Young Mens Christian Association of Greater Richmond-Swift Creek

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 updated TB screening was overdue by four months.”

Rule 8VAC20-780-160-C.

8VAC20-780-540-E

“The following nonmedical emergency supplies are required: a working battery-operated flashlight on each floor of each building and a working battery-operated radio in each building. The center did not have a working battery-operated radio at the center.”

Rule 8VAC20-780-540-E.

8VAC20-780-70

“The following staff information shall be kept at the center for each staff person: name, address, telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff #9, who had been employed for at least eight months, did not have information onsite about personal information, emergency contact and health problems that may interfere with job responsibilities.”

Rule 8VAC20-780-70.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The center’s medication administration policy did not include procedures to ensure that outdated medication is not used. Emergency medication was observed at the center that expired four months ago.”

Rule 8VAC20-780-510-E.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for nine months.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. An unlocked cabinet in the snack kitchen contained cleaning products. Children had access to the snack kitchen area during the inspection.”

Rule 8VAC20-780-280-B.

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 #1, enrolled for six months did not 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.

8VAC20-780-510-G

“Based on observation and documentation review, the center did not ensure medication was labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: A prescription medication for Child #1 was on site at the center. The medication was not labeled with the child’s name, the dosage amount and the time or times to be given. Attendance rosters indicated Child #1 is currently attending the center.”

Rule 8VAC20-780-510-G.

Based on review of 10 children’s records, the center did not obtain the required information for five children.

“Evidence: The records for Child #3, Child #5, Child #8, Child #9, and Child #10 did not 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.

8VAC20-780-160-A

“Based on review of three staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #3 (date of employment 01/04/2024) contained documentation of a negative TB screening dated 11/03/2023. 2. Staff #3 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information on 05/13/2024.”

Rule 8VAC20-780-160-A.

22.1-289.035-B-4

“Based on record review, the center did not ensure one of ten staff records contained documentation of criminal history record results from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #2 (employment date: 6/5/2023) did not have documentation of out of state criminal history record results. 2. The record of staff #2 indicated that the staff member has lived outside of Virginia within the last 5 years.”

Rule 22.1-289.035-B-4.

8VAC20-780-510-B

“Based on record review, the center did not ensure that prescription medication was given to a child only with written authorization from a parent. Evidence: 1. The medication record for child #2 did not have a written authorization from a parent. 2. The center administered the medication for child #2 on 6/7/2023.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-L

Rule 8VAC20-780-510-L.

22.1-289.035-B-4

“Based on record review, the center did not ensure one of five staff records contained documentation of criminal history record results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #1 (employment date: 9/6/2022) had documentation of out-of-state criminal history record results and a child abuse and neglect search request dated 12/9/2022.”

Rule 22.1-289.035-B-4.

8VAC20-770-60-B

“Based on record review, the center did not ensure two of five staff records contained documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #3 (employment date: 5/25/2021) had documentation of a completed sworn statement or affirmation dated 10/18/2021. 2. The record of staff #4 (employment date: 4/11/2022) had documentation of an incomplete sworn statement or affirmation dated 3/23/2022. The staff’s record also had documentation of a completed sworn statement or affirmation dated 9/28/2022.”

Rule 8VAC20-770-60-B.

8VAC20-780-140-A

“Based on record review, the center did not ensure one of five children’s records contained documentation of the child’s physical examination by or under the direction of a physician before the child’s attendance or within 30 days of attendance. Evidence: 1. The record of child #1 (enrollment date: 11/29/2022) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-240-B

“Based on record review, the center did not ensure two of five staff records had documentation showing that the staff has completed orientation training in subsection C of this section prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of staff #3 (employment date: 5/25/21) had documentation of orientation training dated 10/18/2021. 2. The record of staff #5 (employment date: 5/12/21) had documentation of orientation training dated 6/21/2021.”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Based on observation, 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. There were two unlocked cleaners located on the classroom counter within the reach of children in care.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-D

“Based on record review, the center did not ensure to implement a monthly practice evacuation drill. Evidence: The center did not have documentation showing that monthly practice evacuation drills were complemented during the months of October and November of 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-D

“Based on record review, the center did not ensure to implement a monthly practice evacuation drill. Evidence: The center did not have documentation showing that monthly practice evacuation drills were complemented during the months of October and November of 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-J

“Based on observation, the center did not ensure tables were cleaned and sanitized after each use for feeding. Evidence: The tables were not cleaned and sanitized after the children ate snack.”

Rule 8VAC20-780-560-J.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-7

“Based on record review, the center did not ensure to obtain documentation of a written allergy care plan for each child with a diagnosed food allergy. Evidence: 1. The record of child # 3 (enrollment date: 8/23/2022) did not have documentation of a written allergy care plan. The child’s record and the center’s allergy list both indicated that the child had a diagnosed food allergy.”

Rule 8VAC20-780-60-A-7.

Based on the review of 10 staff records, the center did not obtained a completed sworn statement or affirmation before two staff members beginning employment.

Rule 8VAC20-770-60-B.

Based on the review of 10 staff records, the center did not obtain documentation of a negative tuberculosis screening for two staff members within the required time frame.

“Evidence: The records for Staff #7 and Staff #8 did not contain documentation of a negative tuberculosis screening. Tuberculosis screenings are required to obtained within 30 calendar days prior to beginning employment and be signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

Based on review of 10 children’s records, the center did not ensure seven children’s records contained the required information.

“Evidence: 1. The records for Child #4, Child #5 and Child #6 did not contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. As of 06/28/2022, members of management did not submit records for Child #7, Child #8, Child #9 and Child #10.”

Rule 8VAC20-780-60-A.

Based on the review of 10 children’s records and documentation review, the center did not obtain a written care plan for one child diagnosed food allergy. