YMCA School Age Child Care at Southeastern Elementary

8VAC20-780-70

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Staff records shall contain all required components. Staff records were not available for the 5 staff present during the inspection. The name, address and phone number was not maintained on site for any of the 5 staff present during the inspection.”

8VAC20-780-40-H

“The sponsor shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Proof of liability insurance was not available during the inspection.”

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 these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. SYSTEMIC DEFICIENCY The center was licensed for 5-12 year old children. On 9.15.26 there was one 4 year old child, child #6 in care. Child #7 was 4 years old for the first two days of care. The program director, staff #1 noted that they were aware that the center was not licensed for 4 year olds and that the children were 4 years old upon enrollment”

22.1-289.036-B-3

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center must request a search of the central registry prior to the employee's first day of employment. Central registry search results for staff #1-5, working with children during this inspection, were not available.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures. The injury report dated 9/8/2026 for child #8 did not contain future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures.”

22.1-289.035-B-2

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Providers must obtain a completed national criminal background check prior to the employee's first day of employment. National criminal background checks for staff #1-5, working with children during this inspection, were not available.”

8VAC20-780-550-F

“SYSTEMIC DEFICIENCY Lockdown procedures shall be practiced a minimum of twice per year. There was no record of lockdown drills available during this inspection. Staff #1 noted that they have not been able to locate this since the program restarted on 9/8/26.”

8VAC20-780-550-E

“SYSTEMIC DEFICIENCY Shelter in place procedures shall be practiced a minimum of twice per year. There was no record of shelter in place drills available during this inspection. Staff #1 noted that they have not been able to locate this since the program restarted on 9/8/26.”

22.1-289.035-B-1

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center is required to obtain a completed sworn statement prior to the employee's first day of employment. and every five years after for each employee. Sworn statements for staff #1-5, working with children during this inspection, were not available.”

8VAC20-780-550-A

“SYSTEMIC DEFICIENCY The center shall have a written emergency preparedness plan. There was no emergency preparedness plan available during this inspection. Staff #1 noted that they have not been able to locate this since the program restarted on 9/8/26.”

8VAC20-780-290-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were no protective covers on the 16 outlets in the gym where child #6, four year old, was observed playing.”

8VAC20-780-550-D

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center shall implement a monthly practice evacuation drill. There was no record of evacuation drills available during this inspection. Staff #1 noted that they have not been able to locate this since the program restarted on 9/8/26.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. There was no documentation of the Virginia Department of Education-sponsored orientation course for staff #2, this is overdue by nine months.”

8VAC20-780-60-A-8

“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. The written care plan for child #3 was expired by nine months.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There was no evacuation drill practiced June 2025.”

8VAC20-780-350-B-5

“The staff to children ratio of 1:18 should be maintained for school age eligible up to 9 years- ratio. There were only 3 staff with up to 59 during this inspection for approximately 30 minutes.”

8VAC20-780-70

“Staff records are to be kept for each employee. There was no staff record for staff #3, who was working during this inspection.”

8VAC20-780-70

“Staff records are to be kept for each employee. There was no staff record for staff #3, who was working during this inspection.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3, who was working at the time of inspection, did not have a completed national criminal background check.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. and every five years after for each employee. Staff #3, who was working during this inspection, did not have sworn statement.”

22.1-289.036-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who was working during this inspection, did not have a central registry search requested.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There was no evacuation drill practiced June 2025.”

8VAC20-780-350-B-5

“The staff to children ratio of 1:18 should be maintained for school age eligible up to 9 years- ratio. There were only 3 staff with up to 59 during this inspection for approximately 30 minutes.”

8VAC20-780-70

“Staff records are to be kept for each employee. There was no staff record for staff #3, who was working during this inspection.”

8VAC20-780-70

“Staff records are to be kept for each employee. There was no staff record for staff #3, who was working during this inspection.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3, who was working at the time of inspection, did not have a completed national criminal background check.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. and every five years after for each employee. Staff #3, who was working during this inspection, did not have sworn statement.”

