YMCA School Age Child Care @ Southwestern Elem

8VAC20-780-530-A-2

“Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The first aid certification for staff 3, expired on 08/25/2022. 2. Staff 2 confirmed that staff 3 did not have current first aid certification”

8VAC20-780-530-A-1

“Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The CPR certification for staff 3, expired on 08/25/2022. 2. Staff 2 confirmed that staff 3 did not have current CPR certification.”

8VAC20-780-350-C

“Based on observation and interview, the center failed to ensure 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: 1:10 for 3 years old up to school age eligible; 1:18 for school age eligible up to 9 years; 1: 20 for 9 years through 12 years. *Maximum Group Size Requirements: 30 for 3 year olds up to school age eligible. Evidence: 1. 43 children, ages 4 years - 12 years, were present with 3 staff from dismissal 2:05-2:28pm when staff 4 arrived. Four of these children were four year olds who are not school age eligible. 2. The required group size of 30 was exceeded by 13 children for the four-year old children in care with the entire group of 43 children.”

8VAC20-780-340-G

“Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff except when staff are able to hear children, are nearby so they can provide immediate intervention and there is a system to ensure that staff know where the children are and what they are doing. Evidence: 1. Multiple children who had been signed into care with the center were assisting school staff with filed day cleanup. Child 3 (11 y/o), child 11 (12 y/o), child 16 (10y/o), child 17 (12 y/o), and child 20 (11 y/o) were observed repeatedly going in between the gymnasium, field area, and parking lot outside in the back of the school without any staff supervision. 2. The location of these areas do not allow for sight and sound supervision. 3. There was no system in place for staff to check on the above listed children. Additionally, staff could not intervene as the proximately of the gym to the field area, and parking lot outside in the back of the school do not allow for immediate intervention. 4. Center staff were initially unaware of how many children and which children were in the group of children assisting school staff with field day clean up. 5. Center staff confirmed that these children were in care during this time period.”

8VAC20-780-340-F

“Based on observation, 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. Multiple children who had been signed into care with the center were assisting school staff with filed day cleanup. Child 2 (8 y/o), child 4 (7y/o), child 10 (9 y/o), child 12 (8 y/o), child 13 (9 y/o), child 14 (9 y/o), child 15 (8 y/o), child 18 (9 y/o), child 19 (8 y/o), child 21 (7 y/o), and child 22 (9 y/o) were observed repeatedly going in between the gymnasium, field area, and parking lot outside in the back of the school without any staff supervision. 2. The location of these areas do not allow for sight and sound supervision. 3. Center staff were initially unaware of how many children and which children were in the group of children assisting school staff with field day clean up. 4. Center staff confirmed that these children were in care during this time period.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 3, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course. 2. Staff 2 confirmed documentation of completion of Virginia Preservice training - 10 hour course was not available during this inspection.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure that a written agreement between the parent and center shall be in each child's record by the first day of the child's attendance. Evidence: 1. A written parent agreement was not on file for child 1, child 2, child 3, child 4, child 5, child 6, child 7, and child 8. 2. Staff confirmed that they did not have these agreements on file nor did they have access to the electronic copy of children's enrollment information.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the required elements. 1. Staff 3 is listed as a program leader in her employment file however, there is no written documentation to demonstrate that she possess the education, certification and experience required by the program leader job position. 2. Staff 2 confirmed that this documentation is not available.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. Enrollment records for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 were not available. These children were all in care during the inspection on 5/12/2023. 2. Staff 2 and 3, confirmed that these enrollment records were not available and that they had no access to any information for these children aside for a contact number for a parent.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child had a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Documentation of a physical exam was not available for child 1, child 2, child 3, child 4, child 5, child 6, and child 8. These children were all in care during this inspection. 2. Staff confirmed that they did not have this information on file nor did they have access to the electronic copy of children's enrollment information.”

8VAC20-780-130-A

“Based on record review and 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 immunizations were not available for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 who were in care during the inspection. 2. Staff confirmed that immunization documentation was not available for these children.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. During this inspection, inspector saw several children coming and going from outside and the gymnasium without staff supervision. 2. When inspector asked staff 4 how many children were in attendance they stated they were not sure because several of the older children were helping school staff clean up from field day. Staff stated they could count the number of children signed in as the older children assisting had been signed into care for the day. 3. 16 of the 43 children (2-7 y/o, 4-8y/o, 5-9y/o, 1-10 y/o, 2-11 y/o, 2-12 y/o) in care were going in between the gymnasium, field area, and parking lot outside in the back of the school that had been used for field day without any supervision from the center staff from approximately 2:05-2:28pm.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in first aid appropriate to the ages of children in care. Evidence: 1. The first aid certification for staff 1 expired on 08/25/2022. 2. The first aid certification for staff 2 expired on 11/09/2020.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The CPR certification for staff 1 expired on 08/25/2022. 2. The CPR certification for staff 2 expired on 11/09/2020.”

