Young Men's Christian Association of Greater Richmond - Tuckahoe

8VAC20-790-600-F

“Based on staff record review, the provider failed to ensure that staff working directly with children shall complete the department’s health and safety update course annually. Evidence: Staff record for S3, employed 08/24/2022 did not document completion of the department’s health and safety update course.”

8VAC20-790-600-D-1

“Based on record review, the vendor did not ensure that one of five staff who work directly with children shall have within 90 days of the date on employment current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S4, employed 01/20/2023 did not document certification in CPR and first aid.”

8VAC20-780-580-B

“Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children. Evidence: Licensing inspector observed a large crack across the entire front window shield of the bus (Virginia plate VRJ-6708) used to transport children enrolled in the after-school program at the center.”

8VAC20-780-580-C

“Based on observation and interview, the provider failed to ensure that a list of the names of the children being transported were in the vehicle. Evidence: Licensing inspector interviewed S4 (bus driver) and requested see the notebook and the child transportation sheets used by the YMCA document the list of children being transported to the after-school program. She reported not having the list in the bus notebook and was working from a picture on her phone. The program director reported that list of children to be transported is updated weekly and that it the policy to use a paper list to document this information.”

8VAC20-770-60-B

“Based on staff record review, the provider failed to ensure that one of five staff records contained a Sworn Statement completed prior to the first day of employment. Evidence: The record for S4, employed 01/20/2023 contained a Sworn Statement signed 02/27/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to ensure that two of five staff records contained central registry findings within 30 days of employment. Evidence: The record for staff, S1, employed 08/07/2023 contained results of a central registry finding dated 09/26/2023. The record for staff, S4, employed 01/20/2023 contained results of a central registry finding dated 08/03/2023.”

8VAC20-780-510-G

“Based on observation, the center failed to ensure that all medications shall be labeled with the child’s name, the name of the medication, the dosage amount and the time or times to be given. Evidence: Medication identified by staff to be for C6, failed to have the pharmacy label with the child’s name, the name of the medication, the dosage amount and the time or times to be given.”

8VAC20-780-240-A

“Based on record review, the provider did not ensure that one of five staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for S3, employed 08/24/2022 did not document completion of the 10-hour VDOE orientation course within 90 days. The course was completed 06/06/2023.”

8VAC20-790-600-F

“Based on staff record review, the provider failed to ensure that staff working directly with children shall complete the department’s health and safety update course annually. Evidence: Staff record for S3, employed 08/24/2022 did not document completion of the department’s health and safety update course.”

8VAC20-790-600-D-1

“Based on record review, the vendor did not ensure that one of five staff who work directly with children shall have within 90 days of the date on employment current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S4, employed 01/20/2023 did not document certification in CPR and first aid.”

8VAC20-780-580-B

“Based on observation, the provider failed to ensure that any vehicle used by the center for transportation of children shall be kept in a satisfactory condition to assure the safety of children. Evidence: Licensing inspector observed a large crack across the entire front window shield of the bus (Virginia plate VRJ-6708) used to transport children enrolled in the after-school program at the center.”

8VAC20-780-580-C

“Based on observation and interview, the provider failed to ensure that a list of the names of the children being transported were in the vehicle. Evidence: Licensing inspector interviewed S4 (bus driver) and requested see the notebook and the child transportation sheets used by the YMCA document the list of children being transported to the after-school program. She reported not having the list in the bus notebook and was working from a picture on her phone. The program director reported that list of children to be transported is updated weekly and that it the policy to use a paper list to document this information.”

8VAC20-770-60-B

“Based on staff record review, the provider failed to ensure that one of five staff records contained a Sworn Statement completed prior to the first day of employment. Evidence: The record for S4, employed 01/20/2023 contained a Sworn Statement signed 02/27/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to ensure that two of five staff records contained central registry findings within 30 days of employment. Evidence: The record for staff, S1, employed 08/07/2023 contained results of a central registry finding dated 09/26/2023. The record for staff, S4, employed 01/20/2023 contained results of a central registry finding dated 08/03/2023.”

8VAC20-780-510-G

“Based on observation, the center failed to ensure that all medications shall be labeled with the child’s name, the name of the medication, the dosage amount and the time or times to be given. Evidence: Medication identified by staff to be for C6, failed to have the pharmacy label with the child’s name, the name of the medication, the dosage amount and the time or times to be given.”

