Young Men's Christian Association of the Virginia Peninsulas - L

8VAC20-780-510-P

“Based on a review of medication stored at the center and written medication authorizations, the licensee did not notify the parent that an authorization for medication had expired and have the parent pick up the non-authorized medication or dispose of the medication within 14 days, if it has not been picked up. Evidence: A sampling of 8 medications present at the center were reviewed with regard to storage, labeling, written authorizations and required documentation. The written authorization form for one of the eight medications, an Auvi-Q injector, was expired with the listed effective dates of 5/2023 through 12/2023. The program director confirmed that an updated written authorization was not available.”

8VAC20-780-60-A

“Based on a review of records and interview, the licensee did not always maintain and keep at the center a separate record for each enrolled child which contains all of the required information. Evidence: Ten children's records were reviewed. The record for child #4 (enrolled 6/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4's record listed the child's parents' information as the emergency contacts. The record for child #5 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #5's record listed the child's parent for one of the two contacts. The record for child #9 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #9's record listed the child's parent for one of the two contacts.”

8VAC20-780-60-A-8

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Ten children's records were reviewed. The record for child #8 contained documentation that child #8 had a food allergy to eggs, peanuts and tree nuts. Child #8's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child #8.. Child #8 has been attending the program since 6/17/2024. The record for child #9 contained documentation that child #9 had a food allergy to shellfish. Child #9s record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child # 9 . Child # 9 has been attending the program since 6/17/2024.”

8VAC20-780-510-P

“Based on a review of medication stored at the center and written medication authorizations, the licensee did not notify the parent that an authorization for medication had expired and have the parent pick up the non-authorized medication or dispose of the medication within 14 days, if it has not been picked up. Evidence: A sampling of 8 medications present at the center were reviewed with regard to storage, labeling, written authorizations and required documentation. The written authorization form for one of the eight medications, an Auvi-Q injector, was expired with the listed effective dates of 5/2023 through 12/2023. The program director confirmed that an updated written authorization was not available.”

8VAC20-780-60-A

“Based on a review of records and interview, the licensee did not always maintain and keep at the center a separate record for each enrolled child which contains all of the required information. Evidence: Ten children's records were reviewed. The record for child #4 (enrolled 6/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4's record listed the child's parents' information as the emergency contacts. The record for child #5 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #5's record listed the child's parent for one of the two contacts. The record for child #9 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #9's record listed the child's parent for one of the two contacts.”

8VAC20-780-60-A-8

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Ten children's records were reviewed. The record for child #8 contained documentation that child #8 had a food allergy to eggs, peanuts and tree nuts. Child #8's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child #8.. Child #8 has been attending the program since 6/17/2024. The record for child #9 contained documentation that child #9 had a food allergy to shellfish. Child #9s record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child # 9 . Child # 9 has been attending the program since 6/17/2024.”

8VAC20-790-600-D-1

“Based on a review of records, the program was unable to demonstrate that each staff person maintains current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Six staff records were reviewed. The record for staff #2, whose date of re-hire was 5/23/2023, did not contain documentation of completing certification in cardiopulmonary resuscitation (CPR). The staff person in charge was unable to locate this documentation.”

8VAC20-790-600-D-2

“Based on a review of records, the program was unable to demonstrate that each staff person maintains current First Aid Certification. Evidence: Six staff records were reviewed. The record for staff #2, whose date of re-hire was 5/23/2023, did not contain documentation of completing certification in First Aid. The staff person in charge was unable to locate this documentation.”

8VAC20-790-600-F

“Based on a review of records, the licensee was unable to demonstrate that each staff completes the department's required annual health and safety update course. Evidence: Six staff records were reviewed. The record for staff #2 contained the most recent health and safety update course which was dated 6/13/2022 and was completed more than one year ago.”

8VAC20-790-530-C

“Based on observation and interviews, the licensee did not maintain a written hard-copy record of daily attendance that documents for EACH GROUP of children, the arrival and departure of each child in care, as it occurs. The program had 5 written lists of children present, organized on a series of clipboards that remained at the front table throughout the entire inspection. The clipboards were delineated by the site that each child normally attends during the school session. The rosters were not organized by groups consistent with the grouping of children in care during the inspection. The clipboards listed the names of children in attendance, but did not document the departure of children as they left. Staff providing supervision for a group of children did not have a group roster listing the group of children that they were responsible for. One staff was observed using an electronic device to check each child out of the program as they left.”