8VAC20-780-130-A

“Based on record review and 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 immunizations were not available for child 1 and child 2 who were in care during the inspection. 2. The immunizations on file for child 5 and child 6 were incomplete as the documentation on file was missing page 1 of two pages listing immunizations administered. 3. Administrative staff confirmed that complete immunization documentation was not available for these children.”

8VAC20-780-280-G

“Based on observation and interview, the center failed to ensure that If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. A bottle of sanitizing agent was not labeled to indicate the contents. a. Administrative staff stated the bottle contained the sanitizing liquid used to sanitize tables.”

8VAC20-780-245-A

“Based on record review, 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. Staff 4 lacks documentation of any annual training for calendar year 2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 4, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course. 2. Staff 2, hire date 09/30/2016, lacks documentation of completion of Virginia Preservice training - 10 hour course.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. The written parent agreement was not available for child 1 and child 2 who were in care during the inspection. 2. Administrative staff verified this information was not on site and access to electronic records was not available to staff in the after school program.”

8VAC20-780-60-A

“Based on interview and record review, the center failed to maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. Evidence: 1. Enrollment records were not in the children's record binder for child 1 and child 2 who were in care during the inspection. a. Administrative staff confirmed these records were not available as a hard copy. b. Administrative staff stated he did not have access to the electronic copy of enrollment records for child 1 and child 2. 2. The enrollment record for child 3 lacked documentation of the first day of attendance. 3. A written allergy care play is not on file for child 4 who has a diagnosed food allergy to two different foods. a. Administrative staff verified that an allergy care plan had not been obtained for child 3.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that the documentation of a tuberculosis screening shall be obtained within the last 30 days of employment and prior to coming into contact with children . Evidence: 1. The TB screening for staff 1 was obtained on 06/23/2022 which is after her employment date of 05/28/2022.”

8VAC20-780-140-A

“Based on record review and interview, 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 30 days after attendance. Evidence: 1. A written physical exam was not on file for child 1 and child 2 who were in care during the inspection. a. Administrative staff stated these children had been in care more than 30 days. 2. Administrative staff additionally stated he had no access to electronic records and confirmed that a hard copy was not on hand at the after school site.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: 1. A criminal record check was not available for another state that staff 3 has resided in within the past five years.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: 1. There is no central registry finding on file for staff 3 who began employment on 11/07/2022.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo a background check every five years. Evidence: 1. The central registry check for staff 2 has not been updated every five years as required. a. The most recent central registry check was conducted on 11/10/2016.”

8VAC20-790-600-D-2

“Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in first aid appropriate to the ages of children in care. Evidence: 1. The first aid certification for staff 1 expired on 08/25/2022. 2. The first aid certification for staff 2 expired on 11/09/2020.”

8VAC20-790-600-D-1

“Based on record review, the vendor failed to ensure that all staff work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The CPR certification for staff 1 expired on 08/25/2022. 2. The CPR certification for staff 2 expired on 11/09/2020.”

8VAC20-780-130-A

“Based on record review and 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 immunizations were not available for child 1 and child 2 who were in care during the inspection. 2. The immunizations on file for child 5 and child 6 were incomplete as the documentation on file was missing page 1 of two pages listing immunizations administered. 3. Administrative staff confirmed that complete immunization documentation was not available for these children.”

8VAC20-780-280-G

“Based on observation and interview, the center failed to ensure that If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. A bottle of sanitizing agent was not labeled to indicate the contents. a. Administrative staff stated the bottle contained the sanitizing liquid used to sanitize tables.”

8VAC20-780-245-A

“Based on record review, 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. Staff 4 lacks documentation of any annual training for calendar year 2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 4, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course. 2. Staff 2, hire date 09/30/2016, lacks documentation of completion of Virginia Preservice training - 10 hour course.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. The written parent agreement was not available for child 1 and child 2 who were in care during the inspection. 2. Administrative staff verified this information was not on site and access to electronic records was not available to staff in the after school program.”

