YMCA SACC at Kate Waller Barrett Elementary

8VAC20-780-160-A

“Based on review of staff records, the program did not obtain the results of a tuberculosis (TB) test or screening prior to employment. Evidence: The TB test on record for Staff #1, with an employment date of 8/28/23, was dated 9/8/23. The TB test on record for Staff #2, with an employment date of 10/10/23, was dated 10/23/23.”

8VAC20-780-510-I

“Based on review of five medications and authorizations, the program did not obtain written authorization from a parent in order to give a child am emergency prescription medication. Evidence: An emergency prescription medication was on-site for Child D, but there was no written authorization signed by the parent for the medication on-site.”

8VAC20-780-60-A-8

“SYSTEMIC Based on review of child records, the program did not obtain a written care plan 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. Evidence: The physical for Child C contained documentation that the child is allergic to chocolate. The record for Child C did not contain an allergy care plan.”

8VAC20-780-40-L

“SYSTEMIC Based on review of documentation and interview, the program did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: On 11/15/23, the two staff on site stated that only Child A had a food allergy. The allergy/sensitivity/dietary preference list on site contained documentation that only Child A had a food allergy. The physical for Child C contains documentation that Child C also has a diagnosed food allergy, and the record for Child C contains documentation of an additional dietary preference. The physical for Child C was maintained online by the program, but was not accessible to on-site staff when requested.”

8VAC20-780-40-M

“SYSTEMIC Based on review of documentation and interview, the program did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: Child C has a diagnosed allergy to chocolate. The record for Child C also indicated a dietary restriction for no red dye. The allergy/sensitivity/dietary restriction list on site on 11/15/23 did not contain documentation of Child C’s allergy or dietary restriction.”

8VAC20-780-510-I

“Based on review of five medications and authorizations, the program did not obtain written authorization from a parent in order to give a child am emergency prescription medication. Evidence: An emergency prescription medication was on-site for Child D, but there was no written authorization signed by the parent for the medication on-site.”

8VAC20-780-60-A-8

“SYSTEMIC Based on review of child records, the program did not obtain a written care plan 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. Evidence: The physical for Child C contained documentation that the child is allergic to chocolate. The record for Child C did not contain an allergy care plan.”

8VAC20-780-40-L

“SYSTEMIC Based on review of documentation and interview, the program did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: On 11/15/23, the two staff on site stated that only Child A had a food allergy. The allergy/sensitivity/dietary preference list on site contained documentation that only Child A had a food allergy. The physical for Child C contains documentation that Child C also has a diagnosed food allergy, and the record for Child C contains documentation of an additional dietary preference. The physical for Child C was maintained online by the program, but was not accessible to on-site staff when requested.”

8VAC20-780-40-M

“SYSTEMIC Based on review of documentation and interview, the program did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: Child C has a diagnosed allergy to chocolate. The record for Child C also indicated a dietary restriction for no red dye. The allergy/sensitivity/dietary restriction list on site on 11/15/23 did not contain documentation of Child C’s allergy or dietary restriction.”

8VAC20-780-350-B

“Based on observation, the facility failed to maintain the required ratio of one staff for every 18 children (20 children with ratio waiver), ages five years to eight years of age. Evidence: When the LI arrived, one staff was observed alone with 27 school age children for less than two minutes. The youngest child in attendance today is six years old.”