YMCA School Age Child Care at Butts Road Intermediate School

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. The TB screening for staff 1 was last completed more than 2 years from the date of the inspection.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: A written care plan for each child with a diagnosed food allergy, to include instruction 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. There was no written allergy care plan on file for child 1 who was in care during the inspection. Written information on child 1's physical indicates a diagnosed food allergy.”

22.1-289.035-B-2

“Staff shall obtain a fingerprint background check prior to employment and contact with children. The criminal record fingerprint background check for staff 2 was obtained 10 months after the first date of employment.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff 1, who has been employed for more than 4 years, has not completed the ten-hour Virginia Preservice training course.”

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. Documentation of required immunizations was not on file for child 1. Child 1 was in care during the inspection.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening staff members shall obtain and submit the results of a follow-up tuberculosis screening. The TB screening for staff 2 was completed more than four years ago.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The food allergies and sensitivities for child 1 were not included on the allergy list for the program. These were listed by the parent of child 1 on the enrollment form.”

8VAC20-780-70

“Staff records shall contain all required elements. The name, address and phone number for an emergency contact was not maintained on-site for staff 2 and staff 3.”

8VAC20-780-550-D

“Repeat Violation The center shall implement a monthly practice evacuation drill. There was not documentation of completion of a practice drill for May or June 2025. Staff present could not recall if a fire drill was implemented in May of June of 2025.”

8VAC20-780-60-A

“Children's records shall contain all of the required elements: The enrollment record for child 1 lacked documentation of each parent's place of employment and work phone number and the name, address and phone number of two emergency contacts”

8VAC20-780-350-C

“Repeat Violation When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. *School age eligible up to 9 years - 1:18 *9 years through 12 years - 1:20 There were 2 staff supervising 51 children, ages 5 years - 10 years at 2:46 pm. The 3rd staff did not arrive until approximately 3:15 pm. 3 staff were needed to meet the required staff-to-child ratio of 1:18.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. Staff 1, who has been employed for more than four years, has not completed the 3 hour annual preservice training.”

22.1-289.035-B-2

“Staff shall obtain a fingerprint background check prior to employment and contact with children. The criminal record fingerprint background check for staff 2 was obtained 10 months after the first date of employment.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff 1, who has been employed for more than 4 years, has not completed the ten-hour Virginia Preservice training course.”

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. Documentation of required immunizations was not on file for child 1. Child 1 was in care during the inspection.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening staff members shall obtain and submit the results of a follow-up tuberculosis screening. The TB screening for staff 2 was completed more than four years ago.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The food allergies and sensitivities for child 1 were not included on the allergy list for the program. These were listed by the parent of child 1 on the enrollment form.”

8VAC20-780-70

“Staff records shall contain all required elements. The name, address and phone number for an emergency contact was not maintained on-site for staff 2 and staff 3.”

8VAC20-780-550-D

“Repeat Violation The center shall implement a monthly practice evacuation drill. There was not documentation of completion of a practice drill for May or June 2025. Staff present could not recall if a fire drill was implemented in May of June of 2025.”

8VAC20-780-60-A

“Children's records shall contain all of the required elements: The enrollment record for child 1 lacked documentation of each parent's place of employment and work phone number and the name, address and phone number of two emergency contacts”

8VAC20-780-350-C

“Repeat Violation When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. *School age eligible up to 9 years - 1:18 *9 years through 12 years - 1:20 There were 2 staff supervising 51 children, ages 5 years - 10 years at 2:46 pm. The 3rd staff did not arrive until approximately 3:15 pm. 3 staff were needed to meet the required staff-to-child ratio of 1:18.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. Staff 1, who has been employed for more than four years, has not completed the 3 hour annual preservice training.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. The facility did not follow YMCA policy for departure when a child was picked up during the inspection.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Ratio Requirements: *School age eligible up to 9 years - 1:18 *9 years through 12 years - 1:20 There were 2 staff supervising 48 children, ages 5 years - 12 years, at 3:10 pm. 3 staff were needed to meet the required ratio of 1:18. 2 staff continued to supervise more than 36 children until approximately 4:15 pm.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The program director stated that a practice fire drill was not conducted in January 2025.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The emergency practice log for the program did not have written documentation of the required 2nd shelter-in-place practice drill for 2024.”

