YMCA of the Virginia Peninsulas-Westside Elementary School

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #3 was overdue by approximately 2 months and 11 days.”

8VAC20-780-550-A

“The center's written emergency plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown could not be located by staff and was not available for review at the center at the time of the inspection.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. There is a bottle of Benadryl ,stored in the medication box along with other medication, which is not labeled with a child's name.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a separate record for each child enrolled which shall contain all required documentation and information. The record requested for child #5 contained only the child's proof of identity. The remaining information, which can usually be accessed electronically through the tablet could not be accessed during the inspection.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent licensing inspection were not posted.”

8VAC20-780-540-E

“(Repeat Violation)The center is required to have non emergency supplies to include one working, battery-operated flashlight on each floor of each building that and one working, battery-operated radio in each building used by children and any camp location without a building. The center did not have a working, battery-operated radio at the time of the inspection.”

8VAC20-780-550-A

“The center's written emergency plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown could not be located by staff and was not available for review at the center at the time of the inspection.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. There is a bottle of Benadryl ,stored in the medication box along with other medication, which is not labeled with a child's name.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a separate record for each child enrolled which shall contain all required documentation and information. The record requested for child #5 contained only the child's proof of identity. The remaining information, which can usually be accessed electronically through the tablet could not be accessed during the inspection.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent licensing inspection were not posted.”

8VAC20-780-540-E

“(Repeat Violation)The center is required to have non emergency supplies to include one working, battery-operated flashlight on each floor of each building that and one working, battery-operated radio in each building used by children and any camp location without a building. The center did not have a working, battery-operated radio at the time of the inspection.”

8VAC20-790-600-F

“Staff who work directly with children must, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #2 Did not complete the department's health and safety update course in the first year after employment. The training should have been completed within 1 year and 90 days of hire and is overdue by 1 month.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present must have Current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #1 and staff #2, who were alone with a group of children during the inspection, did not have current certification in first aid.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position must be in each staff record. Staff #1, who has been working with children in the program for over 8 months and is designated as the lead teacher at this site, does not have documentation on record to demonstrate her qualifications.”

8VAC20-780-240-A

“Staff are required to complete the Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Staff #1 had not completed the VDOE orientation training and had been employed for over 8 months. Staff #2 had not completed the VDOE orientation training and had been employed for over 15 months.”

8VAC20-780-240-B

“(Repeat Violation) Staff are required to complete a center specific orientation training prior to working alone with children and no later than seven days after assuming job responsibilities. Staff #1, who has been employed for more than 8 months and was working with children during the inspection did not have documentation available to demonstrate that orientation training had been completed.”

8VAC20-780-245-A

“Staff must complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 did not have documentation to demonstrate that she had completed any annual training. This training is overdue by more than 3 months.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present must have Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #1 and staff #2 who were alone with a group of children during the inspection did not have current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-790-600-F

“Staff who work directly with children must, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #2 Did not complete the department's health and safety update course in the first year after employment. The training should have been completed within 1 year and 90 days of hire and is overdue by 1 month.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present must have Current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #1 and staff #2, who were alone with a group of children during the inspection, did not have current certification in first aid.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position must be in each staff record. Staff #1, who has been working with children in the program for over 8 months and is designated as the lead teacher at this site, does not have documentation on record to demonstrate her qualifications.”

8VAC20-780-240-A

“Staff are required to complete the Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Staff #1 had not completed the VDOE orientation training and had been employed for over 8 months. Staff #2 had not completed the VDOE orientation training and had been employed for over 15 months.”

8VAC20-780-240-B

“(Repeat Violation) Staff are required to complete a center specific orientation training prior to working alone with children and no later than seven days after assuming job responsibilities. Staff #1, who has been employed for more than 8 months and was working with children during the inspection did not have documentation available to demonstrate that orientation training had been completed.”

8VAC20-780-245-A

“Staff must complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 did not have documentation to demonstrate that she had completed any annual training. This training is overdue by more than 3 months.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present must have Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #1 and staff #2 who were alone with a group of children during the inspection did not have current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-780-60-A-8

“60-A.8 Repeat Violation. A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for 3 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.058

“Each building that houses a child day program that serves preschool-age children is required to be equipped with at least one carbon monoxide detector. The licensed program had a preschool aged child present during the inspection and was not equipped with a carbon monoxide detector.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on licensed premises. The findings from the most recent inspection, dated 1/26/2024, were not posted in a conspicuous place on the premises.”