22.1-289.036-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who was working during this inspection, did not have a central registry search requested.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. There was no list in the gym where children were present.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for 1.5 months, did not have a central registry search requested. Staff #2 was working alone with children.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. There was no list in the gym where children were present.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for 1.5 months, did not have a central registry search requested. Staff #2 was working alone with children.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries that contains all the required information. The injury report for child #6 did not contain the date and time of parental notification.”

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. Staff #4 had no documentation and had been employed for seven months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who had been employed for seven months, and staff #5, who had been employed for nine months, did not have a central registry search requested.”

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. Alka Seltzer and baking soda were in the unlocked cabinet in the cafeteria where children were in care.”

8VAC20-780-550-E

“The center shall practice shelter in place procedures twice per year. No shelter in place procedures were practiced during the 2023-2024 school year.”

8VAC20-790-600-D-2

“REPEAT VIOLATION Based on record review and interview, the vendor did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (hired 12/4/23) did not contain documentation of first aid certification. 2. The staff confirmed that staff #4 did not have first aid certification.”

8VAC20-790-600-D-1

“REPEAT VIOLATION Based on record review and interview, the vendor did not ensure that all had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (hired 12/4/23) did not contain documentation of CPR certification. 2. Staff confirmed that staff #4 did not have CPR certification.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation it was determined the center did not ensure that all children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Upon inspector's arrival there were 21 children outside with staff #1. Staff#1 was seated in an entrance way with an obstructed view of at least 9 of the children outside. 2. When the inspector inquired staff did not know how many children were present that day, inside in the gym, or outside. 3. Children were observed during this inspection going back and forth between the outside playground areas and inside without staff knowing. 4. Staff confirmed the above during this inspection.”

8VAC20-780-350-C

“Based on observation and interview it was determined the center did not ensure that 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. Evidence: 1. There were 21 school aged children with the youngest being under 9 years old outside with staff #1 at the time of inspector's arrival. 2. There were approximately 30 school aged children with the youngest being under 9 years old in the gym with staff #2 at the time of the inspector's arrival. 3. Staff confirmed that they were not in ratio during this time.”

22.1-289.035-B-4

“Based on record review and interview it was determined the center did not request a search of the child abuse and neglect registry or equivalent registry from any state in which staff had resided in the preceding five years. Evidence: 1. Staff #4 (hired 12/4/23) reported on their signed sworn statement that they had lived in North Carolina within the past five years. There was no documentation of a central registry search from North Carolina in the record for staff #4. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure the required written agreement between the parent and the center was in each child's record by the first day of the child's attendance. Evidence: 1. The record for child #3(enrolled 12/4/23) did not contain the required written agreements. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-160-A

“Based on record review and interview it was determined the center did not have each staff member submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #5 did not contain documentation of a tuberculosis screening. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure the record for each child enrolled contained all the required information. Evidence: 1. The record for child #5 did not contain the two required emergency contacts. 2. Staff confirmed this information was not available during this inspection.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement a practice evacuation drill monthly. Evidence: 1. There was no evacuation drill documented since September 2023. 2. Staff confirmed there was no evacuation drill practiced since September 2023.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure staff did not have a central registry finding within 30 days of employment. Evidence: 1. There was no documentation of a central registry search in the record for staff #4 (hired 12/4/23). 2. There was no documentation of a central registry search in the record for staff #5 (hired 6/11/20). 3. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure each staff record contained all the required information. Evidence: 1. The staff record for staff #4, did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position of program leader. 2. The staff record for staff #5, did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position of program director. 3. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-D-2

“REPEAT VIOLATION Based on record review and interview, the vendor did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (hired 12/4/23) did not contain documentation of first aid certification. 2. The staff confirmed that staff #4 did not have first aid certification.”