8VAC20-780-550-P

“The written record of children's serious and minor injuries shall include all of the required elements. *6 of 9 injury reports reviewed lacked written documentation of the time the parent was notified of the injury. *5 of 9 injury reports reviewed lacked a second signature from either a parent or staff. *3 of 9 injury reports reviewed lacked written documentation of how the parent was notified of the injury.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend training that includes the department's health and safety update course. Staff 1, who has been employed for 33 months, has not obtained the subsidy health and safety update course.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no written documentation to demonstrate that a lockdown drill had been completed for the school year beginning September 2023 and ending June 2024.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend training that includes the department's health and safety update course. Staff 1, who has been employed for 33 months, has not obtained the subsidy health and safety update course.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no written documentation to demonstrate that a lockdown drill had been completed for the school year beginning September 2023 and ending June 2024.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend training that includes the department's health and safety update course. Staff 1, who has been employed for 33 months, has not obtained the subsidy health and safety update course.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no written documentation to demonstrate that a lockdown drill had been completed for the school year beginning September 2023 and ending June 2024.”

8VAC20-790-600-F

“Based on record review and staff interview, the vendor failed to ensure that staff who work directly with children shall annually complete the department's health and safety update course. Evidence: 1. Staff 1, hire date 09/18/2021, lacks documentation of completion of the 3-hour annual preservice training course. 2. Administrative staff stated they could not locate any documentation to verify if staff 1 had completed the 3-hour subsidy training for 2023.”

22.1-289.011-F

“Based on observation and interview the center failed to ensure that the findings of the most recent inspection shall be posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent monitoring inspection were not posted when the inspector arrived for the onsite inspection on 05/29/2024. 2. Staff 1 confirmed that the most recent licensing inspection documents were not posted.”

8VAC20-770-60-C-2

“Based on record review and interview the center failed to ensure that staff have a central registry finding within 30 days of employment. Evidence: 1. Staff 2, hire date 09/07/2023, lacks the results of a central registry check. 2. Administrative staff stated there was not a central registry check on file for staff 2.”

8VAC20-780-130-A

“Based on record review and staff interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Documentation of current immunization information was not available for child 1. a. Child 1 was in care during the inspection. 2. Staff 1 confirmed that immunization information was not on file for child 1.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that the TB screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 2 was completed on 01/24/2022 which is more than 30 days prior to her hire date of 09/07/2023.”

8VAC20-780-160-C

“Based on record review and staff interview, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The most recent TB screening on file for staff 1 was completed on 08/27/2021. 2. Administrative staff stated this was the only TB screening on file for staff 1.”

8VAC20-780-60-A

“Based on record review and staff interview, the center failed to maintain at the center a separate record for each child enrolled with all of the required elements. Evidence: 1. There was no enrollment record on hand for child 1 who was in care during the on-site inspection on 05/29/2024. a. Staff 1, who was in charge of the program during the inspection, confirmed she did not have an enrollment record for child 1. b. Staff 1 stated that child 1 had been in care "since before Christmas." 2. An investigation of a serious injury that occurred on 03/01/2024 found that no enrollment record was available for child 2. a. Staff 1 stated there was no written enrollment record on hand for child 2 who was injured while in care on 03/01/2024.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The staff record for staff 2 lacked documentation of the following required information: a. Documentation that two or more references as to character and reputation as well as competency were checked before employment; b. Documentation that orientation training had been completed prior to working alone with children and within seven days of the first day of employment. 2. Administrative staff confirmed this information was not available.”

8VAC20-780-80-B-2

“Based on record review and staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The center notified the inspector on 03/12/2024 of a serious injury requiring outside medication attention that occurred on 03/01/2024. 2. Staff 1 stated that notification was received on 03/04/2024 that the child had been taken for medical care for the injury received on the afternoon of 03/01/2024. 3. Administrative staff confirmed that the incident was reported to the department's representative outside of the two business day time frame.”

8VAC20-780-245-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no written documentation to confirm that staff 2 had completed 16 hours of required training in 2023. a. Only 2 hours of annual training was listed on the training log for 2023. 2. Administrative staff stated no additional training logs were available for staff 2.”

