Inspection · 2022-04-12

Based upon review of three staff records, the facility has not ensured that results of fingerprinting (criminal record check) are obtained prior to hire of any employee.
Evidence:
1. The record provided for staff 2 documented a hire date of 6/28/2021. Results of fingerprinting were not obtained until 8/5/2021.
2. The record provided for staff 3 documented a hire date of 6/1/2021. Results of fingerprinting were not obtained until 8/5/2021.

Based upon review of three staff records, the facility has not ensured that results of a child protective services (CPS) central registry findings are obtained within 30 days of employment or the employee is denied continued employment.
Evidence:\
1. The record provided for staff 2 documented a hire date of 6/28/21. Results of a CPS central registry finding were not obtained.
2. Staff 2 was on duty with the children during the inspection.

Based upon observation, the facility has not ensured that areas and equipment of the center are maintained to be in a safe and operable condition.
Evidence:
1. The far back corner of the room in which children were receiving care was piled with construction materials and broken equipment to include the following:
- stacked wooden boards and panels
- 5 foot long metal bars
- a broken freestanding/portable sink
- 8 inch long metal screws
- a large tarp piled on the floor.
These materials presented tripping hazards and the potential for other types of injuries as children were observed stepping around and through the materials without staff supervision or correction.
2. There were several types of electrical cords (to the television, a computer, etc) pooled on the floor under the wall hung television. Children's tables were arranged near these cords and children were observed stepping over the cords to access their seats at the table.
3. There were empty plastic grocery bags on a shelf within reach of the children in the open staff break room.

Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by the children.
Evidence:
1. There was a container of Century 256, a spray bottle labeled "sanitizer 70% alcohol" and a pump container of hand sanitizer, with warning labels and to keep out of reach of children, sitting on top of the lockers within reach of many of the children.
2. The door to the staff break room was standing open. Inside the room there was a container of disinfecting wipes with a warning label and keep out of reach of children, sitting on the table.

Based upon observation, the facility has not ensured that when staff are supervision children, they always ensure their care, protection and guidance.
Evidence:
1. The inspector arrived at 10:00 AM. Fifty four children were at 9 tables with wet T-shirts waiting to start a tie dye project. One of the nine tables was behind the support pier of the room which was not within direct sight supervision of staff. The three staff on duty were trying to get to each table to show the children how to wrap the shirts with rubber bands. Children were milling about or playing on the floor. Staff were constantly calling the children to return to their tables. At 10:30 AM, staff had not yet assisted any children with the actual dying of the shirts. The noise level increased as the children lost interest.
2. A YMCA staff person (#4) who identified himself as not a part of the licensed program came into the room and attempted to settle down the children and assist the staff.
3. At 10:35 AM, a staff person began assisting one child at a time to dye his/her shirt. Staff 1 noted that it was taking too long and the children's disruptive behaviors were escalating. She attempted to start a yes/no question game, however only one child at a time could have a turn to ask a question and only those closest to her could hear due to the noise level in the oted that it was taking too long and the children's disruptive behaviors were escalating.
4. A child with a running nose came up to the inspector to ask for a tissue. The inspector brought the child to the attention of a staff person who said they didn't have any tissues. As the classroom bathroom was occupied, the inspector went and got the child some tissue from another bathroom. No attempt to assist the child was made by staff and the child was not reminded to wash her hands after covering her running nose with her hand.
5. A child was observed trying to pull a fire extinguisher off the wall.

Based upon observation and interviews, the Licensee has not demonstrated operational responsibility for ensuring that the center's
activities, services, and facilities are maintained in compliance with the standards and the center's own policies and procedures
that are required by these standards.
Evidence:
Violations were found in six out of the eight areas of the standards for licensed child day centers to include administration, physical plant,
staffing and supervision, programs, special care provisions and emergencies, and special services. Violations cited require the authority ,
resources or supervision of a licensee and impact the care, safety and wellbeing of the children enrolled.
Violations cited in the areas of administration, staffing and supervision, programs, special services,
background checks and Code of Virginia require a level of responsibility, knowledge, skills, and/or abilities beyond those of the direct
care staff or aides.

Based upon observation and staff interview, the facility has not ensured that provisions have been made for individual places for each child's personal belongings.
Evidence:
1. Bookbags, clothing, swim suits, towels, etc. were strewn on the floor throughout the room where the children were receiving care. Many bags were piled on top of each other and others were being trampled by children moving around the room.
2. Staff 1 stated that bins in which each child could have placed their personal belongings had not been provided.

Based upon observation, the facility has not ensured that children's hands are washed with soap and running water any contact with blood.
Evidence:
A child with a bloody lip approached the inspector for assistance as her lip was bleeding. The inspector guided the child to a staff person who called to another staff person to help the child. The child was given a paper towel that she held to her lip until it stopped bleeding. Staff did not return to the child to have her wash her hands before interacting with the other children.

Based upon observation, the facility has not ensured that when food is brought from home, the food container is sealed and clearly dated and labeled in a way that identifies the owner.
Evidence:
There were lunch boxes/bags strewn on the floor throughout the room in which children were receiving care. Very few lunch boxes/bags/containers were labeled with the child's name and none of the lunch boxes/bags/containers were dated.

Based upon review observation, the facility has not ensured that each staff record contains the name, address and telephone number of a person to be contacted in an emergency.
Evidence:
The staff on duty did not have the emergency contact information for the staff available where they were on duty with the children.