YMCA School Age Child Care @ Mt. Trashmore Family YMCA

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. Child #2, who had been attending for four months, did not have documentation of the required immunizations in the record.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or a new authorization should be completed. Medication for Child 1 was onsite, but the medication authorization had expired over 50 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was a bench in the girls bathroom that was in disrepair.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for two weeks, did not have a central registry search requested.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water, sewage, and food service. The last annual health inspection was due six days ago and had not yet been completed.”

8VAC20-780-350-B-5

“The required ratio for children school age eligible up to 9 years is one staff per eighteen children. At approximately 3:03pm Staff #2 was observed alone, supervising twenty-six children.”

8VAC20-780-350-B-6

“The required ratio for children ages 9 through 12 years is one staff per twenty children. Staff #1 was observed with twenty-two children from approximately 3:07pm to 3:12pm.”

8VAC20-780-430-K

“Provision shall be made for an individual place for each child's personal belongings. In a school age classroom children did not have a place to put their individual belongings. Backpacks, coats and bags were laying on the floor and on top of each other. A child looking for his jacket said "I can't find my jacket, they keep moving it".”

8VAC20-780-210-A

“Program leaders shall be at least 18 years of age and have fulfilled a high school program completion or the equivalent. The job title and role for Staff #1 was Program Leader. The record for Staff #1 did not contain a high school diploma or equivalent. Staff #1 did not meet the qualifications of Program Leader.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiration or that a new authorization should be completed. Medication for Child #1 was onsite, but the medication authorization had expired over 30 days ago. Medication for Child #2 was onsite, but the medication authorization expired over 12 months ago. The medication had not been administered past the expiration of the authorization. The authorizations had not been renewed, and the medications were not returned or disposed of as required.”

8VAC20-780-340-D

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. The following staff, who did not meet lead teacher qualifications, were alone with three separate groups of children for approximately 30 minutes. 1. Staff #1 and Staff #2 were alone in a classroom supervising a group of 5?6-year-old children. 2. Staff #3 was alone with a group of 9-10-year-old children. 3. Staff #4 and Staff #5 were alone with a group of 7-8 year old children.”

8VAC20-780-340-B

“Repeat Violation During the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. Upon arrival at the center the Director was not present. The staff were not clear who was in charge during the director’s absence.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in the 9-10 year old group did not wash their hands before eating snack.”

8VAC20-780-560-G

“When food is brought from home, the food container shall be clearly dated. Two lunchboxes were not dated.”

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 the time when parents were notified. The injury records for three children did not include the time the parent was notified.”

8VAC20-780-70

“Staff records shall be kept for each staff person that includes all of the required information. The records for staff #1 and staff #2 did not contain the required two (2) reference verifications. The record for staff #3 did not contain the date of employment.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection on 1/24/25, were not posted.”

8VAC20-780-560-G

“When food is brought from home, the food container shall be clearly dated. Two lunchboxes were not dated.”

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 the time when parents were notified. The injury records for three children did not include the time the parent was notified.”

8VAC20-780-70

“Staff records shall be kept for each staff person that includes all of the required information. The records for staff #1 and staff #2 did not contain the required two (2) reference verifications. The record for staff #3 did not contain the date of employment.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection on 1/24/25, were not posted.”

22.1-289.035-B-1

“The center is required to obtain a complete sworn statement prior to the employee's first day of employment. On 1/10/2025 the record for staff #2, who had been employed for more than 10 years, did not have a completed sworn statement.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. On 1/10/25 staff #1 and staff #2 left child #1, an eight year old, alone on a locked bus for 1 ? hours in 30-degree weather. When found, the child was crying, cold and scared. The child reported that it was dark, and the child’s fingers hurt from banging on the windows to get someone’s attention. When transporting children, the facility allowed staff #1 and staff #2, both of whom did not have completed background checks on 1/10/2025, to be the only staff in the vehicle with children.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. Child #1, an 8 year old, was left unsupervised and alone on a bus for 1 ? hours.”

