YMCA of the Virginia Peninsulas - Mackey Thompson

8VAC20-780-560-G

“Repeat Violation When food is brought from home the container must be clearly labeled with the child’s name and date. Multiple thermos bottles were observed in the classroom were not labeled with the children’s names and dates.”

8VAC20-780-550-P

“Repeat Violation The center shall maintain written records of children’s injuries that contains all of the required information. Injury reports dated 06/16/2025, 06/30/2025, and 07/11/2025 did not document the time of parental notification.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. C5, who had been attending for more than one month, did not have documentation of an immunization record on file.”

8VAC20-780-70

“Repeat Violation Staff records shall include information about any health problems that may interfere with fulfilling the job responsibilities. The staff record for S2 did not include this information.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C2, enrolled for more than a month, was missing the addresses for both emergency contacts. The records for C1 and C5 enrolled for more than one month were missing the written agreements between the parent and the center as required by 8VAC20-780-90.”

8VAC20-780-150-B

“Repeat Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record and physical examination for C2 were not signed.”

8VAC20-780-140-A

“Repeat Violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of C5, who had been enrolled for more than 1 month.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. The personnel records for S2 documented orientation training more than 2 months after the date of assuming job responsibilities.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant with a warning label, ?Keep out of reach of children,? were unlocked in the adult bathroom located in the girl’s bathroom, within reach of children.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. S1 TB documentation was dated five days after employment.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant with a warning label, ?Keep out of reach of children,? were unlocked in the adult bathroom located in the girl’s bathroom, within reach of children.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. S1 TB documentation was dated five days after employment.”

8VAC20-780-550-P

“Based on review of the center’s written record of children serious or minor injuries the center failed to ensure the documentation contained all the required information. Evidence: The written record for serious or minor injuries for C3, dated 05/31/2024, C6 dated 5/24/2024, and C7 dated 06/12/2024 did not document the time and date when the parent was notified of the injuries, how the parent was notified of the injury, any action to prevent recurrence of the injury, and the staff and parent signatures.”

8VAC20-780-60-A

“Repeat Violation Based on review of children records, the provider did not ensure that three of five children’s records contained the required information. Evidence: The records for children, C1, C2, and C5 did not document the first day of attendance.”

8VAC20-780-140-A

“Based on child record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for C2, C4, and C5 did not contain a physical examination.”

8VAC20-770-60-C-2

“Repeat Violation Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S1, employed 04/26/2023 did not contain findings of a central registry search. The record for S2, employed 05/17/2024 contained central registry findings dated 07/03/2024.”

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunization records for C1, C2, C3, C4, and C5 were not signed by the licensed physician, the physician’s designee, or an official of a local health department. The physical examination for C3, dated 05/08/2022 was not signed by a licensed physician or physician’s designee.”

8VAC20-780-70

“Repeat Violation Based on record review, the provider did not keep the required records for one of four staff. Evidence: The record for S2, did not contain documentation to demonstrate orientation and training required by 8VAC20-780-240-C, 8VAC20-780-240-D, and 8VAC20-780-240-E. The record did not contain a completed orientation and training log and did not document information about any health problems that may interfere with fulfilling the job responsibilities.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S4, employed 03/04/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check was dated 04/08/2024.”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of a sex offender registry search, criminal record check, and out of state child abuse and neglect search from any state in which the individual has lived in the preceding five years. Evidence: Staff record for S4 documented on the sworn statement having lived out-of-state in the last five years. The record for S4, employed 03/04/2024 did not contain a sex offender searches for two states in which the individual lived in the preceding five years, the results of the out-of-state child abuse and neglect searches from one state, and the results of a criminal background check for one state.”

8VAC20-780-60-A

“Based on review of children records, the provider did not ensure that one of five children’s records contained the required information. Evidence: The record for child, C2 did not document: first day of attendance; child’s address; parents address and phone numbers; two designated people to contact in case of an emergency if the parent cannot be reached; and any health problems or allergies.”

8VAC20-780-510-L

“Based on interview and observation, the provider failed to ensure that a medication was kept in a locked place. Evidence: S4 reported to licensing inspector that C5?s medication is maintained in the child’s backpack in an unlocked locker in the school hallway. Licensing inspector observed the medication in the child’s backpack in the unlocked locker without a safe locking method that prevents access by children.”

8VAC20-780-510-I

“Based on review of a medication administration record ( MAR ), the provider administered a medication to a child without written authorization from a parent. Evidence: The MAR for C6 documented a medication being administered by staff on 05/29/2024. The child record did not contain written authorization from the parent.”

8VAC20-780-560-G

“Based on observation, the provider failed to ensure food brought from home was clearly labeled in a way that identifies the owner. Evidence: Licensing inspector observed multiple lunch boxes and water bottles that were not labeled with the children’s names.”

8VAC20-770-60-C-2

“Repeat Violation Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S4, employed 03/04/2024 did not contain findings of a central registry search.”

22.1-289.058

“Based on observation the center failed to have a carbon monoxide detector in the center. Evidence: The center did not have a carbon monoxide detector onsite.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of four staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 05/26/2023, contained a screening completed 06/06/2023. The record for S3, employed 05/16/2023, contained a screening completed 08/12/2022. The record for S4, employed 04/26/2023, contained a screening completed 08/19/2022.”

8VAC20-780-150-B

“Based on record review, the provider did not keep the required records for two of four staff. Evidence: The record for S2, did not contain documentation to demonstrate orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The record did not contain a completed orientation and training log. The record for S1 did not contain documentation to demonstrate that the individual possesses the experience required by the job position. The record for S1 did not document six months supervised experience required to serve as a program leader (8VAC20-780-210).”

8VAC20-780-140-A

“Based on child record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician. Evidence: The record for C5, enrolled 06/05/2023 did not contain a physical examination.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S3, employed 05/26/2023 did not contain findings of a central registry search.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that two of five records contained required information. Evidence: The records for C2 and C3 enrolled 05/30/2023 did not document the date of viewing proof of the child’s identity and age.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that two of four staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for S3, employed 05/16/2023 documented the orientation training being completed 06/01/2023. The record for S4, employed 04/26/2023 documented the orientation training being completed 05/11/2023.”

8VAC20-780-70

“Based on record review, the provider did not keep the required records for two of four staff. Evidence: The record for S2, did not contain documentation to demonstrate orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The record did not contain a completed orientation and training log. The record for S1 did not contain documentation to demonstrate that the individual possesses the experience required by the job position. The record for S1 did not document six months supervised experience required to serve as a program leader (8VAC20-780-210).”