8VAC20-780-60-A

“Based on interview and record review, the center failed to maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. Evidence: 1. Enrollment records were not in the children's record binder for child 1 and child 2 who were in care during the inspection. a. Administrative staff confirmed these records were not available as a hard copy. b. Administrative staff stated he did not have access to the electronic copy of enrollment records for child 1 and child 2. 2. The enrollment record for child 3 lacked documentation of the first day of attendance. 3. A written allergy care play is not on file for child 4 who has a diagnosed food allergy to two different foods. a. Administrative staff verified that an allergy care plan had not been obtained for child 3.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that the documentation of a tuberculosis screening shall be obtained within the last 30 days of employment and prior to coming into contact with children . Evidence: 1. The TB screening for staff 1 was obtained on 06/23/2022 which is after her employment date of 05/28/2022.”

8VAC20-780-140-A

“Based on record review and interview, 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 30 days after attendance. Evidence: 1. A written physical exam was not on file for child 1 and child 2 who were in care during the inspection. a. Administrative staff stated these children had been in care more than 30 days. 2. Administrative staff additionally stated he had no access to electronic records and confirmed that a hard copy was not on hand at the after school site.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: 1. A criminal record check was not available for another state that staff 3 has resided in within the past five years.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: 1. There is no central registry finding on file for staff 3 who began employment on 11/07/2022.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo a background check every five years. Evidence: 1. The central registry check for staff 2 has not been updated every five years as required. a. The most recent central registry check was conducted on 11/10/2016.”

8VAC20-780-530-A-1

“Based on record review, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: The CPR certification for the only staff caring for children, staff 1, on 11/01/2022 expired on 08/25/2022.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water or disposable wipes before and after eating snack. Evidence: Children did not wash their hands with soap and water or a disposable wipe before and after eating snack on 11/01/2022.”

8VAC20-780-430-K

“Based on observation, the center failed to make provision for an individual place for each child's personal belongings. Evidence: 1. When the inspector arrived children's backpacks, lunch boxes and jackets were observed stored in a pile on three cafeteria tables. Approximately 6 jackets and backpacks were observed on the floor where it appeared they had fallen from the tables. a. Staff 1 had a child set up the baskets for storage at approximately 3:15 pm however, only half of children's belongings were placed in baskets while many coats and backpacks remained in a pile on the table with some spilling onto the floor.”

8VAC20-780-350-C

“Based on observation and interview, the center failed to ensure 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: 1:10 for 3 years old up to school age eligible; 1:18 for school age eligible up to 9 years; 1: 20 for 9 years through 12 years. *Maximum Group Size Requirements: 30 for 3 year olds up to school age eligible. Evidence: 1. 47 children, ages 4 years - 10 years, were present with one staff when the inspector arrived at 2:50 pm. Four of these children were four year olds who are not school age eligible. a. Five staff were needed to meet the 1:10 ratio required for the youngest children in the group who were four years of age. b. The required group size of 30 was exceeded by 17 children for the four-year old children in care with the entire group of 47 children. 2. Staff 1 stated she had been alone with these 47 children since 2:00 pm. 3. When the inspector left at 4:08 pm staff 1 was alone with 43 children to include four year olds.”

8VAC20-780-340-G

“Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff except when staff are able to hear children, are nearby so they can provide immediate intervention and there is a system to ensure that staff know where the children are and what they are doing. Evidence: 1. Child 8, age 10 years, left the cafeteria to use the restroom without any staff supervision. a. The location of the bathrooms do not allow for sound supervision as the bathrooms are located down the hall, approximately 35 feet, from the cafeteria. b. There was no system in place for staff 1 to check on child 8. Additionally, staff 1 could not intervene as the proximately of the cafeteria to the bathrooms do not allow for immediate intervention. 2. Child 9 and child 10, both age 10 years, left the cafeteria to use the restroom at approximately 3:43 pm without the knowledge of staff 1 who was occupied with assisting children in the cafeteria.”