8VAC20-780-240-A

“Based on record review, the provider did not ensure that one of five staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for S3, employed 08/24/2022 did not document completion of the 10-hour VDOE orientation course within 90 days. The course was completed 06/06/2023.”

8VAC20-780-60-A Complaint related: Yes

“Based on child record review the provider failed to ensure that six of seven records contained the required information for each child enrolled. Evidence: The record for C2 did not contain the work phone numbers of the parents and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for C3 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and immunizations within the required time frame. The record for C4 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and immunizations. The record for C5 did not contain the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. The record for C6 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and signed parental agreements, verification of identity, immunizations, and physicals within required timeframes. The record for C7 did not contain any information required by 8VAC20-780-(2)-60-A.”

8VAC20-790-600-D-1

“Based on record review, the vendor did not ensure that one of five staff who work directly with children shall have within 90 days of the date on employment current CPR and first aid training. Evidence: The record for S1, employed 10/06/2022 did not document completion CPR and first aid training.”

22.1-289.058

“Based on observation, provider failed to ensure the center was equipped with at least one carbon monoxide detector. Evidence: No carbon monoxide was located in the area used by the program.”

8VAC20-780-540-B

“Based on observation, the provider failed to ensure that each first aid kit was not accessible to children. Evidence: The wall mounted first aid kit located in the Clubhouse was not locked to prevent access by children.”

8VAC20-780-240-A

“Based on record review, the provider did not ensure that two of five staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for S1, employed 10/06/2022 did not document completion of the 10-hour VDOE orientation course. The record for S2, employed 06/07/2022 did not document completion of the 10-hour VDOE orientation course.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of five shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S5 were dated 08/28/2020 and 12/13/2022.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that one of five records contained required information. Evidence: The record for S3, employed 11/07/2022 did not document: the educational requirement to serve as a program director; two employment references; and orientation and training required by 8VAC20-780-240.”

8VAC20-790-600-D-1

“Based on record review, the vendor did not ensure that one of five staff who work directly with children shall have within 90 days of the date on employment current CPR and first aid training. Evidence: The record for S1, employed 10/06/2022 did not document completion CPR and first aid training.”

22.1-289.058

“Based on observation, provider failed to ensure the center was equipped with at least one carbon monoxide detector. Evidence: No carbon monoxide was located in the area used by the program.”

8VAC20-780-540-B

“Based on observation, the provider failed to ensure that each first aid kit was not accessible to children. Evidence: The wall mounted first aid kit located in the Clubhouse was not locked to prevent access by children.”

8VAC20-780-240-A

“Based on record review, the provider did not ensure that two of five staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for S1, employed 10/06/2022 did not document completion of the 10-hour VDOE orientation course. The record for S2, employed 06/07/2022 did not document completion of the 10-hour VDOE orientation course.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of five shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S5 were dated 08/28/2020 and 12/13/2022.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that one of five records contained required information. Evidence: The record for S3, employed 11/07/2022 did not document: the educational requirement to serve as a program director; two employment references; and orientation and training required by 8VAC20-780-240.”

8VAC20-780-550-K

“Based on interview, the provider failed to ensure the document kept in a vehicle used to transport children contained routes frequently driven by center staff. Evidence: During the inspection of Bus #2, Program Director reported that the document kept in the vehicle used to pick up and drop off children to schools was missing three of six routes to school sites.”

8VAC20-770-60-B

“Based on staff record review, the provider failed to ensure that one of eight staff records contained a Sworn Statement completed prior to the first day of employment. Evidence: The record for S8, employed 10/01/2021 contained a Sworn Statement signed 10/18/2021.”

22.1-289.058

“Based on observation, provider failed to ensure the center was equipped with at least one carbon monoxide detector. Evidence: No carbon monoxide was located in the area used by the licensed program.”

8VAC20-780-550-I

“Based on observation, the provider failed to ensure that 911, fire, and emergency medical services and the number of the regional poison control center were posted in a visible place at each telephone. Evidence: Emergency numbers were not posted in a visible place at the Program Office telephone.”

8VAC20-780-540-E

“Based on observation, the provider failed to ensure that nonmedical emergency supplies (battery-operated flashlight and radio) were available in each building that is used by children. Evidence: The Clubhouse used by children did not have a battery-operated flashlight and radio.”

