West End Center For Youth

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Record for Child #1 who has been enrolled for over a year did not include documentation of immunizations.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee?s first day of employment.

The sworn statement for Staff 1 was dated 2 days after their first day of employment.

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8VAC20-780-210-A · Program leaders must have fulfilled a high school program completion or the equivalent.

Records for program leaders did not include documentation of a high school diploma or the equivalent.

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8VAC20-780-130-A · Based on record review, 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: The record for Child 1 did not contain documentation that Child 1 has received the required immunizations as required by the State Board of Health.

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8VAC20-780-160-C · Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.

Evidence: The most recent tuberculosis screening in the record for Staff 2 was dated 10/14/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 10/14/2023.

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8VAC20-780-280-B · Based on observation, the center failed to 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: 1. There was a clear plastic spray bottle labeled ?bleach/water? on the top shelf of a shelving unit located beside of the kitchen service window that was not locked to prevent access by children. 2. There was a clear plastic spray bottle labeled ?bleach/water? on the top shelf of the shelving unit located in the food service corner of the cafeteria area that was not locked to prevent access by children.

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8VAC20-780-270-A · Based on observation, the center failed to ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1. The metal seals around a pipe under the sink in the girl?s restroom were rusted and sharp. The pipe was exposed and accessible to the children. 2. There was a hole in the wall of the boy?s restroom. 3. There was a metal plate on the outside wall of the facility that was sharp. The metal plate was accessible to the children.

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8VAC20-780-320-B · Based on observation, the center failed to ensure that each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

Evidence: There was no soap in the boys or girls restrooms.

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22.1-289.035-B-2 · Based on record review and discussion with staff, the center failed to ensure that all applicants submit to fingerprinting.

Evidence: 1. There were no fingerprint results available for Agent 1 during the 04/06/2022 inspection. Agent 4 verified that Agent 1 took office in 03/2020. 2. There were no fingerprint results available for Agent 2 during the 04/06/2022 inspection. Agent 4 verified that Agent 1 took office in 03/2020.

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22VAC40-191-60-C-2 · Based on record review and discussion with staff, the center failed to obtain the findings of a search of the central registry within 30 days of employment.

Evidence: The record for Staff 2 contained a documented hire date of 06/21/2021. There were no central registry findings available for review during the 11/29/2021 inspection.

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