YMCA Child Care at Portsmouth YMCA

8VAC20-780-280-B · Based upon observation and staff interview on 01/27/2023, the facility has not ensured that hazardous substances are kept in locked places using safe locking mechanisms that prevent access by the children.

Evidence: 1. There was an instant cold pack on the counter in the school age classroom. The packet was labeled external use only and keep out of reach of children. 2. Staff 1 acknowledged the cold pack on the counter in the school age classroom before moving it to a locked location.

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22.1-289.035-B-4 · Based on a review of 8 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 45 days of employment from any other state in which the employee has resided in the preceding five years.

Evidence: 1. The record for staff #7 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding from Hawaii. The sworn statement indicated staff #7 had previously lived in Hawaii within the last 5 years. 2. Staff #9 (Program Director) review the record for the staff #7 and confirmed that the search of the central registry finding from the state (Hawaii) in which staff #7 previously resided in has not been received.

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22.1-289.035-B-2 · Centers must obtain a completed national criminal background check prior to the employee's first day of employment.

The criminal background check for Staff #2 was not obtained prior to employment. The background checked was obtained three weeks after the staff member's hire date.

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22.1-289.035-B-2 · Repeat Violation

The center must obtain a completed national criminal background check prior to the employee's first day of employment. The criminal background check for Staff #6 was not obtained prior to the employee's first day. The check was obtained three weeks after employment.

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22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment.

The central registry request for Staff #1 (employed for eight months) was not requested prior to the employee's first day of employment. The central registry search was requested five months after the employee's hire.

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8VAC20-780-70 · The following staff records shall be kept for each staff person: documentation to demonstrate that the individual possesses the orientation required by the job position.

There was no documentation in the record of Staff #1 to show that the staff member completed orientation training, which is required.

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22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment.

The central registry request for Staff #1 (employed for three months) was requested over a month after hire. The central registry request for Staff #2 (employed for two months) was requested one week after hire. The central registry request for Staff #3 (employed for 11 months) was requested three days after hire.

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8VAC20-780-150-B · Each immunization report shall be signed by a physician, his designee, or an official of a local health department.

The immunization record for Child #2 (enrolled for over a year) was not signed by a physician, his designee, or an official of a local health department, which is required.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

The record for Staff #2 contained an expired CPR certification.

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8VAC20-780-330-B · Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

On the day of the inspection, there was approximately three inches of resilient surfacing on the school age playground, which does not meet the minimum safety standard of six inches.

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8VAC20-780-160-A · Based on record review the center did not ensure that each staff member submit a Tuberculosis (TB) screening in the required time frame (within 30 days prior to employment).

Evidence: 1. Staff #1 (hire date 11/30/23) did not submit a TB screening that was within 30 calendar days prior to the date of employment. a.The TB screening in Staff #1?s record was dated 10/14/23.

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8VAC20-790-600-D-1 · Based on record review and interview the vendor did not ensure that all staff who work directly with children have, within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1.Staff #1 did not have documentation of current CPR certification. 2.The program director confirmed that there was no documentation of CPR training in the record for Staff #1.

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8VAC20-790-600-D-1 · Based upon review of records, the facility has not ensured that staff obtain first aid and cardiopulmonary resuscitation (CPR) certification within the first 90 days of employment.

Evidence: 1. The record provided for staff 4, hired on 3/1/2023, did not include documentation of first and CPR certification. 2. The record provided for staff 5, hired on 1/18/2022, did not include documentation of first aid/CPR certification. 3. The record provided for staff 6, hired on 2/20/2023, did not include documentation of first aid/CPR certification. 4. The record provided for staff 7, hired on 10/10/2022, did not include documentation of first aid/CPR certification.

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8VAC20-780-40-M · Based upon staff interview, the facility has not ensured that they maintain a current written list of all children's allergies, sensitivities and dietary restrictions documented in an allergy plan that is dated and kept in each room or area where children are present.

Evidence: 1. When asked, staff responded that there was a list of children's allergies kept in the office. Lists were not in each room or area where children were present. 2. Staff 1 was unable to provide a written list of children's allergies, sensitivities and dietary preferences.

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