YMCA School-Age Child Care @ Taylor Elementary

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 1.5 months ago and Staff #2 updated screening was due 1 month ago. The updated screenings have not yet been completed.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 1.5 months ago and Staff #2 updated screening was due 1 month ago. The updated screenings have not yet been completed.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. There was a canister of Albuterol in the medication lock box that does not have a prescription label or any identifying information as to the owner, dosage amount or times to be administered.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. There was a canister of Albuterol in the medication lock box that does not have a prescription label or any identifying information as to the owner, dosage amount or times to be administered.”

8VAC20-790-600-D-2

“Based on record review the vendor failed to ensure that all staff obtain first aid training withing required time frames. Evidence: The record for Staff #1 did not contain any documentation that first aid training was completed. Staff #1 had a documented date of hire as November 14, 2023.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain staff records as required. Evidence: 1 - Upon arrival none of four staff present, providing direct care to children had documentation of the required onsite staff record available for review at the center. There was no documentation of each staff name, address, verification of age requirement, job title, and date of employment and name, address, and telephone number of a person to be notified in an emergency at the center. 2 - Staff #3 stated that the required staff information was not present at the center. 3 - The record for Staff #2 upon electronic review did not contain documentation orientation was completed. a. Staff #2 had documented date of hire as May 18, 2024. b. Staff #2 was present providing direct care to children during the inspection.”

8VAC20-780-510-B

“Based on medication review and interview the center failed to ensure that medication has written parent authorization. Evidence: 1 - There are to medications in the locked medication bag that does not have any parent written authorization. 2 - Staff #3 stated that he was told to accept the medication into the center without parent authorization.”

8VAC20-780-40-M

“Based on documentation review the center failed to maintain a current list of all children's allergies that is dated and includes the allergy action plan. 1 - The allergy list provided during the inspection was not dated and does not have allergy action plan attached as required. 2 - Staff #3 confirmed that the list was not dated and the action plans were not attached.”

8VAC20-780-270-A

“Based on observation the center failed to maintain equipment in safe operable condition. Evidence: 1 - The right side door on the large red metal storage cabinet fell off the hinges during the inspection. The cabinet door was rigged into place. a. However, the broken door was within reach of children. u b. The cabinet was sed to house medication and confidential records. 2 - Staff #3 stated that he was aware of the door being broken prior to the onset of the new school year.”

8VAC20-780-510-P

“Based on medication review and interview the center failed to return medication to parents within required time frames. Evidence: 1 - Child #2 had two prescription medications present in the center with authorizations that expired on July 17/2024. 2 - Child #3 had two prescription medication present in the center with authorizations that expired on June 7, 2024.”

8VAC20-790-600-D-2

“Based on record review the vendor failed to ensure that all staff obtain first aid training withing required time frames. Evidence: The record for Staff #1 did not contain any documentation that first aid training was completed. Staff #1 had a documented date of hire as November 14, 2023.”

8VAC20-780-70

“Based on record review and interview the center failed to maintain staff records as required. Evidence: 1 - Upon arrival none of four staff present, providing direct care to children had documentation of the required onsite staff record available for review at the center. There was no documentation of each staff name, address, verification of age requirement, job title, and date of employment and name, address, and telephone number of a person to be notified in an emergency at the center. 2 - Staff #3 stated that the required staff information was not present at the center. 3 - The record for Staff #2 upon electronic review did not contain documentation orientation was completed. a. Staff #2 had documented date of hire as May 18, 2024. b. Staff #2 was present providing direct care to children during the inspection.”

8VAC20-780-510-B

“Based on medication review and interview the center failed to ensure that medication has written parent authorization. Evidence: 1 - There are to medications in the locked medication bag that does not have any parent written authorization. 2 - Staff #3 stated that he was told to accept the medication into the center without parent authorization.”

8VAC20-780-40-M

“Based on documentation review the center failed to maintain a current list of all children's allergies that is dated and includes the allergy action plan. 1 - The allergy list provided during the inspection was not dated and does not have allergy action plan attached as required. 2 - Staff #3 confirmed that the list was not dated and the action plans were not attached.”

8VAC20-780-270-A

“Based on observation the center failed to maintain equipment in safe operable condition. Evidence: 1 - The right side door on the large red metal storage cabinet fell off the hinges during the inspection. The cabinet door was rigged into place. a. However, the broken door was within reach of children. u b. The cabinet was sed to house medication and confidential records. 2 - Staff #3 stated that he was aware of the door being broken prior to the onset of the new school year.”