8VAC20-780-240-A

“Based on a review of records, the licensee did not ensure that each staff completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #3 (hired 5/10/2023) and staff #4 (hired 9/3/2023) did not contain documentation of the Virginia Department of Education-sponsored orientation course having been completed. The staff person in charge verified that this documentation as not in the staff records.”

8VAC20-780-70

“Based on a review of staff records and interview, the licensee was unable to demonstrate that each staff person had a staff record containing the required documentation. Evidence: Staff records were randomly requested based on staff present during the inspection. Six staff records were requested to be reviewed. Staff #5 and staff #6 did not have records on site at the program. The record for staff #5 was emailed to the inspector for review on 12/4/2023. However, a file for staff #6 was not made available for review.”

8VAC20-780-510-P

“Based on a review of medications and authorization forms present at the program, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: There was an albuterol inhaler stored at the center for emergency use that had the most recent written authorization to administer which was dated for the previous school year. The medication, which was also expired 10/2023, had not been administered but had not been sent home or disposed of within 14 days of the authorization expiration. The staff in charge at the time of the inspection acknowledged that the written authorization for this medication was expired.”

8VAC20-780-510-G

“Based on a review of the medication stored on site at the program, the licensee did not ensure that each medication was labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: There was one EpiPen stored on site that had the child's name hand written on the container. However, the box with the prescription label verifying the child to whom, it as prescribed, the dosage amount and times to be administered was not available. The staff in charge at the time of the inspection was unable to locate the medication box for the Epi-pen.”

8VAC20-790-600-D-1

“Based on a review of records, the program was unable to demonstrate that each staff person maintains current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Six staff records were reviewed. The record for staff #2, whose date of re-hire was 5/23/2023, did not contain documentation of completing certification in cardiopulmonary resuscitation (CPR). The staff person in charge was unable to locate this documentation.”

8VAC20-790-600-D-2

“Based on a review of records, the program was unable to demonstrate that each staff person maintains current First Aid Certification. Evidence: Six staff records were reviewed. The record for staff #2, whose date of re-hire was 5/23/2023, did not contain documentation of completing certification in First Aid. The staff person in charge was unable to locate this documentation.”

8VAC20-790-600-F

“Based on a review of records, the licensee was unable to demonstrate that each staff completes the department's required annual health and safety update course. Evidence: Six staff records were reviewed. The record for staff #2 contained the most recent health and safety update course which was dated 6/13/2022 and was completed more than one year ago.”

8VAC20-790-530-C

“Based on observation and interviews, the licensee did not maintain a written hard-copy record of daily attendance that documents for EACH GROUP of children, the arrival and departure of each child in care, as it occurs. The program had 5 written lists of children present, organized on a series of clipboards that remained at the front table throughout the entire inspection. The clipboards were delineated by the site that each child normally attends during the school session. The rosters were not organized by groups consistent with the grouping of children in care during the inspection. The clipboards listed the names of children in attendance, but did not document the departure of children as they left. Staff providing supervision for a group of children did not have a group roster listing the group of children that they were responsible for. One staff was observed using an electronic device to check each child out of the program as they left.”

8VAC20-780-240-A

“Based on a review of records, the licensee did not ensure that each staff completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #3 (hired 5/10/2023) and staff #4 (hired 9/3/2023) did not contain documentation of the Virginia Department of Education-sponsored orientation course having been completed. The staff person in charge verified that this documentation as not in the staff records.”

8VAC20-780-70

“Based on a review of staff records and interview, the licensee was unable to demonstrate that each staff person had a staff record containing the required documentation. Evidence: Staff records were randomly requested based on staff present during the inspection. Six staff records were requested to be reviewed. Staff #5 and staff #6 did not have records on site at the program. The record for staff #5 was emailed to the inspector for review on 12/4/2023. However, a file for staff #6 was not made available for review.”