8VAC20-780-240-B

“Repeat Violation. Staff are to complete orientation training appropriate to the age of the children in care and including all required facility specific topics prior to working alone with children and no later than 7 days of the date of assuming job responsibilities. Staff #1?s record contained documentation of orientation training which was completed over 7 months past due. Staff #1?s record contained documentation of orientation training which was completed over 4 months past due.”

8VAC20-780-60-A-8

“60-A.8 Repeat Violation. A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for 3 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.058

“Each building that houses a child day program that serves preschool-age children is required to be equipped with at least one carbon monoxide detector. The licensed program had a preschool aged child present during the inspection and was not equipped with a carbon monoxide detector.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on licensed premises. The findings from the most recent inspection, dated 1/26/2024, were not posted in a conspicuous place on the premises.”

8VAC20-780-240-B

“Repeat Violation. Staff are to complete orientation training appropriate to the age of the children in care and including all required facility specific topics prior to working alone with children and no later than 7 days of the date of assuming job responsibilities. Staff #1?s record contained documentation of orientation training which was completed over 7 months past due. Staff #1?s record contained documentation of orientation training which was completed over 4 months past due.”

8VAC20-780-150-B

“Based on a review of records and interview, the licensee did not always ensure that the required documentation of Physical Examinations and Immunizations are signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #2 contained a physical form which was not signed by the child's physician. The program director confirmed that the physical form had not been signed by the child's physician or designee.”

8VAC20-780-190-A

“Based on a review of records and interview, the licensee was unable to demonstrate that the program director is qualified for his assigned position. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, who is the designated Site Director (program director present on site) indicates a date of employment of 1/3/2024. The records for staff #1 did not contain the required documentation to demonstrate program director qualifications. Staff #2's record contains a resume that indicating college courses in a child -elated areas have been completed. However, the record does not contain a degree or transcript. This records was reviewed electronically and this documentation was requested again but not received. Staff #2's immediate supervisor confirmed that staff #2's transcripts have not yet been received.”

8VAC20-780-60-A-8

“Based on a review of records and interview, the licensee did not ensure that each child with a diagnosed food allergy has a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child #2 whose date of enrollment was 9/5/2023 contained documentation that child #2 has a severe allergy to Tree Nuts. There was not a written allergy care plan present in child #2's record or elsewhere in the facility to instruct staff on the steps to be taken in the event of a suspected or confirmed allergic reaction; The program director confirmed that this documentation was not available for child #2 at the time of the inspection on 1/26/2024.”

8VAC20-780-90-A

“*** REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not always ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: Five children's records were reviewed. The record for child #2 did not contain documentation of the required written agreements between child #2's parent and the program, regarding Authorization for Emergency Care, policies for picking up an ill child from care, and notification of a household member contracting a communicable disease. The program director confirmed that this documentation was not present in child #2's record at the time of the inspection on 1/26/2024.”

8VAC20-780-70

“Based on a review of records, the licensee did not always ensure that each staff record contains , documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, whose date of employment is 1/3/2024 and the records for staff #2 whose date of employment is 1/22/2024, did not contain documentation that references were checked. These records were reviewed electronically and this documentation was requested again but not received.”

8VAC20-780-240-B

“Based on a review of records and interview, the licensee was unable to demonstrate that new staff complete orientation training specific to the program prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, whose date of employment is 1/3/2024 and the records for staff #2 whose date of employment is 1/22/2024, did not contain documentation that orientation training had been completed. These records were reviewed electronically and this documentation was requested again but not received.”

8VAC20-780-150-B

“Based on a review of records and interview, the licensee did not always ensure that the required documentation of Physical Examinations and Immunizations are signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #2 contained a physical form which was not signed by the child's physician. The program director confirmed that the physical form had not been signed by the child's physician or designee.”

8VAC20-780-190-A

“Based on a review of records and interview, the licensee was unable to demonstrate that the program director is qualified for his assigned position. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, who is the designated Site Director (program director present on site) indicates a date of employment of 1/3/2024. The records for staff #1 did not contain the required documentation to demonstrate program director qualifications. Staff #2's record contains a resume that indicating college courses in a child -elated areas have been completed. However, the record does not contain a degree or transcript. This records was reviewed electronically and this documentation was requested again but not received. Staff #2's immediate supervisor confirmed that staff #2's transcripts have not yet been received.”