8VAC20-780-340-A

“Repeat Violation Based on observation, record review and staff interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. When the inspector arrived on 05/29/2024 for the onsite inspection, child 3 age 5 years, was observed sitting on the window ledge while twirling the cord from the window shade. a. Staff 2, who was responsible for the supervision of child 3, was not aware that child 3 had climbed onto the window ledge until the inspector brought this to her attention. 2. On 03/01/2024, child 2, age 9 years, fell from the top of the outdoor slide when she ran up the slide to avoid being tagged by another child. a. Staff 1 stated she was aware that another child had climbed up to the top of the slide to tag child 2 however, she did not provide any redirection or intervention to prevent the children from engaging in this activity. b. Staff 1 stated that staff 2, who was sitting on the bench, did not provide any redirection to the children running up the slide to tag child 2. c. This fall resulted in an injury to child 2 that required outside medical attention. 3. Staff 1 stated she did not have access to any written records or emergency contact information for child 2 to provide notification, to the parent, that their child had fallen from the top of slide slide on 03/01/2024. a. Staff 1 stated she had to reach out to multiple administrative staff to obtain parental contact information for child 2 and that it took her approximately 15 minutes to receive emergency contact information.”

8VAC20-780-560-F

“Based on observation and interview, the center failed to ensure that when centers choose to provide snacks, the menu listing foods to be served during the current one-week period shall be posted in a location conspicuous to parents. Evidence: 1. The snack menu was not posted when the inspection arrived for the onsite inspection on 05/29/2024. 2. Staff 1 confirmed that the snack menu for the week was not posted.”

8VAC20-780-350-B-5

“Based on observation and interview, the center failed to ensure the staff-to-children ratio of 1:18 (staff: children) shall be required whenever children are in care. Evidence: 1. When the inspector arrived at 3:30 pm on 05/29/2024 staff 2 was observed caring for 24 children ages 5 years - 11 years in the cafeteria. 2 staff were needed to meet the required ratio of 1:18. a. Staff 2 stated she was alone with this group of children. b. Staff 1, who was in the gym with a group of 16 children, confirmed that staff 2 was alone with 24 children in the cafeteria. 2. A review of written attendance records for 05/29/2024 indicated there were 45 children in care , ages 5 - 11 years, when the program opened at 2:45 pm. Only 2 staff were available however, 3 staff were needed to meet the required staff-to-child ratio of 1:18. a. Staff 1 confirmed the accuracy of the attendance record and that only 2 staff were present .”

8VAC20-780-540-E

“Based on review and staff interview, the center failed to ensure that the following nonmedical emergency supplies shall be required: a. One-working battery -operated flashlight in each building used by children; and b. One working, battery-operated radio in each building used by children. Evidence: 1. The inspector was not able to get the radio or flashlight to turn on. 2. Staff 1 stated she was not able to get the radio or flashlight to turn on.”

8VAC20-780-550-G

“Based on record review and staff interview, the center failed to ensure that documentation shall be maintained of emergency evacuation drills. Evidence: 1.The emergency record for the facility indicated that no fire drill had been conducted in November and December of 2023 and in January, February and April of 2024. 2. Staff 1 stated she did not know if a fire drill had been completed for these months.”

8VAC20-780-550-I

“Based on observation, the center failed to ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Evidence: 1. Emergency phone numbers for 991 or local police/ fire and poison control were not posted in any visible place when the inspector arrived for the onsite inspection on 05/29/2024. 2. Staff 1, who was in charge of the program, confirmed that emergency phone numbers were not posted.”

8VAC20-780-550-P

“Based on record review, the center failed to ensure that the written record of children's serious and minor injuries include all of the required elements. Evidence: 1. 6 of 7 injury reports reviewed lacked written documentation of the time that the parent was notified of the injury.”