8VAC20-780-540-B

“Based on observation, the provider failed to ensure that each first aid kit was not accessible to children. Evidence: The wall mounted first aid kit located in the Clubhouse was not locked to prevent access by children.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 6 of 8 records contained required information. Evidence: Record for S1, employed 08/26/2019 did not contain health information required by 8VAC20-780-160.C and documentation 16 hours of annual trainings for 08/26/2021-08/26/2022. Record for S2, employed 06/2/2022 did not contain First Aid and CPR training orientation and completion of the 10-hour Pre-Service training. Record for S3, employed 06/03/2022 did not contain: health information required by 8VAC20-780-160.A; orientation and training required by 8VAC20-780-240; and completion of the 10-hour Pre-Service training. Record for S5, employed 10/6/2022 did not contain documentation of First Aid and CPR training orientation. Record for S6, employed 09/13/2021 did not contain information about any health problems that may interfere with filling the job responsibilities or emergency contacts and documentation of the annual 3 hour refresher training after completion of the 10 hour pre-service training. Record for S7 employed 06/07/2022 did not contain: documentation demonstrating the individual possessing an educational degree; orientation and training required by 8VAC20-780-240; and completion of the 10-hour Pre-Service training.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that seven of eight records contained all the required information. Evidence: 1. C1 enrolled 08/30/2022 did not have a record to review containing the requirements of 8VAC20-780-60-A. 2. The record for C3 enrolled 08/30/2022 did not contain: parent name, address, and phone number; parent work phone numbers; name of child’s physician and phone number; emergency contacts; child day care and schools previously attended; proof of identity; immunizations; and physical. 3. The record for C4 enrolled 08/30/2022 did not contain: parent work phone numbers; one of two emergency contacts; and allergies and health problems. 4. The record for C5 enrolled 08/30/2022 did not contain documentation of allergies and health problems. 5. The record for C6 enrolled 08/30/2022 did not contain emergency contacts for the child if the child’s parent could not be located. 6. The record for C7 enrolled 08/30/2022 did not contain documentation of allergies and health problems. 7. The record for C8 enrolled 08/30/2022 did not contain a second emergency contact for the child if the child’s parent could not be located.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to ensure that four of eight staff records contained central registry findings within 30 days of employment. Evidence: The record for staff, S2, employed 6/2/2022 did not contain documentation of a central registry finding. S2 has been employed more than 30 days. The center did not have any documentation of contact to follow up on the status of the central registry finding. The record for S3, employed 06/03/2022 contained results of a central registry finding dated 07/31/2022, exceeding 30 days from the date of employment. The record for S4, employed 12/07/2021 contained results of a central registry finding dated 01/24/2022, exceeding 30 days from the date of employment. The record for S8, employed 10/01/2021 contained results of a central registry finding dated 12/06/2022, exceeding 30 days from the date of employment.”

8VAC20-780-550-K

“Based on interview, the provider failed to ensure the document kept in a vehicle used to transport children contained routes frequently driven by center staff. Evidence: During the inspection of Bus #2, Program Director reported that the document kept in the vehicle used to pick up and drop off children to schools was missing three of six routes to school sites.”

8VAC20-770-60-B

“Based on staff record review, the provider failed to ensure that one of eight staff records contained a Sworn Statement completed prior to the first day of employment. Evidence: The record for S8, employed 10/01/2021 contained a Sworn Statement signed 10/18/2021.”

22.1-289.058

“Based on observation, provider failed to ensure the center was equipped with at least one carbon monoxide detector. Evidence: No carbon monoxide was located in the area used by the licensed program.”

8VAC20-780-550-I

“Based on observation, the provider failed to ensure that 911, fire, and emergency medical services and the number of the regional poison control center were posted in a visible place at each telephone. Evidence: Emergency numbers were not posted in a visible place at the Program Office telephone.”

8VAC20-780-540-E

“Based on observation, the provider failed to ensure that nonmedical emergency supplies (battery-operated flashlight and radio) were available in each building that is used by children. Evidence: The Clubhouse used by children did not have a battery-operated flashlight and radio.”