8VAC20-780-510-L

“Repeat Violation Medication shall be kept in a locked place using a safe locking method that prevents access by children. On 1/30/25 medication was stored in an unlocked box in the office. Children were observed going into the office to retrieve personal items. The box was on the floor, the lid was open, and the medication was accessible to children”

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. According to management, staff did not follow the facility’s supervision procedures regarding face to name checks and a bus sweeps.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. On the date of the incident, 1/10/25 staff #2, who had been employed for more than 10 years, did not have a central registry search results in the record.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. On 1/10/25 staff #2, who had been employed for more than 10 years, did not have a completed national criminal background check in the record.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1 employed for 12 weeks did not have documentation of requesting a criminal history check or a sex offender registry check from a state identified on the sworn statement.”

8VAC20-780-580-K

“Staff shall verify that all children have been removed from the vehicle at the conclusion of any trip. On 1/10/25 9 children were transported to the facility. Staff #1 and staff #2 exited the vehicle and did not verify that all children were removed from the vehicle.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1, enrolled for five months, was missing the following required components: the name, address and phone number of a second emergency contact if a parent cannot be reached.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the playground there were two cracks approximately 4" long on the large red slide. There was a wooden picnic table with a broken bench. The bench was collapsed and sharp screws were exposed. There were multiple cracks and breakage on the black plastic edging around the sand boxes. These areas pose multiple pinch, scratch and snag hazards. There was peeling paint on the large play structure including the climbing ladder, handrails and metal support poles. In a school age classroom there was broken, crumbling drywall. Vinyl baseboards were peeled away from the wall.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #9 was onsite, but the medication authorization had expired over 30 days ago. Medication for Child #10 was onsite, but the medication authorization had expired over 6 months ago. The medication for both children had not been administered past the expiration of the authorization. The authorization's had not been renewed and the medication's were not returned or disposed of as required.”

8VAC20-780-510-I

“Repeat Violation Prescription medication may be administered only to the child identified on the prescription label. There was no prescription label on the medication given to Child #7 twice in December. Prescription medication may be administered if the center has obtained written permission from the parent. There was no written parent authorization for the dosage of medication administered to Child #8 on 12/16/24. The parent authorization to administer medication to Child #11 did not match the prescribers instructions. The medication had not been administered.”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. The supplemental page of the inspection summary containing confidential information was posted in a public location. The Supplemental page included the following reminder. "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility".”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the playground there were two cracks approximately 4" long on the large red slide. There was a wooden picnic table with a broken bench. The bench was collapsed and sharp screws were exposed. There were multiple cracks and breakage on the black plastic edging around the sand boxes. These areas pose multiple pinch, scratch and snag hazards. There was peeling paint on the large play structure including the climbing ladder, handrails and metal support poles. In a school age classroom there was broken, crumbling drywall. Vinyl baseboards were peeled away from the wall.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #9 was onsite, but the medication authorization had expired over 30 days ago. Medication for Child #10 was onsite, but the medication authorization had expired over 6 months ago. The medication for both children had not been administered past the expiration of the authorization. The authorization's had not been renewed and the medication's were not returned or disposed of as required.”

8VAC20-780-510-I

“Repeat Violation Prescription medication may be administered only to the child identified on the prescription label. There was no prescription label on the medication given to Child #7 twice in December. Prescription medication may be administered if the center has obtained written permission from the parent. There was no written parent authorization for the dosage of medication administered to Child #8 on 12/16/24. The parent authorization to administer medication to Child #11 did not match the prescribers instructions. The medication had not been administered.”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. The supplemental page of the inspection summary containing confidential information was posted in a public location. The Supplemental page included the following reminder. "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility".”

8VAC20-780-560-G

“Repeat Violation Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1.There was a child’s lunch box in the imagination room that was not labeled with the child’s name. 2.There were 3 lunchboxes in the main gathering room that were not labeled with the children’s names.”