8VAC20-780-340-F

“Based on observation and interview, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Staff 1 left a group of approximately 16 children alone in the gym, with no adult supervision, for approximately one minute while she switched places with staff 2 who was in the cafeteria. a. Staff 2 left a group of approximately 24 children alone in the cafeteria, with no adult supervision for approximately one minute, while she switched places with staff 1 who was in the cafeteria. b. Staff 1 stated that she switched places with staff 2 at the request of staff 2. c. The children in care ranged in age from 5 years - 11 years in both the gym and cafeteria. 2. The inspector observed, throughout the inspection, children being tasked by both staff 1 and staff 2, with walking from the cafeteria to the gym to notify of arrival of parent for pick-up. a. No adult or staff supervision was provided to ensure sight and sound supervision of children walking to and from the cafeteria / gym. 3. The location of the gym does not allow for sight or sound supervision from the cafeteria.”

8VAC20-790-600-F

“Based on record review and staff interview, the vendor failed to ensure that staff who work directly with children shall annually complete the department's health and safety update course. Evidence: 1. Staff 1, hire date 09/18/2021, lacks documentation of completion of the 3-hour annual preservice training course. 2. Administrative staff stated they could not locate any documentation to verify if staff 1 had completed the 3-hour subsidy training for 2023.”

22.1-289.011-F

“Based on observation and interview the center failed to ensure that the findings of the most recent inspection shall be posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent monitoring inspection were not posted when the inspector arrived for the onsite inspection on 05/29/2024. 2. Staff 1 confirmed that the most recent licensing inspection documents were not posted.”

8VAC20-770-60-C-2

“Based on record review and interview the center failed to ensure that staff have a central registry finding within 30 days of employment. Evidence: 1. Staff 2, hire date 09/07/2023, lacks the results of a central registry check. 2. Administrative staff stated there was not a central registry check on file for staff 2.”

8VAC20-780-130-A

“Based on record review and staff interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Documentation of current immunization information was not available for child 1. a. Child 1 was in care during the inspection. 2. Staff 1 confirmed that immunization information was not on file for child 1.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that the TB screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 2 was completed on 01/24/2022 which is more than 30 days prior to her hire date of 09/07/2023.”

8VAC20-780-160-C

“Based on record review and staff interview, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The most recent TB screening on file for staff 1 was completed on 08/27/2021. 2. Administrative staff stated this was the only TB screening on file for staff 1.”

8VAC20-780-60-A

“Based on record review and staff interview, the center failed to maintain at the center a separate record for each child enrolled with all of the required elements. Evidence: 1. There was no enrollment record on hand for child 1 who was in care during the on-site inspection on 05/29/2024. a. Staff 1, who was in charge of the program during the inspection, confirmed she did not have an enrollment record for child 1. b. Staff 1 stated that child 1 had been in care "since before Christmas." 2. An investigation of a serious injury that occurred on 03/01/2024 found that no enrollment record was available for child 2. a. Staff 1 stated there was no written enrollment record on hand for child 2 who was injured while in care on 03/01/2024.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The staff record for staff 2 lacked documentation of the following required information: a. Documentation that two or more references as to character and reputation as well as competency were checked before employment; b. Documentation that orientation training had been completed prior to working alone with children and within seven days of the first day of employment. 2. Administrative staff confirmed this information was not available.”

8VAC20-780-80-B-2

“Based on record review and staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The center notified the inspector on 03/12/2024 of a serious injury requiring outside medication attention that occurred on 03/01/2024. 2. Staff 1 stated that notification was received on 03/04/2024 that the child had been taken for medical care for the injury received on the afternoon of 03/01/2024. 3. Administrative staff confirmed that the incident was reported to the department's representative outside of the two business day time frame.”

8VAC20-780-245-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no written documentation to confirm that staff 2 had completed 16 hours of required training in 2023. a. Only 2 hours of annual training was listed on the training log for 2023. 2. Administrative staff stated no additional training logs were available for staff 2.”

