YMCA School Age Child Care-Greenbrier Intermediate School

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center 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 #2(hired 1/24/19) did not have documentation of current certification in first aid appropriate to the ages of children in care. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #2(hired 1/24/19) did not have documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure there was a record containing all the required information for each child enrolled at the center. Evidence: 1. There was no record available for child #1, child #2, child #4, and child #5 during this inspection. 2. The record for child #3 did not contain complete work information for the parents, emergency contacts, and proof of identity and age. 3. The record for child #5 did not contain parents contact information, parents work information, and proof of identity and age. 4. The above children were in care during this inspection, staff confirmed this information was not available during this inspection.”

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not have a list in each room or area where children are present, that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: 1. There was no list of children's allergies in the center. 2. Staff confirmed that there was not an allergy list in the center.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not 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. The records for child #2 and child #4 did not contain documentation of immunization. 2. Staff confirmed these children were in care and this documentation was not available during the inspection.”

22.1-289.035-A

“Based on record review it was determined the center did not ensure that all staff undergo a background check in accordance with subsection B prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: 1. The record for staff #1 did not contain a repeat background check. The background check available was dated 9/18/18. 2. Staff confirmed that this documentation was not available during the inspection.”

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure that the required signed written agreements between the parent and the center were in each child's record by the first day of the child's attendance. Evidence: 1. There were no signed written agreements for 5 of the 5 children's files reviewed. 2. Staff confirmed these five children were in care and this documentation was not available during the inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure that the record for each child enrolled contained all the required documentation. Evidence: 1. The record for child #3 (enrolled 5/6/11) did not contain the required parental information, emergency contacts, and name of the program previously or concurrently attended. 2. Staff confirmed that 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 that the record for each child enrolled contained all the required documentation. Evidence: 1. The record for child #3 (enrolled 5/6/11) did not contain the required parental information, emergency contacts, and name of the program previously or concurrently attended. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current first aid certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current CPR certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-B

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #3(hired 1/2022) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. The record for staff #2 did not contain documentation of an updated TB screening. The documentation available was dated 1/2/21. 2. Staff confirmed that 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 that the required written agreements between the parent and the center were in each child's record by the first day of the child's attendance. Evidence: 1. The record for child #3 did not contain documentation of the written agreements between the parent and the center. 2. Staff confirmed the parental agreements were not available during this inspection.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each employee did not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff #3 (hired January 2022) did not contain the results of a central registry search. 2. The record for staff #4 (6/1/22) did not contain the results of a central registry search. 3. Staff confirmed that these results were not available during this inspection.”

8VAC20-790-600-D-2

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current first aid certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-D-1

“Based on record review and interview it was determined the center did not ensure that all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 id not have documentation of current CPR certification in their records. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-790-600-B

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #3(hired 1/2022) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. The record for staff #2 did not contain documentation of an updated TB screening. The documentation available was dated 1/2/21. 2. Staff confirmed that 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 that the required written agreements between the parent and the center were in each child's record by the first day of the child's attendance. Evidence: 1. The record for child #3 did not contain documentation of the written agreements between the parent and the center. 2. Staff confirmed the parental agreements were not available during this inspection.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure that each employee did not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff #3 (hired January 2022) did not contain the results of a central registry search. 2. The record for staff #4 (6/1/22) did not contain the results of a central registry search. 3. Staff confirmed that these results were not available during this inspection.”

8VAC20-780-240-E

“Based on record review and interview it was determined the center did not ensure that within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. Staff #4(hired 1/24/19) did not have documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members obtained and submitted the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #3 did not contain documentation of updated TB screening. The documentation available was dated 9/2/19. 2. The record for staff #4did not contain documentation of updated TB screening. The documentation available was dated 1/2/19. 3. Staff confirmed this documentation was not available during the inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained the required documentation. Evidence: 1. The record for staff #2 did not contain documentation of date or hire, proof of identification, job title, references, qualifications, and orientation. 2. Staff confirmed this information was not available.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. There was no documentation of the completion of the Virginia Department of Education-sponsored orientation course in the record for staff #2. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-240-E

“Based on record review and interview it was determined the center did not ensure that within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. Staff #4(hired 1/24/19) did not have documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 2. Staff confirmed this documentation was not available during this inspection.”

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members obtained and submitted the results of a follow-up tuberculosis screening. Evidence: 1. The record for staff #3 did not contain documentation of updated TB screening. The documentation available was dated 9/2/19. 2. The record for staff #4did not contain documentation of updated TB screening. The documentation available was dated 1/2/19. 3. Staff confirmed this documentation was not available during the inspection.”

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure that each staff record contained the required documentation. Evidence: 1. The record for staff #2 did not contain documentation of date or hire, proof of identification, job title, references, qualifications, and orientation. 2. Staff confirmed this information was not available.”

8VAC20-780-240-A

“Based on record review and interview it was determined the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. There was no documentation of the completion of the Virginia Department of Education-sponsored orientation course in the record for staff #2. 2. Staff confirmed this documentation was not available during this inspection.”

22VAC40-665-580-B

“Based on record review and interview it was determined the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for staff #1(hired 6/7/19) did not contain documentation of the required Virginia Preservice Training for Child Care Staff. 2. Staff #1 confirmed that they had not completed the Virginia Preservice Training for Child Care Staff.”

22VAC40-185-60-A

“Based on record review and interview it was determined the center did not ensure that there was a record for each child enrolled at the center. Evidence: 1. There was no record available for child #3 and child #4 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available.”

22VAC40-185-160-C

“Based on record review and interview it was determined the center did not ensure staff members submitted the results of a follow-up tuberculosis screening at least every two years rom the date of the first initial screening or testing. Evidence: 1. The record for staff #1 did not contain an updated TB screening. The screening available was dated 6/3/19. 2. The record for staff #2 did not contain an updated TB screening. The screening available was dated 9/2/19. 3. Staff #1 and #2 confirmed that they did not have updated TB screenings.”

22VAC40-185-130-A

“Based on record review and interview it was determined the center did not 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. There was no record available for child #3 and child #4 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available”

22VAC40-665-580-B

“Based on record review and interview it was determined the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for staff #1(hired 6/7/19) did not contain documentation of the required Virginia Preservice Training for Child Care Staff. 2. Staff #1 confirmed that they had not completed the Virginia Preservice Training for Child Care Staff.”

22VAC40-185-60-A

“Based on record review and interview it was determined the center did not ensure that there was a record for each child enrolled at the center. Evidence: 1. There was no record available for child #3 and child #4 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available.”

22VAC40-185-160-C

“Based on record review and interview it was determined the center did not ensure staff members submitted the results of a follow-up tuberculosis screening at least every two years rom the date of the first initial screening or testing. Evidence: 1. The record for staff #1 did not contain an updated TB screening. The screening available was dated 6/3/19. 2. The record for staff #2 did not contain an updated TB screening. The screening available was dated 9/2/19. 3. Staff #1 and #2 confirmed that they did not have updated TB screenings.”

22VAC40-185-130-A

“Based on record review and interview it was determined the center did not 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. There was no record available for child #3 and child #4 at the time of the inspection. Both children were present during the inspection. 2. Staff #1 confirmed that these records were not available”