8VAC20-780-340-F

“Based on observation, 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. Child 7, age 6 years, left the cafeteria to use the restroom without any staff supervision. The child was gone from approximately 3:30 pm - 3:36 pm. a. The location of the bathrooms do not allow for sight or sound supervision as the bathrooms are approximately 35 feet from the cafeteria. 2. Child 11, age four years, left the cafeteria to use the restroom without any staff supervision at approximately 3:43 pm.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. The lack of sufficient staff on 11/01/2022 resulted in the one staff present not being able to properly care for and supervise the 47 children in care. a. Five children were observed leaving the cafeteria, without knowledge of staff 1, to use the restroom. b. Staff 1 was not able to implement required hand washing and sanitizing procedures as there was no one available to assist with these tasks. c. A four-year old child tripped and fell while walking to his seat however, staff 1 did not see this as she was occupied on the other side of the cafeteria attending to another child. d. Staff 1 put a ten year old child in charge of handing out snack as she was occupied with assisting other children and answering the door for parent pick-up. e. Staff 1 stated that she had been alone with all of the children since 2:00 pm which put her behind in setting up the licensing board and implementing snack. Snack was handed out at 3:20 pm and the parent board was not set up until 3:00 pm.”

8VAC20-780-245-J-3

“Based on medication and record review, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of medication administration training -MAT. Evidence: 1. There was a child present who had an inhaler (albuterol) on site. 2. Staff 1, who was the only staff present , did not have documentation of MAT certification.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the ages of children in care. Evidence: 1. Staff 1, hire date 11/13/2019, lacks documentation of any annual training during the last 12 months. 2. Staff 3, hire date 09/30/2016, lacks documentation of any annual training during the last 12 months. 3. Staff 1 and staff 3 lack documentation of completion of the required three-hour Virginia preservice annual training.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete The Virginia Department of Education - sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff 2, hire date 05/28/2022, lacks documentation of completion of the Virginia Preservice training course.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure that a written agreement between the parent and center shall be in each child's record by the first day of the child's attendance. Evidence: 1. A written parent agreement was not on file for child 1, child 2, child 3, child 4, child 5 and child 6. a. Administrative staff confirmed that she did not have these agreements on file nor did she have access to the electronic copy of children's enrollment information.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the required elements. 1. Staff 1 is listed as a counselor in her employment file however, there is not written documentation to demonstrate that she possesses the education, certification and experience required by the job position. a. Documentation of orientation training is lacking for staff 1 as well. b. Staff 1 additionally stated to the inspector, during the inspection on 11/01/2022, that she was the program director for the program. No written documentation is on file to indicate how staff 1 meets program director qualifications. 2. Staff 2 is listed as a program leader in her employment file however, there is no written documentation to demonstrate that she possess the education, certification and experience required by the program leader job position.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1. Enrollment records for child 1, child 2, child 4, child 5 and child 6 were not available. These children were all in care during the inspection on 11/01/2022. a. Staff at the program, staff 1, confirmed that these enrollment records were not available and that she had no access to any information for these children. 2. A written emergency allergy care plan was not available for child 5 and child 6 who have diagnosed food allergies according to the facility allergy log. a. Staff 1 verified that written allergy care plans were not available for these two children who were in care during the inspection on 11/01/2022.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent TB screening for staff 1 was conducted on 11/18/2019. a. Staff 1 was caring for children during the inspection on 11/01/2022.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Documentation of a physical exam was not available for child 1, child 2, child 3, child 4, child 5 and child 6. These children were all in care during the inspection on 11/01/2022. a. Administrative staff confirmed that she did not have this information on file nor did she have access to the electronic copy of children's enrollment information.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to 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 all required immunizations were not available for child 1, child 2, child 3, child 4, child 5 and child 6. These children were all in care during the inspection on 11/01/2022. a. Administrative staff confirmed that she did not have this information on file nor did she have access to the electronic copy of children's enrollment information.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure that staff have a central registry finding within 30 days of employment. Evidence: 1. Staff 2, hire date 05/28/2022, lacks a central registry finding.”

22.1-289.035-B-4

“Based on a review of three staff records, it was determined that the facility did not ensure that sworn statement or affirmation statements and central registry checks are updated every five years from the last check. Evidence: 1. The most recent central registry check on file for staff 3, the designated program director, was conducted on 11/10/2016. 2. The most recent sworn statement or affirmation on file for staff 3 was completed on 09/24/2016.”