8VAC20-780-340-A

“Repeat Violation Based on observation, record review and staff interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. When the inspector arrived on 05/29/2024 for the onsite inspection, child 3 age 5 years, was observed sitting on the window ledge while twirling the cord from the window shade. a. Staff 2, who was responsible for the supervision of child 3, was not aware that child 3 had climbed onto the window ledge until the inspector brought this to her attention. 2. On 03/01/2024, child 2, age 9 years, fell from the top of the outdoor slide when she ran up the slide to avoid being tagged by another child. a. Staff 1 stated she was aware that another child had climbed up to the top of the slide to tag child 2 however, she did not provide any redirection or intervention to prevent the children from engaging in this activity. b. Staff 1 stated that staff 2, who was sitting on the bench, did not provide any redirection to the children running up the slide to tag child 2. c. This fall resulted in an injury to child 2 that required outside medical attention. 3. Staff 1 stated she did not have access to any written records or emergency contact information for child 2 to provide notification, to the parent, that their child had fallen from the top of slide slide on 03/01/2024. a. Staff 1 stated she had to reach out to multiple administrative staff to obtain parental contact information for child 2 and that it took her approximately 15 minutes to receive emergency contact information.”

8VAC20-780-560-F

“Based on observation and interview, the center failed to ensure that when centers choose to provide snacks, the menu listing foods to be served during the current one-week period shall be posted in a location conspicuous to parents. Evidence: 1. The snack menu was not posted when the inspection arrived for the onsite inspection on 05/29/2024. 2. Staff 1 confirmed that the snack menu for the week was not posted.”

8VAC20-780-350-B-5

“Based on observation and interview, the center failed to ensure the staff-to-children ratio of 1:18 (staff: children) shall be required whenever children are in care. Evidence: 1. When the inspector arrived at 3:30 pm on 05/29/2024 staff 2 was observed caring for 24 children ages 5 years - 11 years in the cafeteria. 2 staff were needed to meet the required ratio of 1:18. a. Staff 2 stated she was alone with this group of children. b. Staff 1, who was in the gym with a group of 16 children, confirmed that staff 2 was alone with 24 children in the cafeteria. 2. A review of written attendance records for 05/29/2024 indicated there were 45 children in care , ages 5 - 11 years, when the program opened at 2:45 pm. Only 2 staff were available however, 3 staff were needed to meet the required staff-to-child ratio of 1:18. a. Staff 1 confirmed the accuracy of the attendance record and that only 2 staff were present .”

8VAC20-780-540-E

“Based on review and staff interview, the center failed to ensure that the following nonmedical emergency supplies shall be required: a. One-working battery -operated flashlight in each building used by children; and b. One working, battery-operated radio in each building used by children. Evidence: 1. The inspector was not able to get the radio or flashlight to turn on. 2. Staff 1 stated she was not able to get the radio or flashlight to turn on.”

8VAC20-780-550-G

“Based on record review and staff interview, the center failed to ensure that documentation shall be maintained of emergency evacuation drills. Evidence: 1.The emergency record for the facility indicated that no fire drill had been conducted in November and December of 2023 and in January, February and April of 2024. 2. Staff 1 stated she did not know if a fire drill had been completed for these months.”

8VAC20-780-550-I

“Based on observation, the center failed to ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Evidence: 1. Emergency phone numbers for 991 or local police/ fire and poison control were not posted in any visible place when the inspector arrived for the onsite inspection on 05/29/2024. 2. Staff 1, who was in charge of the program, confirmed that emergency phone numbers were not posted.”

8VAC20-780-550-P

“Based on record review, the center failed to ensure that the written record of children's serious and minor injuries include all of the required elements. Evidence: 1. 6 of 7 injury reports reviewed lacked written documentation of the time that the parent was notified of the injury.”

8VAC20-780-340-F

“Based on observation and interview, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Staff 1 left a group of approximately 16 children alone in the gym, with no adult supervision, for approximately one minute while she switched places with staff 2 who was in the cafeteria. a. Staff 2 left a group of approximately 24 children alone in the cafeteria, with no adult supervision for approximately one minute, while she switched places with staff 1 who was in the cafeteria. b. Staff 1 stated that she switched places with staff 2 at the request of staff 2. c. The children in care ranged in age from 5 years - 11 years in both the gym and cafeteria. 2. The inspector observed, throughout the inspection, children being tasked by both staff 1 and staff 2, with walking from the cafeteria to the gym to notify of arrival of parent for pick-up. a. No adult or staff supervision was provided to ensure sight and sound supervision of children walking to and from the cafeteria / gym. 3. The location of the gym does not allow for sight or sound supervision from the cafeteria.”