8VAC20-780-540-B

“Based on observation, the provider failed to ensure that each first aid kit was not accessible to children. Evidence: The wall mounted first aid kit located in the Clubhouse was not locked to prevent access by children.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 6 of 8 records contained required information. Evidence: Record for S1, employed 08/26/2019 did not contain health information required by 8VAC20-780-160.C and documentation 16 hours of annual trainings for 08/26/2021-08/26/2022. Record for S2, employed 06/2/2022 did not contain First Aid and CPR training orientation and completion of the 10-hour Pre-Service training. Record for S3, employed 06/03/2022 did not contain: health information required by 8VAC20-780-160.A; orientation and training required by 8VAC20-780-240; and completion of the 10-hour Pre-Service training. Record for S5, employed 10/6/2022 did not contain documentation of First Aid and CPR training orientation. Record for S6, employed 09/13/2021 did not contain information about any health problems that may interfere with filling the job responsibilities or emergency contacts and documentation of the annual 3 hour refresher training after completion of the 10 hour pre-service training. Record for S7 employed 06/07/2022 did not contain: documentation demonstrating the individual possessing an educational degree; orientation and training required by 8VAC20-780-240; and completion of the 10-hour Pre-Service training.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that seven of eight records contained all the required information. Evidence: 1. C1 enrolled 08/30/2022 did not have a record to review containing the requirements of 8VAC20-780-60-A. 2. The record for C3 enrolled 08/30/2022 did not contain: parent name, address, and phone number; parent work phone numbers; name of child’s physician and phone number; emergency contacts; child day care and schools previously attended; proof of identity; immunizations; and physical. 3. The record for C4 enrolled 08/30/2022 did not contain: parent work phone numbers; one of two emergency contacts; and allergies and health problems. 4. The record for C5 enrolled 08/30/2022 did not contain documentation of allergies and health problems. 5. The record for C6 enrolled 08/30/2022 did not contain emergency contacts for the child if the child’s parent could not be located. 6. The record for C7 enrolled 08/30/2022 did not contain documentation of allergies and health problems. 7. The record for C8 enrolled 08/30/2022 did not contain a second emergency contact for the child if the child’s parent could not be located.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to ensure that four of eight staff records contained central registry findings within 30 days of employment. Evidence: The record for staff, S2, employed 6/2/2022 did not contain documentation of a central registry finding. S2 has been employed more than 30 days. The center did not have any documentation of contact to follow up on the status of the central registry finding. The record for S3, employed 06/03/2022 contained results of a central registry finding dated 07/31/2022, exceeding 30 days from the date of employment. The record for S4, employed 12/07/2021 contained results of a central registry finding dated 01/24/2022, exceeding 30 days from the date of employment. The record for S8, employed 10/01/2021 contained results of a central registry finding dated 12/06/2022, exceeding 30 days from the date of employment.”

8VAC20-780-240-I

“Based on a review of staff records and interview, on June 23, 2022, the center did not ensure to maintain documentation of orientation training for staff. Evidence: 1. The record of staff #1 (hired 5/27/22), staff #4 (hired 6/2/22), staff #8 (hired 6/7/22), staff #9 (hired 6/13/22), and staff #10 (hired 5/6/22) did not contain documentation of orientation. 2. Administration confirmed there was not documentation of orientation.”

8VAC20-780-70

“Based on a review of staff records and interview on June 21, 2022, the center did not ensure the name, address, and phone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities are kept at the center. Evidence: 1. The records of staff #1, staff #2, staff #6, staff #8, staff #9, and staff #10 did not contain documentation of an emergency contact person and health statement. 2. The record of staff #3 did not contain documentation of a health statement. 3. Administration confirmed the center did not have the requested documentation at the center.”

8VAC20-780-60-A

“Based on a review of records on June 21, 2022, the provider did not ensure that each child's record contained the required information. Evidence: 1. The records of child #1, child #9, and child #10, each enrolled 6/20/22, contained documentation of one person to contact in an emergency. 2. The records of child #3, and child #4. each enrolled 6/20/22, did not contain documentation of two people to contact in an emergency. 3. The records of child #1, child #4, child #5, child #6, child #7, and child #10, each enrolled 6/20/22, did not contain documentation of the work phone number and place of employment for each parent who has custody. 4. Administration acknowledged the missing documentation.”

8VAC20-780-160-A

“Based on a review of staff records on June 23, 2022, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #8 (hired 6/7/22) did not contain documentation of a tuberculosis screening.”

8VAC20-770-60-B

“Based on a review of staff records on June 23, 2022, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: 1. The record of staff #1 (hired 5/27/22), staff #5 (hired 6/15/22), staff #8 (hired 6/7/22), and staff #10 (hired 5/6/22) did not contain documentation of a sworn disclosure statement. 2. Administration acknowledged they were not done.”

22VAC40-185-270-A

“Based on observation on June 21, 2022, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The fence that runs along an embankment had two broken boards that were down and not attached to the fence post which left an opening that would be passable by children.”

