VAC20-780-510-I

“Based on review of children files and discussions with staff the center failed to ensure that an authorization to administer prescription medication is obtained prior to allowing medication to be kept at the center. Evidence: Child B had an emergency inhaler, but there was no medication authorization to administer this medication on file.”

8VAC20-780-340-C

“Based on observations and discussion with staff the center failed to ensure that two (2) staff are present at all times while children are in care. Evidence: Children arrived at 3:01pm and there was only one staff member present. Staff verified that a second staff member doesn't arrive until 3:35pm each day. There were 14 children present during this time. The second staff did arrived at 3:35pm. Standards require 2 staff to be present when one or more children are in care.”

8VAC20-780-510-L

“Based on review of children files and discussions with staff the center failed to ensure that a physician authorization was on file for a child to self-carry medication. Evidence: Child B has an inhaler and staff reported that the child self-carries the inhaler. There was no physician authorization on file for the child to self-carry the medication as required.”

8VAC20-780-510-I

“Based on review of children files and discussions with staff the center failed to ensure that an authorization to administer prescription medication is obtained prior to allowing medication to be kept at the center. Evidence: Child B had an emergency inhaler, but there was no medication authorization to administer this medication on file.”

8VAC20-780-340-C

“Based on observations and discussion with staff the center failed to ensure that two (2) staff are present at all times while children are in care. Evidence: Children arrived at 3:01pm and there was only one staff member present. Staff verified that a second staff member doesn't arrive until 3:35pm each day. There were 14 children present during this time. The second staff did arrived at 3:35pm. Standards require 2 staff to be present when one or more children are in care.”

8VAC20-780-510-L

“Based on review of children files and discussions with staff the center failed to ensure that a physician authorization was on file for a child to self-carry medication. Evidence: Child B has an inhaler and staff reported that the child self-carries the inhaler. There was no physician authorization on file for the child to self-carry the medication as required.”

8VAC20-780-260-A

“Based on interview and record review, the center did not have an annual fire inspection. Evidence: 1. The last fire inspection was completed 10/21/2020.”

8VAC20-780-260-A

“Based on interview and record review, the center did not have an annual fire inspection. Evidence: 1. The last fire inspection was completed 10/21/2020.”

63.2(17)-1720.1-B-4

“Based on record review and interview, the center failed to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The inspector reviewed six staff records. Staff #6 had the required out of state background checks (dated 11/23/21) but not before the hire date of 8/27/21.”

63.2(17)-1720.1-B-2

“Based on record review, the center did not have fingerprinting processed prior to the first day of employment. Evidence: 1. The inspector reviewed 5 staff records. Staff #1 was hired 10/26/21 and the fingerprint was dated 11/8/21.”

63.2(17)-1720.1-B-4

“Based on record review and interview, the center failed to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The inspector reviewed six staff records. Staff #6 had the required out of state background checks (dated 11/23/21) but not before the hire date of 8/27/21.”

63.2(17)-1720.1-B-2

“Based on record review, the center did not have fingerprinting processed prior to the first day of employment. Evidence: 1. The inspector reviewed 5 staff records. Staff #1 was hired 10/26/21 and the fingerprint was dated 11/8/21.”