8VAC20-780-60-A-8

“Based on a review of records and interview, the licensee did not ensure that each child with a diagnosed food allergy has a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child #2 whose date of enrollment was 9/5/2023 contained documentation that child #2 has a severe allergy to Tree Nuts. There was not a written allergy care plan present in child #2's record or elsewhere in the facility to instruct staff on the steps to be taken in the event of a suspected or confirmed allergic reaction; The program director confirmed that this documentation was not available for child #2 at the time of the inspection on 1/26/2024.”

8VAC20-780-90-A

“*** REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not always ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: Five children's records were reviewed. The record for child #2 did not contain documentation of the required written agreements between child #2's parent and the program, regarding Authorization for Emergency Care, policies for picking up an ill child from care, and notification of a household member contracting a communicable disease. The program director confirmed that this documentation was not present in child #2's record at the time of the inspection on 1/26/2024.”

8VAC20-780-70

“Based on a review of records, the licensee did not always ensure that each staff record contains , documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, whose date of employment is 1/3/2024 and the records for staff #2 whose date of employment is 1/22/2024, did not contain documentation that references were checked. These records were reviewed electronically and this documentation was requested again but not received.”

8VAC20-780-240-B

“Based on a review of records and interview, the licensee was unable to demonstrate that new staff complete orientation training specific to the program prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Two new staff records were reviewed during the inspection. The record for staff #1, whose date of employment is 1/3/2024 and the records for staff #2 whose date of employment is 1/22/2024, did not contain documentation that orientation training had been completed. These records were reviewed electronically and this documentation was requested again but not received.”

63.2-1509-A Complaint related: Yes

“Based on a review of documentation and interviews, the licensee and staff persons working at the before and after school program, who are mandated reporters, failed to immediately report to the local department or to the Department of Social Services? toll-free child abuse and neglect hotline, a reasonable suspicion that the abuse of a child in their care may have occurred. Evidence: On the afternoon of 12/6/2023, staff #1 overheard child #2?s verbal account that she witnessed an incident between staff #2 and a 9 year old child in care (child #1) in which staff #2 ?pinned [child #1] to the trashcan, punched [child #1] in the chest and squirted a [juicebox] on [child #1]? earlier that afternoon. Immediately upon hearing child #2?s account of the alleged incident, staff #1 reported the account to staff #3, who is the direct supervisor of staff #2 Both Staff #1 and Staff #3 stated that they reported child #2?s account of these events to their immediate supervisor, Staff #4, on the same day that the incident allegedly occurred. Staff #2 stated at an interview on 1/16/2024, that she had never been questioned, counselled or followed up with by staff #4 or any other members of administration regarding her interactions with child #1 on 12/6/2023. The local department received a report of child #1?s alleged abuse on 12/26/2023, 20 days after the incident occurred.”

8VAC20-780-400-B Complaint related: Yes

“Based on interviews and a review of documentation, staff did not always guide children's behavior in a constructive, age and stage appropriate manner, with the intention of redirecting children to appropriate behavior and resolving conflicts. Evidence: On 12/6/2023, staff #2?s response to (child #1) a nine-year-old child’s misbehavior was not constructive, nor did staff #2?s response guide child #1 toward appropriate behavior to resolve conflicts. Child #1 stated in interviews on 1/3/2024 and 2/7/2024 that he and staff #2 were ?playfighting? after he took staff #2?s chair and that staff #2 put her hands on his neck and shoulders. Child #1 further stated that ?I told her 'I do not like anyone to touch my neck' and she said `okay? ?. Child #1 stated that it made him ?uncomfortable" when staff put her hands on his shoulder and neck. Child #1 stated that staff #2 squeezed a juice-box that she was holding but that it squirted on the floor and did not get on him. When asked why staff #2 squeezed the juice-box child #1 replied that it was ?for revenge? but would not elaborate further. Staff #2 stated in an interview on 1/16/2024 that she ?wasn?t actually pushing? child #1 and that child #1 ?kept playing.? ?I kept telling him to stop but he kept touching me. I said `Stop ? I?m a teacher!? ?”