YMCA SACC At Anne Moncure Elementary

22VAC40-185-200-A · Based on review of documentation, and an interview with staff, the facility failed to have a qualified program director regularly on site at least 50% of the facility's hours of operation. Evidence: there is no documentation that any staff on site are director qualified.

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8VAC20-780-60-A · The center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required documentation.

The record for Child B 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.

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8VAC20-780-40-M · The center is required to maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions.

The allergy list reviewed on-site on 10/22/25 did not include Child A who has a diagnosed food allergy.

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22.1-289.035-B-2 · The program is required to obtain the results of a national, fingerprint-based criminal history check for each staff prior to employment.

The fingerprint results on record for Staff #4 were dated five days after employment.

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8VAC20-780-80-A · (Repeat Violation) For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

At approximately 4:00pm on 10/7/24, there were 39 children present at the program, but 40 children were documented as present on the attendance record.

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8VAC20-780-70 · Based on review of five staff records, the program did not obtain all of the required documentation for staff records. Evidence: The record for Staff #3 did not contain documentation to demonstrate that the individual possesses the education and experience required by the job position.

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8VAC20-770-60-C-2 · Based on review of staff records, the program did not obtain the results of a search of the central registry within 30 days of employment as required. Evidence: The central registry results on record for Staff #3, with an employment date of 7/1/23, were dated 8/15/23.

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8VAC20-780-40-L · Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could accurately state which children in the group had allergies, sensitivities and/or dietary restrictions.

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8VAC20-780-40-L · Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.

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8VAC20-780-60-A · Based on review of two children's records, it was determined that not all records contained all required information. Evidence: the record for child #1, with a diagnosed food allergy, did not contain a written care plan, 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.

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