YMCA School-Age Child Care @ Larchmont Elementary

8VAC20-780-550-P

“Based upon review of written injury records, the facility has not ensured that the written records of children's injuries include all required information. Evidence: 1. An injury record dated 9/28/23 for child 6 did not include the time the parent was notified of the injury. 2. An injury record dated 10/9/23 for child 7 did not include the date and time the parent was notified of the injury. 3. An injury record dated 10/27/23 for child 8 did not include the time the parent was notified of the injury.”

8VAC20-780-550-P

“Based upon review of written injury records, the facility has not ensured that the written records of children's injuries include all required information. Evidence: 1. An injury record dated 9/28/23 for child 6 did not include the time the parent was notified of the injury. 2. An injury record dated 10/9/23 for child 7 did not include the date and time the parent was notified of the injury. 3. An injury record dated 10/27/23 for child 8 did not include the time the parent was notified of the injury.”

8VAC20-780-160-A

“Based upon review of staff records and staff interview, the facility has not ensured that staff obtain the results of a negative tuberculosis screening within 30 days prior to employ. Evidence: 1. According to the record provided, staff 1 was employed on 1/4/2023. Results of a tuberculosis screening were not obtained until 2/11/2023. 2. Staff 6 verified that the results of the tuberculosis screening for staff 1 were not obtained within 30 days prior to employ.”

8VAC20-780-550-E

“Based upon records provided, the facility has not ensured that shelter-in-place drills are conducted a minimum of twice per year. Evidence: The records provided indicated one shelter-in-place drill during the 2021/2022 school year and no shelter-in-place drills during the 2022-2023 school year.”

8VAC20-780-340-D

“Based upon review of records of the staff on duty during the inspection and staff interview, the facility has not ensured that in each grouping of children at least one staff member who meets the qualifications of a program leader is regularly present. Evidence: 1. Staff 2, 4 and 5 were on duty during the inspection. The records for these staff did not include documentation of a program leader qualifications. 2. Staff 6 verified that the records for staff 2, 4 and 5 did not include documentation to verify program leader qualifications.”

8VAC20-780-60-A

“Based upon review of records, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. Evidence: The record provided for child 1 did not include the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached.”

8VAC20-780-240-E

“Based upon review of staff records, the facility has not ensured that within 30 days of employmnet, staff have completed orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: The record provided for staff 4, employed on 4/22/2022, did not include documentation of training in first aid and CPR.”

8VAC20-780-260-A

“Based upon review of records, the facility has not ensured that there is an annual fire inspection. Evidence: The most recent record of a fire inspection provided is dated 3/14/2019.”

22.1-289.035-B-4

“Based upon review of staff records, the facility has not ensured that a search of the child abuse and neglect registry is obtained from any state in which the employee has resided within the past five years. Evidence: 1. The record provided for staff 1 indicated that staff 1 resided in Pennsylvania within the past five. Results of a child abuse and neglect search were not obtained from Pennsylvania. 2. Staff 6 verified that the record did not include the results of a child abuse and neglect registry search from Pennsylvania for staff 1.”

8VAC20-780-160-A

“Based upon review of staff records and staff interview, the facility has not ensured that staff obtain the results of a negative tuberculosis screening within 30 days prior to employ. Evidence: 1. According to the record provided, staff 1 was employed on 1/4/2023. Results of a tuberculosis screening were not obtained until 2/11/2023. 2. Staff 6 verified that the results of the tuberculosis screening for staff 1 were not obtained within 30 days prior to employ.”

8VAC20-780-550-E

“Based upon records provided, the facility has not ensured that shelter-in-place drills are conducted a minimum of twice per year. Evidence: The records provided indicated one shelter-in-place drill during the 2021/2022 school year and no shelter-in-place drills during the 2022-2023 school year.”

8VAC20-780-340-D

“Based upon review of records of the staff on duty during the inspection and staff interview, the facility has not ensured that in each grouping of children at least one staff member who meets the qualifications of a program leader is regularly present. Evidence: 1. Staff 2, 4 and 5 were on duty during the inspection. The records for these staff did not include documentation of a program leader qualifications. 2. Staff 6 verified that the records for staff 2, 4 and 5 did not include documentation to verify program leader qualifications.”

8VAC20-780-60-A

“Based upon review of records, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. Evidence: The record provided for child 1 did not include the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached.”

