Young Men’s Christian Association of Greater Richmond-Evergreen

8VAC20-780-560-J

“Tables are required to be sanitized after each use for feeding. The tables used for afternoon snack were not sanitized after the children finished snack.”

Rule 8VAC20-780-560-J.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #3, who had been attending for seven months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Repeat violation

“The center shall implement a monthly practice evacuation drill. A practice drill was not conducted in February of 2026.”

Rule 8VAC20-780-550-D.

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 #4, enrolled for over 7 months, was missing two emergency contacts. Child records are required to 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.

A record shall be kept for each staff person that contains the required information.

“Staff #4, employed for over one month, did not have information about any health problems that may interfere with fulfilling the job responsibilities and the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.”

Rule 8VAC20-780-70.

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

“The license and the findings from the most recent inspection were not posted in a conspicuous place on the premises. The center had a portable licensing board with the required documents that was stored in a non conspicuous place during the inspection. Staff stated the board had not been displayed recently.”

Rule 22.1-289.011-F.

The center shall implement a monthly practice evacuation drill.

“A drill was not documented in December of 2025. Staff stated that the practice drill was not implemented.”

Rule 8VAC20-780-550-D.

Tables shall be sanitized before and after each use for feeding.

“On 1/12/26, the center staff used sanitizing wipes to clean the table before the children ate snack. Sanitation requires the surface of the tables to be sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Staff stated that they did not have a sanitizer spray available on site and that they had been utilizing only the wipes before and after snacks.”

Rule 8VAC20-780-560-J.

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“Staff #4, employed for 4 months, was identified as a program leader who was responsible for supervising a group of children independently. Staff #4 did not have the training required by the position.”

Rule 8VAC20-780-340-D.

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 #3, enrolled for over 3 months, was missing one emergency contact. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #4, enrolled for over 6 months, was missing one emergency contact.”

Rule 8VAC20-780-60-A.

Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department’s health and safety update course as required.

“Evidence: 1. The record of staff #4 contained a health and safety update course dated 4/4/2023. 2. The vendor acknowledged that the annual course was not completed by 4/4/2024.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure that one staff annually completed 16 hours of training appropriate to the age of children in care.

“Evidence: 1. The record of staff #1 (date of employment: 5/12/2021) did not contain 16 hours of annual training between 5/12/2023 and 5/12/2024. 2. Administration acknowledged that the staff had not completed 16 hours of training.”

Rule 8VAC20-780-245-A.

Repeat violation

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care as required. Evidence: 1. The record of staff #4 (date of employment: 9/30/2021) did not contain documentation of a current CPR certification. 2. The vendor stated that staff #4’s certification had expired on 12/16/2023.”

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

Repeat violation

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in first aid appropriate to the ages of children in care as required. Evidence: 1. The record of staff #4 (date of employment: 9/30/2021) did not contain documentation of a current first aid certification. 2. The vendor stated that staff #4’s certification had expired on 12/16/2023.”

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

Based on observation and interview, the center did not ensure that the most recent inspection findings were posted in a conspicuous place on the licensed premises.

“Evidence: 1. The most recent inspection report was not posted on the center’s licensing board. 2. Administration acknowledged that it was not posted in a conspicuous place on the licensed premises.”

Rule 22.1-289.011-F.

Repeat violation

“Based on a review of five child records and interview, the center did not ensure that a record was kept for one child that contained the required information. Evidence: 1. The record of child #2 (date of enrollment: 11/1/2023) did not contain the required emergency contact information. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the record was not complete.”

Rule 8VAC20-780-60-A.

REPEAT VIOLATION Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current CPR certification. 2. The vendor stated that staff #5’s certification had expired.”

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

REPEAT VIOLATION: Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current first aid certification. 2. The vendor stated that staff #5’s certification had expired.”

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

REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1. The record of child #1 (date of attendance: 8/23/2023) did not contain an immunization record. 2. Administration acknowledged the record was not obtained.”

Rule 8VAC20-780-130-A.

REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to maintain a record for one child that contained the required information.

“Evidence: 1. The record of child #1 (date of enrollment: 8/23/2023) contained one of the two required emergency contacts. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that child #1’s second emergency contact was missing.”

Rule 8VAC20-780-60-A.

Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a CPR certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

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

Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a first aid certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

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

Based on a review of five staff records and interview, the vendor did not ensure that one (1) staff annually attended at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Evidence: 1. The record of staff #4 (date of employment: 9/30/21) did not contain a 2022 health and safety update course certificate. 2. Administration acknowledged that they did not have record of the course completion.”

Rule 8VAC20-790-600-F.

Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain an immunization record. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-130-A.

Based on a review of five (5) children’s records and interview, the center did not ensure that two (2) children had a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-140-A.

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

“Evidence: 1. The center’s evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in February and March of 2023.”

Rule 8VAC20-780-550-D.

Based on observation and interview, the center did not ensure that a current dated menu was posted in a location conspicuous to parents or given to parents as required.

“Evidence: 1. The center was observed serving snack. A snack menu was not posted. 2. Administration acknowledged that the current menu was not posted or given to the parents.”

Rule 8VAC20-780-560-F.