8VAC20-780-510-I

“Based on record review and interviews, it was determined the center did not ensure that the center administers authorized medications only to the child identified on the prescription label. 1.Child #3 had medication at the center that did not have a pharmacy label or authorization that matched the child’s name on enrollment forms. 2.The medication was administered to child #3 on 4/4/2024. 3.The director confirmed the medication authorization and the pharmacy label did not match the child’s name on enrollment forms.”

8VAC20-780-340-F

“Based on observation and interviews, it was determined the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: 1. A 6 year old child was observed walking alone from a second floor classroom, down the stairs, through a stairwell/hallway, past a janitors cart and out to the main floor unsupervised. 2.The preschool director confirmed the child was unsupervised.”

8VAC20-780-330-B

“Based on observation, it was determined that the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (mulch) around the climbing equipment on the playground was less than the required minimum depth of 6?. The mulch was broken down and at an insufficient depth throughout the playground climbing areas. The mulch depth, measured with a 6? nail, was approximately 4? deep. 2.The preschool director confirmed the mulch was not 6? in depth.”

8VAC20-780-550-D

“Repeat Violation Based on record reviews and interviews, it was determined that the center did not ensure that a monthly practice evacuation drill will be conducted. 1.There was no emergency evacuation drill conducted in March. 2.The director confirmed a March drill was not documented”

8VAC20-780-550-P

“Repeat Violation Based on observation and interviews, it was determined the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1.Injury reports reviewed for child #13 and child #14 did not include how the parent was notified. 2.The director confirmed the information above was missing from the report.”

8VAC20-780-280-B

“Repeat violation Based on observation and interviews, it was determined the facility did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.A janitor’s cart containing cleaning supplies including Clorox and disinfectant sprays, was left in the stairwell/hallway of an accessible area for children. 2.An unsupervised child was observed walking directly in front of the cleaning materials. 3.The preschool director confirmed the cleaning materials were on a cart accessible to children.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1.The carpet in the main gathering area was curled up on the edges and posed a trip hazard. 2.On the playground there were roots sticking up out of the ground that posed trip hazards a.At the exit of the yellow slide there was a root approximately 14? long. b.In the middle of the open play space a root approximately 12? long stuck out of the mulch approximately 4?. 3. The director confirmed there were exposed roots on the playground.”

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated. Evidence: 1.The written allergy list available to staff members was not current. The list did not include the children enrolled for spring break. 2.The director confirmed the allergy list was not current.”

8VAC20-780-240-A

“Based on the review of records and interview, it was determined the center did not ensure that the Virginia Department of Education (VDOE) sponsored orientation course is completed within 90 calendar days of employment. Evidence: 1.The record for staff #4 (date of hire 12/10/2022) did contain documentation that the VDOE orientation coarse had been completed.”

8VAC20-780-40-L

“Based on record review and interviews, it was determined the center did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: 1.Staff were not informed that child #8 and child #11 had food allergies that required emergency medication. 2.These children's names, and their allergies, were not included in the allergy list given to staff. 3.The Director confirmed the staff members were not aware of the children’s food allergies.”

8VAC20-780-245-A

“Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.The record for staff #3 had documentation of only 8 hours of annual training for 2023. 2.The record for staff #4 had documentation of only 2.5 hours of annual training for 2023. 3.The director confirmed the staff did not have the required 16 hours of annual training.”

8VAC20-790-600-F

“Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. 5.The record for staff #4, date of hire 12/19/22, did not include documentation that the 2023 health and safety update course was completed. 6.Staff #1 confirmed documentation of the health and safety training was not in the record.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: Current certification in first aid appropriate to the ages of children in care. 3. The record for staff #4, date of hire 12/19/22, did not include documentation of First Aid certification. 4. Staff #1 confirmed the certification had not been completed.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for staff #4, date of hire 12/19/22, did not include documentation of CPR certification. 2.Staff #1 confirmed the certification had not been completed.”

8VAC20-780-560-G

“Repeat Violation Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1.There was a child’s lunch box in the imagination room that was not labeled with the child’s name. 2.There were 3 lunchboxes in the main gathering room that were not labeled with the children’s names.”

