Young Men’s Christian Association of Greater Richmond - Maybeury

The center is required to have employees undergo a background check every five years.

“The most recent sworn statement for Staff #3 was overdue by five days.”

Rule 22.1-289.035-A.

Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“During inspection on 2/11/2026, an unlabeled map was posted on the center’s board with no indication of emergency routes or shelter in place location.”

Rule 8VAC20-780-550-C.

A menu listing foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center.

“During the inspection on 2/11/2026, the posted menu was dated 12/1/2025-1/28/2026. A current menu was not available.”

Rule 8VAC20-780-560-F.

All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #2 did not have a current CPR certification and has been employed for more than 90 days.”

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

All staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid appropriate to the ages of children in care.

“Staff #2 did not have a current First Aid certification and has been employed for more than 90 days.”

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

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #1, who is working with children, completed this course more than 150 days after hire date.”

Rule 8VAC20-780-240-A.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Two bottles of bleach water cleaner were found on the stage in the cafeteria within reach of all children.”

Rule 8VAC20-780-280-B.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff #3 had completed nine hours of training between July 2023 to July 2024.”

Rule 8VAC20-780-245-A.

Based on review of four staff records, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval.

“Evidence: The record of staff #3, employed 01/04/2024, did not have documentation of current CPR exceeding 90 days from employment.”

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

Based on review of seven staff records, the center did not ensure all staff who work directly with children shall obtain current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval.

“Evidence: The record of staff #3, employed 01/04/2024, did not have documentation of current first aid certification exceeding 90 days from employment.”

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

Based on review of three staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course.

“Evidence: The most recent completion of the department’s annual health and safety update course for staff #3 (employed 09/01/2020) was dated 04/26/2021. There was no current 2023 documentation of the health and safety updated training.”

Rule 8VAC20-790-600-F.

Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current CPR certification. 2. A member of management stated staff #1 did not have current CPR certification.”

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

Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current first aid certification. 2. A member of management stated staff #1 did not have current first aid certification.”

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

Based on review of staff records, the center did not ensure staff obtained in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually.

“Evidence: 1. The record of staff #2, employed 08/30/2019, contained documentation of the department’s health and safety update course dated 05/31/2021. The record did not contain documentation of the health & safety updated course for the 2022 year. 2. he record of staff #3, employed 06/07/2021, contained documentation of the department’s health and safety update course dated 06/27/2021. The record did not contain documentation of the health & safety updated course for the 2022 year”

Rule 8VAC20-790-600-F.

Based on review of the center’s medication policy it was determined the medication policy did not address methods to prevent use of outdated medication.

“Evidence: Emergency medication for child #5 expired 01/2023. The medication was on site. The center’s medication policies did not address preventing the use of outdated medication.”

Rule 8VAC20-780-510-E.

Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill.

“Evidence: 1. The most recent evacuation drill was documented on 10/31/2022. There was no documentation of evacuation drills from November 2022 through January 2023. 2. A member of management stated the evacuation drills had not been conducted.”

Rule 8VAC20-780-550-D.

Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s records.

“Evidence: 1. The record of child #1, with a diagnosed food allergy, did not have a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to taken in the event of a suspected or confirmed allergic reaction. 2. A member of management stated they did not have a written allergy care plan for child #1.”

Rule 8VAC20-780-60-A-8.

Based on a review of four staff records and interviews, the center did not ensure that one staff record contained all the required information.

“Evidence: The tuberculosis (TB) screening results in the record for Staff #1, employed on 09/07/2021, were dated 10/07/2021. 2) During interview, a member of management acknowledged the TB results for Staff #1 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

Rule 8VAC20-780-70.

Based on review of two staff records, the center did not ensure one staff completed Virginia preservice training within the first 90 days of employment.

“Evidence: The record of staff #1, hired 10/25/2021, contained documentation of the Virginia preservice training dated 04/26/2022 exceeding 90 days from employment.”

Rule 8VAC20-790-600-B.

Based on review of two staff records, the center did not obtain results of a central registry check request within 30 days of employment for one staff.

“Evidence: The record of staff #1, hired 10/25/2021, had documentation of a central registry check dated 12/01/2021 exceeding 30 days from employment. The record did not contain documentation of a follow up with the agency as to the status of the requested central registry check.”

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

Based on review of three children’s records, the center did not obtain documentation of a physical for one child’s record before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record of child #2, enrolled09/08/2021, did not contain documentation of a physical exceeding 30 days from the first day of attendance”

Rule 8VAC20-780-140-A.

Based on review of two staff records and interview, the center did not ensure there was always at least one staff member on duty who has obtained within the past three years instruction in performing the daily health observation of children.

“Evidence: The record for staff #1 and staff #2 did not contain documentation of daily health observation training for either staff. Staff #1 and Staff #2 were the only staff on duty during the inspection on 06/13/2022. The center administer stated staff #1 and staff #2 did not have daily health observation training”

Rule 8VAC20-780-245-L.

Based on observation and interview, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Two bottles containing cleaning materials and sanitizing agent were observed unlocked in the cafeteria where children are in care. 2. The door to the janitorial closet was ajar. Multiple container of cleaning materials were observed in the closet accessible to children in care. 3. The director stated the school’s cleaning supplies are kept unlocked as the school wants the materials accessible to school personnel.”

Rule 8VAC20-780-280-B.

Based on review of medication authorizations and medication logs, the center did not ensure prescription medications were only administered provided the center has obtained written authorization from a parent or guardian.

“Evidence: 1. Prescription medication was administered on May 2, 2022 and documented on the medication log for child #5. The medication authorization form was signed by the child’s physician but was not signed by the parent or guardian. 2. The director acknowledged the medication had been administered without written authorization from the parent.”

Rule 8VAC20-780-510-I.

Based on review of two staff records, the center did not ensure one staff held current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: The record of staff #1 contained documentation of CPR certification for adults dated 10/09/2020. The CPR certification did not include certification for child CPR.”

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