Based on observation and interview, the center did not ensure that contaminated or spoiled food was not served to children.

“Evidence: 1. On 4/17/2023, the children were observed eating Sunchips and applesauce. Several of the bags showed an expiration date of 4/11/2023. 2. Administration acknowledged that the chips had expired.”

Rule 8VAC20-780-560-I.

Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information.

“Evidence: 1. The record of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) were missing all required record information. Administration stated in interview that that the digital records were empty. The record of child #5 (date of enrollment: 9/21/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on review of documentation and interview, the center did not ensure that the required emergency supplies were available at the center.

Rule 8VAC20-780-540-D.

Based on a review of five (5) children’s records and interview, the center did not ensure that one (1) child had a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“Evidence: 1. The record of child #2 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the record was not obtained.”

Rule 8VAC20-780-140-A.

Based on observation and interview, the center did not ensure that children’s hands were washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: 1. On 10/12/2022, the children were observed using hand sanitizer before eating snack. 2. Administration acknowledged that the children did not wash their hands with soap and running water or disposable wipes before eating.”

Rule 8VAC20-780-500-A.

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

“Evidence: 1. The center’s evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in August or September.”

Rule 8VAC20-780-550-D.

Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information.

“Evidence: 1. The record of child #1 (date of enrollment: 8/22/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. The record was missing one (1) contact. The record of child #2 (date of enrollment: 8/22/2022) was missing the contact information for one (1) designated person. The record of child #4 (date of enrollment: 8/22/2022) was missing the contact information for two (2) designated people. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of two (2) staff records and interview, the center did not ensure that two (2) records contained the required information.

“Evidence: 1. The records of staff #1 and staff #2 did not contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. 2. The records of staff #1 and staff #2 did not contain information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities. 3. Administration acknowledged that the staff’s health and emergency contact information were not available on site during the inspection.”

Rule 8VAC20-780-70.

Based on observation and interview, the center did not ensure to post the findings of the most recent inspection as required.

“Evidence: 1. The most recent inspection was not observed on the center’s licensing board. 2. Administration acknowledged that the most recent inspection findings were not posted.”

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

Based on record review and interview, the center did not ensure to obtain the results of a fingerprint background check for one staff prior to the first date of employment as required.

“Evidence: 1. The record of staff #1 (DOH:9/23/2019) contained the results of a fingerprint background check dated 10/8/2019. 2. Administration acknowledged that the background check was completed after the first date of employment.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center did not ensure to obtain the results of an out of state sex offender registry background check for one staff hired prior to 7/1/2020 by 12/31/2020 as required.

“Evidence: 1. The record of staff #1 (DOH: 9/23/2019) contained a sworn statement that indicated that the staff resided outside of the state within the preceding 5 years. 2. The record contained an out of state sex offender check dated 3/12/2021. The check was required to be completed by 12/31/2020. 3. Administration acknowledged that the out of state background check was completed late.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center did not ensure to obtain a completed sworn statement for one staff prior to employment as required.

“Evidence: 1. The record of staff #2 (DOH:5/12/2021) contained a sworn statement dated 4/26/2021. The questions were not completed by the staff member. 2. Administration acknowledged that the sworn statement was incomplete.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for one staff.

“Evidence: 1. The record of staff #1 (DOH: 09/23/2019) contained the results of a central registry finding dated 1/6/2020. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

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

Based on observation and interview, the center did not ensure to maintain a first aid kit that contained all of the required supplies.

“Evidence: 1. The first aid kit did not contain a thermometer. 2. Administration acknowledged that the first aid kit was missing a thermometer.”

Rule 8VAC20-780-540-C.

Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information.

“Evidence: 1. The records of child #1 (DOE: 08/23/2021), child #2 (DOE:08/23/2021) and child #3 (DOE: 10/11/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was incomplete and the records for each child did not contain the required 2 designated people to call if the parents could not be reached.”

Rule 8VAC20-780-60-A.

Based on observation and interview, the center did not ensure that the first aid kit contained all of the required supplies.

“Evidence: 1. The first aid kit did not contain triangular bandages. 2. Administration acknowledged that they were missing.”

Rule 22VAC40-185-540-C.

Based on observation and interview, the center did not ensure that all required nonmedical emergency supplies were kept on site.

“Evidence: 1. The center did not have a working battery operated flashlight and a working battery operated radio. 2. Administration acknowledged that the supplies were missing.”

Rule 22VAC40-185-540-E.

Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information.

“Evidence: 1. The records of child #1 (DOE: 8/23/2021) and child #2 (DOE:08/23/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was missing.”

Rule 22VAC40-185-60-A.

Based on record review and interview, the center did not ensure that a complete record was kept for one staff.

“Evidence: 1. The record of staff #1 (DOH: 09/30/2021) did not contain documentation of orientation training. 2. Administration acknowledged that the orientation training was conducted but not documented.”

Rule 22VAC40-185-70-A.

Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for two staff.

“Evidence: 1. The record of staff #1 (09/30/2021) did not contain the results of a central registry finding. The record of staff #2 (DOH:09/20/2021) contained the results of a central registry finding dated 10/27/2021. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

Rule 22VAC40-191-60-C-2.