Young Men’s Christian Association of Greater Richmond - Adams

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #2 had a CPR certificate expired by over one month.”

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

All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care.

“Staff #2 had a first aid certificate expired by over one month.”

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

A tuberculosis (TB) screening is required every two years from the last screening.

“The TB screening for staff #4 was completed 26 days after it was due.”

Rule 8VAC20-780-160-C.

**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 Child #1, enrolled for eight months, was missing the following required components: 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.

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 Child #2, enrolled for over two months, was missing the following required components: parent employment and parent work phone numbers.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-A

“Repeat violation: Staff shall complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Staff 1 did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There was no documentation that an evacuation drill was conducted April 2024.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was no documentation that a shelter in place drill was conducted at least twice per year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no documentation that a lockdown drill has been practiced at least once.”

Rule 8VAC20-780-550-F.

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 3 (date of enrollment 1/15/2024) did not have documentation of an immunization record before the child attended the center.”

Rule 8VAC20-780-130-A.

8VAC20-780-240-A

“Based on review of three staff records and staff interview, the facility failed to have staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 3 (date of employment 10/13/2021) did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Based on review of three staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of employment 2/1/2022), Staff 2 (date of employment 2/25/2022), Staff 3 (date of employment 1/11/2023) and Staff 2 (date of employment 1/11/2024) did not have documentation of orientation on file.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-L

“Based on reviews of three staff records, the center failed to have a staff trained in daily health training on duty. Evidence: The three staff present on 1/26/2024 did not have documentation of daily health observation training on file.”

Rule 8VAC20-780-245-L.

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill since November 2023.”

Rule 8VAC20-780-550-G.

8VAC20-790-600-D-1

“Based on staff interview and review of five staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR) certification. Evidence: Staff 1 had CPR certification that expired 9/2022 and Staff 5 had CPR certification that expired 11/2022. Staff 2, Staff 3, and Staff 4 did not have documentation of CPR certification. Management stated that 5 of the 5 staff did not have current CPR certification.”

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

8VAC20-790-600-D-2

“Based on staff interview and review of five staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 1 had first aid that expired 9/2022 and Staff 5 had first aid certification that expired 11/2022. Staff 2 and Staff 4 did not have documentation of first aid certification. Management stated that 4 of the 5 staff did not have current first aid certification.”

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

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 1, Child 2, and Child 5 did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of five children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1, Child 2, and Child 5 did not have documentation of a physical on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“Based on a review of five staff records, the facility failed to have a repeat tuberculosis (TB) test or screening for each staff at least every two years from the date of the initial screening. Evidence: Staff 1 had a tuberculosis test that expired 10/2022. There was no documentation of a repeat test or screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-550-F

“Based on review of the emergency drill log, the facility failed to practice a lockdown procedure at least annually. Evidence: There was no documentation to support that a lockdown drill was practiced in the past 12 months.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Based on review of five children’s records, the facility failed to have a written care plan for each child with a diagnosed food allergy, 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. Evidence: Child 1 has diagnosed food allergies, but did not have a written allergy action plan on file.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-A

“Based on review of five staff files and staff interview, the facility failed to have 2 out of 5 staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 3 (date of employment 11/30/2021) and Staff 4 (date of employment 6/09/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment. Management stated that the staff did not have documentation of the training.”

Rule 8VAC20-780-240-A. From a complaint.

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1, Staff 2, Staff 3, Staff 4, and Staff 5 were on site with 27 children on 5/08/2023. None of the 5 staff have documentation of current CPR on file. Management stated that 5 out of 5 staff do not have current CPR certification.”

Rule 8VAC20-780-530-A-1. From a complaint.

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1, Staff 2, Staff 3, Staff 4, and Staff 5 were on site with 27 children on 5/08/2023. Only Staff 3 has documentation of current first aid certification on file. Management stated that 4 of the 5 staff are missing first aid certification.”

Rule 8VAC20-780-530-A-2. From a complaint.

8VAC20-790-600-B

“Based on review of two staff records, the facility failed to have staff take Virginia Preservice training for Child Care Staff within 90 days of employment. Evidence: Staff A (date of employment 6/9/2022) and Staff B (date of employment 11/30/2021) did not have documentation of Virginia Preservice Training.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-D-1

“Based on review of two staff records, the facility failed to have staff certified in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff A (date of employment 6/9/2022) and Staff B (date of employment 11/30/2021) did not have documentation of CPR certification.”

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

8VAC20-790-600-D-2

“Based on review of two staff records, the facility failed to have staff certified in first aid within 90 days of employment. Evidence: Staff A (date of employment 6/9/2022) and Staff B (date of employment 11/30/2021) did not have documentation of first aid certification.”

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

8VAC20-770-60-B

“Based on review of two staff records, the facility failed to have a sworn disclosure statement for staff prior to employment. Evidence: Staff A (date of employment (6/9/2022) signed a sworn disclosure statement on 5/27/2022, but did not answer the questions on the form.”

Rule 8VAC20-770-60-B.

8VAC20-780-530-A-1

“Based on review of two staff records, the facility failed to have a staff in each grouping of children with cardiopulmonary resuscitation (CPR) from an organization that requires an in-person competency demonstration. Evidence: Staff B had CPR documentation dated 11/15/2021 from an organization that does not require an in person competency.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-550-F

“Based on review of the emergency drill log, the facility failed to practice a lockdown procedure at least annually. Evidence: There was no documentation to support that a lockdown drill was practiced in 2022.”

Rule 8VAC20-780-550-F.

8VAC20-770-60-B

“Based on review of two staff files, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff A (date of hire 7/8/2021) signed a sworn disclosure statement form on 6/24/2021, but did not mark an answer to the four questions on the form.”

Rule 8VAC20-770-60-B.

8VAC20-780-550-H

“Based on review of the emergency drill log, facility failed to maintain a record of the dates of the monthly practiced evacuation drills for one year. Evidence: there was no documentation of a practiced emergency evacuation drill for March 2022 and April 2022.”

Rule 8VAC20-780-550-H.

8VAC20-780-560-F

“Based on observation and staff interviews, it was determined that the facility did not ensure that when centers choose to provide meals or snacks, the center shall follow the most recent, age-appropriate nutritional requirements of the USDA. Evidence: On 5/16/2022 , pretzels and water were served for afternoon snack. Staff confirmed that there were not two components, as defined by the USDA, served to the children during afternoon snack.”

Rule 8VAC20-780-560-F.

8VAC20-780-60-A

“Based on review of five children’s files, the facility failed to have all required information in each child’s file. Evidence: Child 1 and Child 2 did not have documentation of the name, address, and phone number of two designated people to contact in an emergency if a parent can not be reached. Child 3 and Child 4 only had one (non-parent) emergency contact name, address, and phone number listed.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A

“Based on review of three children’s files, the facility failed to have all required information in each child’s file. Evidence: Child 1 and Child 2 did not have 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.