8VAC20-780-510-P

“Based on medication review and interview the center failed to return medication to parents within required time frames. Evidence: 1 - Child #2 had two prescription medications present in the center with authorizations that expired on July 17/2024. 2 - Child #3 had two prescription medication present in the center with authorizations that expired on June 7, 2024.”

8VAC20-780-550-I

“Based on observation the center failed to ensure that emergency numbers are posted in a visible place. Evidence: There were not any emergency numbers posted anywhere in the center during the inspection.”

8VAC20-780-560-F

“Based on observation the center failed to ensure that the snack menu is posted. Evidence: There was not any menu posted in the center during the inspection.”

8VAC20-780-560-J

“Based on observation the center failed to ensure that tables are sanitized after snacks. Evidence: The tables where children sat and ate snack were not sanitized after snack was finished, before children engaged in other activities.”

8VAC20-820-120-E-2

“Based on observation the center failed to ensure that the findings of most recent inspection of the facility is posted. Evidence: The most recent inspection was not posted in the center during the inspection.”

8VAC20-780-60-A

“Based on record review and interview to the center failed to Maintain a record for each child enrolled in the program as required Evidence 1 ? There was no record available for review for Child #1, #2 or #3. a. These three children were present and in care during the inspection. 2 ? Staff present confirmed that the only children’s records available were the ones provided.”

8VAC20-780-80-A

“Based on observation the center failed to ensure that for each group of children a written record of daily attendance is maintained. Evidence: Upon arrival there was not any attendance documentation available with 41 children present.”

8VAC20-780-40-M

“Based on record review and interview the center failed to maintain, in a way that is accessible to all staff who work with children, current written documentation of the allergy plan. Evidence: 1 - Child #8 and #9 do not have any documentation of allergy plan documentation on file. a. Child #8 and #9 are listed on the center's allergy list. b. Child #8 and #9 were present for care during the inspection.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that hazardous substances are stored in locked place using a safe locking method that prevents access by children. Evidence: The storage closet was open and unlocked during the entire inspection. Inside the close is an unlocked cabinet with cleaning and sanitizing products are stored.”

8VAC20-780-340-B

“Based on observation and interview the center failed to ensure that during the center's hours of operation, one adult on the premises is in charge of the administration of the center. This person will be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: According to staff present during the inspection there was not anyone designated as the person in charge.”

8VAC20-780-340-F

“Based on observation the center failed to ensure that children under 10 years of age always are within actual sight and sound supervision of staff. Evidence: 1 - During the inspection children were observed to not be within sight and sound supervision no less than 17 separate times. a. Four times children were observed walking out the childcare room unaccompanied by any staff and b. 12 times staff walked out of the child care room leaving children unattended.”

8VAC20-780-350-C

“Based on observation and interview the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-child ratio and group size applicable to youngest child in the group will apply to the entire group. Evidence: 1 - Upon arrival there were 41 children present ages four through ten years old with two staff where a minimum of three staff were required. 2 - Upon arrival there were 41 children ages four through ten years old in one large group where a minimum of two groups were required.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that children wash their hands with soap and running water or disposable wipes after eating meals or snacks. Evidence: Children did not wash their hands or use wipes after eating snack, before engaging in other activities.”

8VAC20-780-510-L

“Based on observation the center failed to ensure that medications are stored in locked place using a safe locking method that prevents access by children. Evidence: The center storage closet was open and unlocked during the entire inspection. Inside the close is an unlocked cabinet where children's medications are stored.”

8VAC20-780-550-G

“Based on record review the center failed to documentation monthly emergency evacuation drills as required. Evidence: There is no documentation that an emergency evacuation drill was completed during the month of October 2022.”

8VAC20-780-130-A

“Based on record review and interview the center failed to ensure that each child has received the required immunizations before the child can attend the center. Evidence: 1 - There were not any immunizations available for review during the inspection. 2 - Staff present stated that they did not have access to immunization records.”

8VAC20-780-140-A

“Based on record review and interview the center failed to ensure that each child has received the a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1 - There were not any physical examination available for review during the inspection. 2 - Staff present stated that they did not have access to physical examination records.”

8VAC20-780-40-D

“Based on observation the center failed to ensure that the license is posted in a place conspicuous to the public. Evidence: The license was not posted during the entire inspection.”