22.1-289.035-B-4

“Based on a review of records and interview on June 23, 2022, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #2 (hired 4/25/22) did not contain documentation of an out-of-state sex offender registry search and did not contain documentation of an out-of-state search of the child abuse and neglect registry. Staff #2 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement. 2. Administration confirmed these searches were not completed.”

8VAC20-780-540-D

“Based on a review of records and interview on June 21, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in April 2022. Administration stated a fire drill was not conducted in April 2022.”

8VAC20-780-130-A

“Based on a review of records on June 21, 2022, the center did not ensure 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: The record of child #3 (enrolled 6/20/22) did not contain documentation of immunizations.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on June 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #1 (hired 5/19/22) and staff #10 (hired 5/6/22) did not contain documentation of a central registry finding. 2. Administration acknowledged the findings were not complete.”

8VAC20-780-240-I

“Based on a review of staff records and interview, on June 23, 2022, the center did not ensure to maintain documentation of orientation training for staff. Evidence: 1. The record of staff #1 (hired 5/27/22), staff #4 (hired 6/2/22), staff #8 (hired 6/7/22), staff #9 (hired 6/13/22), and staff #10 (hired 5/6/22) did not contain documentation of orientation. 2. Administration confirmed there was not documentation of orientation.”

8VAC20-780-70

“Based on a review of staff records and interview on June 21, 2022, the center did not ensure the name, address, and phone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities are kept at the center. Evidence: 1. The records of staff #1, staff #2, staff #6, staff #8, staff #9, and staff #10 did not contain documentation of an emergency contact person and health statement. 2. The record of staff #3 did not contain documentation of a health statement. 3. Administration confirmed the center did not have the requested documentation at the center.”

8VAC20-780-60-A

“Based on a review of records on June 21, 2022, the provider did not ensure that each child's record contained the required information. Evidence: 1. The records of child #1, child #9, and child #10, each enrolled 6/20/22, contained documentation of one person to contact in an emergency. 2. The records of child #3, and child #4. each enrolled 6/20/22, did not contain documentation of two people to contact in an emergency. 3. The records of child #1, child #4, child #5, child #6, child #7, and child #10, each enrolled 6/20/22, did not contain documentation of the work phone number and place of employment for each parent who has custody. 4. Administration acknowledged the missing documentation.”

8VAC20-780-160-A

“Based on a review of staff records on June 23, 2022, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #8 (hired 6/7/22) did not contain documentation of a tuberculosis screening.”

8VAC20-770-60-B

“Based on a review of staff records on June 23, 2022, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: 1. The record of staff #1 (hired 5/27/22), staff #5 (hired 6/15/22), staff #8 (hired 6/7/22), and staff #10 (hired 5/6/22) did not contain documentation of a sworn disclosure statement. 2. Administration acknowledged they were not done.”

22VAC40-185-270-A

“Based on observation on June 21, 2022, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The fence that runs along an embankment had two broken boards that were down and not attached to the fence post which left an opening that would be passable by children.”

22.1-289.035-B-4

“Based on a review of records and interview on June 23, 2022, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #2 (hired 4/25/22) did not contain documentation of an out-of-state sex offender registry search and did not contain documentation of an out-of-state search of the child abuse and neglect registry. Staff #2 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement. 2. Administration confirmed these searches were not completed.”

8VAC20-780-540-D

“Based on a review of records and interview on June 21, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in April 2022. Administration stated a fire drill was not conducted in April 2022.”

8VAC20-780-130-A

“Based on a review of records on June 21, 2022, the center did not ensure 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: The record of child #3 (enrolled 6/20/22) did not contain documentation of immunizations.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on June 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #1 (hired 5/19/22) and staff #10 (hired 5/6/22) did not contain documentation of a central registry finding. 2. Administration acknowledged the findings were not complete.”

22VAC40-185-350-E-5 Complaint related: No

“Based on observation and interview on August 24, 2021, the center did not ensure when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. At the morning opening there were 88 children observed with 2 staff members supervising. 2. A staff member reviewed the attendance record and confirmed there were 88 children in attendance, with the youngest being 5 years old. 3. Administration acknowledged they were out of ratio. 4. The applicable staff to child ratio was 1 staff member for every 18 children.”

22VAC40-185-500-A Complaint related: No

“Based on observation, the center did not ensure that children wash their hands with soap and running water or disposable wipes after eating meals or snacks. Evidence: 1. There were two children observed eating snack in camp edge. The children then directly transitioned to another building without washing their hands after snack. 2. The staff acknowledged the children did not wash their hands after eating snack.”