8VAC20-790-600-D-1

“REPEAT VIOLATION Based on record review and interview, the vendor did not ensure that all had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #4 (hired 12/4/23) did not contain documentation of CPR certification. 2. Staff confirmed that staff #4 did not have CPR certification.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation it was determined the center did not ensure that all children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Upon inspector's arrival there were 21 children outside with staff #1. Staff#1 was seated in an entrance way with an obstructed view of at least 9 of the children outside. 2. When the inspector inquired staff did not know how many children were present that day, inside in the gym, or outside. 3. Children were observed during this inspection going back and forth between the outside playground areas and inside without staff knowing. 4. Staff confirmed the above during this inspection.”

8VAC20-780-350-C

“Based on observation and interview it was determined the center did not ensure that 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. Evidence: 1. There were 21 school aged children with the youngest being under 9 years old outside with staff #1 at the time of inspector's arrival. 2. There were approximately 30 school aged children with the youngest being under 9 years old in the gym with staff #2 at the time of the inspector's arrival. 3. Staff confirmed that they were not in ratio during this time.”

22.1-289.035-B-4

“Based on record review and interview it was determined the center did not request a search of the child abuse and neglect registry or equivalent registry from any state in which staff had resided in the preceding five years. Evidence: 1. Staff #4 (hired 12/4/23) reported on their signed sworn statement that they had lived in North Carolina within the past five years. There was no documentation of a central registry search from North Carolina in the record for staff #4. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure the required written agreement between the parent and the center was in each child's record by the first day of the child's attendance. Evidence: 1. The record for child #3(enrolled 12/4/23) did not contain the required written agreements. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-160-A

“Based on record review and interview it was determined the center did not have each staff member submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #5 did not contain documentation of a tuberculosis screening. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure the record for each child enrolled contained all the required information. Evidence: 1. The record for child #5 did not contain the two required emergency contacts. 2. Staff confirmed this information was not available during this inspection.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement a practice evacuation drill monthly. Evidence: 1. There was no evacuation drill documented since September 2023. 2. Staff confirmed there was no evacuation drill practiced since September 2023.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure staff did not have a central registry finding within 30 days of employment. Evidence: 1. There was no documentation of a central registry search in the record for staff #4 (hired 12/4/23). 2. There was no documentation of a central registry search in the record for staff #5 (hired 6/11/20). 3. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure each staff record contained all the required information. Evidence: 1. The staff record for staff #4, did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position of program leader. 2. The staff record for staff #5, did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position of program director. 3. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-270-A

“Based on observation and interview it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There was painting being performed in the cafeteria while children were in care. There were painting supplies and paint accessible. 2. There was a puddle of water in the floor leaving the gym. 3. There was a mop bucket with water in it in the cafeteria. 4. Staff confirmed that children were present in all the areas mentioned above during this inspection.”

22.1-289-036-B-4

“Based on record review and interview it was determined the center did not obtain a copy of the results of 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 year for each employee. Evidence: 1. The record for staff #1(hired 5/1/23) indicated that they had resided in Florida within the last five years, there was no central registry search for Florida. 2. The record for staff #3(hired 10/16/23) indicated that they had resided in Pennsylvania within the last five years, there was no central registry search for Pennsylvania. 3. Staff confirmed that these records did not contain the out of state central registry searches.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement monthly evacuation drills. Evidence: 1. There was no record of an evacuation drill being conducted in October 2023. 2. Staff confirmed that there was no drill conducted during the month of October.”

8VAC20-780-340-F

“Based on observation it was determined the center did not ensure that all children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Upon inspector's arrival two children were observed climbing up the chain link fencing around the baseball field. The children were approximately 4-5 feet off the ground. 2. Staff were unaware that the children were climbing the fence, until inspector brought it to their attention.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure that each child had shall have a physical examination by or under the direction of a physician. Evidence: 1. The records for child #2 and child #5 did not contain documentation of a physical exam. 2. Staff confirmed that these records did not contain physical exams.”