8VAC20-780-40-E

“Based on observation and interview, the center failed to ensure that the center's activities, services and facilities are maintained in compliance with these standards. Evidence: 1. Violations were cited in six of the eight areas of the standards for licensed child care centers to include: Administration, Staff Qualifications and Training, Staffing and Supervision, Programs, Special Care Provisions and Emergencies and Special Services. Violations cited in the areas of staffing and supervision , administration, staff qualifications and training, and special care provisions and emergencies with A2, B2, C2 and C3 risk ratings require a level of responsibility, knowledge, skills and /or abilities beyond those of direct care staff or aides to correct the violation or address the potential or actual consequences to children in care. 2. The lack of planning by the licensee resulted in inadequate staffing on 11/01/2022. a. The licensee failed to provide for sufficient staffing on 11/01/2022, which resulted in having only one staff to provide care and supervision to 47 children ages four years - ten years. b. Staff 1 stated she did not know why additional staff were not present and no one had reached out to her to alert her that she would be alone with the children on this date. 3. Records and information to include emergency contacts were not available for the majority of children in care during the information. a. Hard copies of enrollment records were on file for approximately 15 of 47 children present in care during the inspection. b. No electronic copies of children's records were able to be retrieved at the tablet provided to the staff was not working.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables used for feeding shall be sanitized before and after each use for feeding. Evidence: 1. The tables used for snack, which was served at approximately 3:30 pm, were not sanitized before or after use for feeding. 2. The tables were observed in use for children's activities before use for snack and after snack was completed.”

8VAC20-780-560-F

“Based on observation the center failed to ensure that when centers choose to provide meals or snacks, the following shall apply: *Centers shall follow the most recent, age appropriate nutritional requirements of USDA; *A menu listing foods to be served for snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents. Evidence: 1. The snack served on 11/01/2022 lacked two required food components. a. Children were provided a choice of either gold fish crackers or animal crackers. b. Each child was given one package of cookies or crackers without a second food component. 2. The snack menu for 11/01/2022 was not posted on the parent board. a. The posted menu was for the month of October 2022. b. Staff 1 confirmed that the current snack menu was not posted.”

8VAC20-780-530-A-2

“Based on record review the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid. Evidence: 1. The first aid certification for the only staff caring for children on 11/01/2022 (staff 1) expired on 08/25/2022.”

22.1-289.035-B-4

“Based on review of three staff records, it was determined that the facility did not ensure that sworn disclosure or affirmation statements, fingerprints and search of the central registry checks are updated every five years from the last check. Evidence: The most recent background checks for staff #3, who was on duty at the time of the inspection, were all over five years old. The dates are noted below: Sworn statement or affirmation - 9/29/16 Fingerprints - 10/10/16 Search of the central registry - 10/14/16”

8VAC20-780-245-J-3

“Based on review of three staff records and other information submitted by the center, it was determined that the facility di not ensure that when a child that had emergency medication had been prescribed that they were always in the care of a staff member who had current Medication Administration Training (MAT). Evidence: 1. There was a child enrolled who had an Epi-pen, Benedryl and Albuteral on site. 2. There was not a staff member currently assigned to the site who has current MAT training.”

8VAC20-780-160-C

“Based on review of three staff records, it was determined that the facility did not ensure that staff obtained updated tuberculosis (Tb) screenings every two years from the date of the last Tb screening. Evidence: 1. The last Tb screening for staff #1, who was on duty at the time of the inspection, was dated 11/20/19 and was, therefore, over two years old. 2. The last Tb screening for staff #2, who was on duty at the time of the inspection, was dated 11/18/19 and was, therefore, over two years old.”

22.1-289.035-B-4

“Based on review of three staff records, it was determined that the facility did not ensure that sworn disclosure or affirmation statements, fingerprints and search of the central registry checks are updated every five years from the last check. Evidence: The most recent background checks for staff #3, who was on duty at the time of the inspection, were all over five years old. The dates are noted below: Sworn statement or affirmation - 9/29/16 Fingerprints - 10/10/16 Search of the central registry - 10/14/16”

8VAC20-780-245-J-3

“Based on review of three staff records and other information submitted by the center, it was determined that the facility di not ensure that when a child that had emergency medication had been prescribed that they were always in the care of a staff member who had current Medication Administration Training (MAT). Evidence: 1. There was a child enrolled who had an Epi-pen, Benedryl and Albuteral on site. 2. There was not a staff member currently assigned to the site who has current MAT training.”

8VAC20-780-160-C

“Based on review of three staff records, it was determined that the facility did not ensure that staff obtained updated tuberculosis (Tb) screenings every two years from the date of the last Tb screening. Evidence: 1. The last Tb screening for staff #1, who was on duty at the time of the inspection, was dated 11/20/19 and was, therefore, over two years old. 2. The last Tb screening for staff #2, who was on duty at the time of the inspection, was dated 11/18/19 and was, therefore, over two years old.”