8VAC20-780-510-P

“Based on a review of medications and authorization forms present at the program, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: There was an albuterol inhaler stored at the center for emergency use that had the most recent written authorization to administer which was dated for the previous school year. The medication, which was also expired 10/2023, had not been administered but had not been sent home or disposed of within 14 days of the authorization expiration. The staff in charge at the time of the inspection acknowledged that the written authorization for this medication was expired.”

8VAC20-780-510-G

“Based on a review of the medication stored on site at the program, the licensee did not ensure that each medication was labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: There was one EpiPen stored on site that had the child's name hand written on the container. However, the box with the prescription label verifying the child to whom, it as prescribed, the dosage amount and times to be administered was not available. The staff in charge at the time of the inspection was unable to locate the medication box for the Epi-pen.”

8VAC20-780-60-A-8

“Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Five children's records were reviewed. The record for child #3 contained documentation that child #3 had a diagnosed food allergy to shellfish. Child #3's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child #3. Child #3 has been attending the program since 9/6/2022.”

8VAC20-780-260-B

“Based on a review of documentation and interview, the licensee was unable to demonstrate that the program obtained annual approval from the health department. Evidence: The most recent health inspection available at the time of inspection was dated 5/6/2022. The program director confirmed that a health inspection had not been conducted within the last 12 month period.”

8VAC20-780-60-A-8

“Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Five children's records were reviewed. The record for child #3 contained documentation that child #3 had a diagnosed food allergy to shellfish. Child #3's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child #3. Child #3 has been attending the program since 9/6/2022.”

8VAC20-780-260-B

“Based on a review of documentation and interview, the licensee was unable to demonstrate that the program obtained annual approval from the health department. Evidence: The most recent health inspection available at the time of inspection was dated 5/6/2022. The program director confirmed that a health inspection had not been conducted within the last 12 month period.”

8VAC20-780-280-B

“Based on observation, the licensee does not always 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: The licensing inspector observed spray bottles of sanitizing spray sitting out in the open and accessible to children in care in the following locations: Studio A - on a small open shelf at a height of about 4 feet. Cycling Studio - on a small open shelf at a height of about 4 feet. Studio B - on a small open shelf at a height of about 4 feet. and on a window sill at a height of about 5 feet. The spray bottles contained a label warning "Keep out of reach of children" and additional warnings.”

8VAC20-780-280-B

“Based on observation, the licensee does not always 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: The licensing inspector observed spray bottles of sanitizing spray sitting out in the open and accessible to children in care in the following locations: Studio A - on a small open shelf at a height of about 4 feet. Cycling Studio - on a small open shelf at a height of about 4 feet. Studio B - on a small open shelf at a height of about 4 feet. and on a window sill at a height of about 5 feet. The spray bottles contained a label warning "Keep out of reach of children" and additional warnings.”

8VAC20-780-400-A

“Based on a review of documentation and interviews, the licensee did not ensure that, in order to promote the child's physical, intellectual, emotional, and social wellbeing and growth, staff interact with the child and one another to provide needed help, comfort, support and respect personal privacy. Evidence: It was confirmed that staff #1 used their personal cell phone to send text messages to an enrolled child in the program (child #1). Child #1?s personal privacy was not respected when staff #1 failed to follow the program’s own written Code of Conduct which states ?staff members are to have no personal contact with program participants under the age of 18. This includes any face to face contact as well as electronic contact such as phone calls, text messages, e-mails or any other possible electronic means.?”

8VAC20-780-340-A

“Based on a review of documentation and interviews, the licensee did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: On 9/6/2022, the licensee self-reported to the licensing inspector that the program had contacted child protective services regarding an incident of staff sending personal texts to a child attending summer camp. On 9/7/2022 the licensing inspector reviewed an incident report which stated that the staff aid (staff #1) had been exchanging text messages with a 10 year old camper (child #1) which included staff #1 texting to child #1 ?I love you?, ?I miss your hugs? and inquiring ?did [supervising staff (#2)] catch you texting me?? Staff (#2) stated that the texts also included messages about a ?kiss on the forehead? The staff aide (staff #1) used their mobile phone to send text messages to the phone of Child #1 during the camp hours while the child was attending the camp and also outside of camp hours while Child #1 was not at the camp. This exchange deviates from Licensee’s own code of conduct which states that staff members may not have personal contact with enrolled participants under 18 years of age, to include face to face contact as well as any form of electronic contact.”