Young Men’s Christian Association of Greater Richmond-Echo Lake

8VAC20-780-350-B-5

“The required ratio for children school age eligible up to 9 years old is 1 staff per 18 children. S1 was observed during the inspection supervising 26 children alone in the cafeteria.”

Rule 8VAC20-780-350-B-5.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. S1 completed orientation training 25 days after assuming job responsibilities.”

Rule 8VAC20-780-240-B.

8VAC20-780-550-P

“The center shall maintain a written record of children’s minor injuries. During an interview with S1, S1 reported she used an antiseptic wipe on C7 for a minor scrape the previous week while the child was on the playground. S1 reported not writing an injury report.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C1 did not contain the name, address, and phone number for second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, children under the age of 10 were observed in the gym alone while the staff was in the storage room retrieving equipment for use in the gym.”

Rule 8VAC20-780-340-F.

8VAC20-780-510-P

“When an authorization for medication expires, the child’s parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. The authorization for medication for C6 expired 06/24/2024. The medication was observed to be onsite 04/09/2025 without a renewed authorization.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C1 did not contain the name, address, and phone number for second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of employment a current certification in cardiopulmonary resuscitation (CPR). S1, who are working with children, has not completed this course which is overdue by 10 months.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of employment a current certification in first aid. S1, who is working with children, has not completed this course which is overdue by 10 months. S3, who is working with children, has now completed first aid training; however, it was late by 3 months.”

Rule 8VAC20-790-600-D-2.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“1. The findings from the most recent inspection, dated 11/17/2023, were not posted. 2. The inspection findings posted was dated 5/2/2023.”

Rule 22.1-289.011-F.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The tuberculosis screening for staff #1was completed five months prior to hire.”

Rule 8VAC20-780-160-A.

8VAC20-790-600-F

“Based on staff record review, the provider failed to ensure that staff working directly with children shall complete the department’s health and safety update course annually. Evidence: Staff record for S2 did not document completion of the department’s health and safety update course since 05/15/2022.”

Rule 8VAC20-790-600-F.

Based on staff record review, the provider failed to obtain the results of a criminal history record information search from any state in which the individual has resided in the preceding five years.

“Evidence: Record for staff, S1 documented on the sworn statement having lived outside Virginia in the past five years. Record for S1, employed 11/14/2023 did not contain a criminal history record information check for that state.”

Rule 22.1-289.035-B-4.

Based on observation, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“Evidence: The injury prevention procedures documented the plan was to be reviewed 08/01/2023.”

Rule 8VAC20-780-40-J.

(Repeat violation) Based on child record review and observation the provider failed to maintain a current written list of all children’s allergies, sensitivities, and restrictions documented in the allergy plan.

“Evidence: The current allergy list provided for review did not document an allergy noted on C4?s allergy plan dated 10/24/2023.”

Rule 8VAC20-780-40-M.

(Repeat violation) Based on review of five children records, the provider did not ensure two of five children’s records contained the required information.

“Evidence: The records for children, C1 and C4, enrolled 08/21/2023 did not document a second designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-780-60-A.

22.1-289.058

“Based on observation, provider failed to ensure the center was equipped with at least one carbon monoxide detector. Evidence: No carbon monoxide was located in the center.”

Rule 22.1-289.058.

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of five shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S2 were dated 09/05/2020 and 01/12/2023.”

Rule 8VAC20-780-160-C.

8VAC20-780-40-M

“Based on observation, the center failed to maintain a current and dated written list of all children’s allergies. Evidence: The allergy list maintained in the center licensing notebook was not dated and included names of children not enrolled.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-820-120-E-2

“Based on observation, the provider failed to ensure the findings of the most recent inspection of the program and license were posted in a place conspicuous to the public. Evidence: The center failed to display in the center the bulletin board used by the YMCA program to meet the posting requirements of 8VAC20-820-(G3)-120-E-2”

Rule 8VAC20-820-120-E-2.

Based on a review of three staff records and interview, the center did not ensure that one staff had a completed sworn statement prior to hire.

“Evidence: 1) The sworn statement in the record for Staff #3, hired on 11/30/21, was incomplete. 2) During interview, a member of management confirmed the sworn statement on file did not have every answer prior to hire. Staff #3 completed a new sworn statement on 04/21/22.”

Rule 8VAC20-770-60-B.

Based on a review of three staff records and interview, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The record for Staff #3, hired on 11/30/21, contained a central registry finding that was dated 01/13/22. 2) During interview, a member of management confirmed the results were received more than 30 days after hire. The record did not contain documentation of any further contact.”

Rule 8VAC20-770-60-C-2.

Based on a review of five children’s records and interview, the center did not ensure one child had a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1) The record for Child #2, enrolled on 09/04/21, did not contain a physical examination. 2) During interview, a member of management reported the physical examination for Child #2 has not been received.”

Rule 8VAC20-780-140-A.

Based on a review of three staff records and interview, the center did not ensure one staff member completed a minimum of 16 hours of annual training.

“Evidence: 1) The record for Staff #2, hired on 09/07/18, contained 5 hours of annual training in the last annual training cycle from 09/2020-09/2021. 2) During interview, a member of management confirmed Staff #2 was missing hours of annual training.”

Rule 8VAC20-780-245-A.

Based on a review of three staff records and observations, the center did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: 1) The record for Staff #2, hired on 09/07/18, contained a daily health observation certificate that expired on 02/18/22. 2) The record for Staff #3, hired on 11/30/21, did not contain documentation that the staff member has completed daily health observation training within the last three years. 3) Staff #2 and Staff #3 were the only staff present at the center during the inspection on 04/19/22.”

Rule 8VAC20-780-245-L.

Based on a review of five children’s records and interview, the center did not ensure two children’s records contained all the required information.

“Evidence: 1) The record for Child #4, enrolled on 09/08/21, did not contain two emergency contacts. 2) The record for Child #5, enrolled on 09/09/21, did not contain two emergency contacts. 3) During interview, a member of management confirmed the records were missing two emergency contacts. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.