8VAC20-780-510-I

“Based on record review and interviews, it was determined the center did not ensure that the center administers authorized medications only to the child identified on the prescription label. 1.Child #3 had medication at the center that did not have a pharmacy label or authorization that matched the child’s name on enrollment forms. 2.The medication was administered to child #3 on 4/4/2024. 3.The director confirmed the medication authorization and the pharmacy label did not match the child’s name on enrollment forms.”

8VAC20-780-340-F

“Based on observation and interviews, it was determined the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: 1. A 6 year old child was observed walking alone from a second floor classroom, down the stairs, through a stairwell/hallway, past a janitors cart and out to the main floor unsupervised. 2.The preschool director confirmed the child was unsupervised.”

8VAC20-780-330-B

“Based on observation, it was determined that the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (mulch) around the climbing equipment on the playground was less than the required minimum depth of 6?. The mulch was broken down and at an insufficient depth throughout the playground climbing areas. The mulch depth, measured with a 6? nail, was approximately 4? deep. 2.The preschool director confirmed the mulch was not 6? in depth.”

8VAC20-780-550-D

“Repeat Violation Based on record reviews and interviews, it was determined that the center did not ensure that a monthly practice evacuation drill will be conducted. 1.There was no emergency evacuation drill conducted in March. 2.The director confirmed a March drill was not documented”

8VAC20-780-550-P

“Repeat Violation Based on observation and interviews, it was determined the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1.Injury reports reviewed for child #13 and child #14 did not include how the parent was notified. 2.The director confirmed the information above was missing from the report.”

8VAC20-780-280-B

“Repeat violation Based on observation and interviews, it was determined the facility did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.A janitor’s cart containing cleaning supplies including Clorox and disinfectant sprays, was left in the stairwell/hallway of an accessible area for children. 2.An unsupervised child was observed walking directly in front of the cleaning materials. 3.The preschool director confirmed the cleaning materials were on a cart accessible to children.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1.The carpet in the main gathering area was curled up on the edges and posed a trip hazard. 2.On the playground there were roots sticking up out of the ground that posed trip hazards a.At the exit of the yellow slide there was a root approximately 14? long. b.In the middle of the open play space a root approximately 12? long stuck out of the mulch approximately 4?. 3. The director confirmed there were exposed roots on the playground.”

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated. Evidence: 1.The written allergy list available to staff members was not current. The list did not include the children enrolled for spring break. 2.The director confirmed the allergy list was not current.”

8VAC20-780-240-A

“Based on the review of records and interview, it was determined the center did not ensure that the Virginia Department of Education (VDOE) sponsored orientation course is completed within 90 calendar days of employment. Evidence: 1.The record for staff #4 (date of hire 12/10/2022) did contain documentation that the VDOE orientation coarse had been completed.”

8VAC20-780-40-L

“Based on record review and interviews, it was determined the center did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: 1.Staff were not informed that child #8 and child #11 had food allergies that required emergency medication. 2.These children's names, and their allergies, were not included in the allergy list given to staff. 3.The Director confirmed the staff members were not aware of the children’s food allergies.”

8VAC20-780-245-A

“Based on record review and interviews, it was determined the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.The record for staff #3 had documentation of only 8 hours of annual training for 2023. 2.The record for staff #4 had documentation of only 2.5 hours of annual training for 2023. 3.The director confirmed the staff did not have the required 16 hours of annual training.”

8VAC20-790-600-F

“Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. 5.The record for staff #4, date of hire 12/19/22, did not include documentation that the 2023 health and safety update course was completed. 6.Staff #1 confirmed documentation of the health and safety training was not in the record.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: Current certification in first aid appropriate to the ages of children in care. 3. The record for staff #4, date of hire 12/19/22, did not include documentation of First Aid certification. 4. Staff #1 confirmed the certification had not been completed.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for staff #4, date of hire 12/19/22, did not include documentation of CPR certification. 2.Staff #1 confirmed the certification had not been completed.”