8VAC20-780-240-E

“Based upon review of staff records, the facility has not ensured that within 30 days of employmnet, staff have completed orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: The record provided for staff 4, employed on 4/22/2022, did not include documentation of training in first aid and CPR.”

8VAC20-780-260-A

“Based upon review of records, the facility has not ensured that there is an annual fire inspection. Evidence: The most recent record of a fire inspection provided is dated 3/14/2019.”

22.1-289.035-B-4

“Based upon review of staff records, the facility has not ensured that a search of the child abuse and neglect registry is obtained from any state in which the employee has resided within the past five years. Evidence: 1. The record provided for staff 1 indicated that staff 1 resided in Pennsylvania within the past five. Results of a child abuse and neglect search were not obtained from Pennsylvania. 2. Staff 6 verified that the record did not include the results of a child abuse and neglect registry search from Pennsylvania for staff 1.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: 1. Staff 1, hire date 06/21/2021, lacks CPR certification. 2. Staff 2, hire date 10/15/2021, lacks CPR certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack CPR certification.”

8VAC20-790-600-D-2

“Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: 1. Staff 1, hire date 06/21/2021, lacks First Aid certification. 2. Staff 2, hire date 10/15/2021, lacks First Aid certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack First Aid certification.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The findings from the most recent inspection, conducted on 03/23/2021, were not posted on the parent board during the virtual inspection conducted on 01/19/2022. a. The findings from the 12/02/2019 were posted.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacks the following required information: a. Work number and employment for each parent”

8VAC20-780-70

“Based on observation and interview, the center failed to maintain the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. Emergency contact information was not on file at the after school site for staff 2 and staff 3 during the virtual inspection on 01/19/2022. 2. Administrative staff confirmed that staff 2 and staff 3 had not completed an emergency contact sheet for the after school site.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance. Evidence: 1. Child 1, enrollment date 09/09/2021, lacks documentation of a physical exam.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening within 30 days prior to employment. Evidence: 1. Staff 1, hire date 10/15/2021, lacks documentation of a TB screening. 2. Administrative staff confirmed that staff 1 had not obtained a TB screening.”

8VAC20-780-130-A

“Based on record review, 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. The immunization record available for child 1 was missing page 2 and page 3 of the immunization record. a. Page 1 of the immunization record available does not show documentation that child 1 is current with all required immunizations. 2. Administrative staff confirmed that the complete immunization record was not available.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain a central registry finding within 30 days of employment. Evidence: 1. Staff 1, hire date 10/15/2021, does not have central registry check finding.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: 1. Staff 1, hire date 06/21/2021, lacks CPR certification. 2. Staff 2, hire date 10/15/2021, lacks CPR certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack CPR certification.”

8VAC20-790-600-D-2

“Based on record review and interview, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: 1. Staff 1, hire date 06/21/2021, lacks First Aid certification. 2. Staff 2, hire date 10/15/2021, lacks First Aid certification. 3. Administrative staff confirmed that staff 1 and staff 2 lack First Aid certification.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The findings from the most recent inspection, conducted on 03/23/2021, were not posted on the parent board during the virtual inspection conducted on 01/19/2022. a. The findings from the 12/02/2019 were posted.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacks the following required information: a. Work number and employment for each parent”

8VAC20-780-70

“Based on observation and interview, the center failed to maintain the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. Emergency contact information was not on file at the after school site for staff 2 and staff 3 during the virtual inspection on 01/19/2022. 2. Administrative staff confirmed that staff 2 and staff 3 had not completed an emergency contact sheet for the after school site.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance. Evidence: 1. Child 1, enrollment date 09/09/2021, lacks documentation of a physical exam.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening within 30 days prior to employment. Evidence: 1. Staff 1, hire date 10/15/2021, lacks documentation of a TB screening. 2. Administrative staff confirmed that staff 1 had not obtained a TB screening.”

8VAC20-780-130-A

“Based on record review, 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. The immunization record available for child 1 was missing page 2 and page 3 of the immunization record. a. Page 1 of the immunization record available does not show documentation that child 1 is current with all required immunizations. 2. Administrative staff confirmed that the complete immunization record was not available.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain a central registry finding within 30 days of employment. Evidence: 1. Staff 1, hire date 10/15/2021, does not have central registry check finding.”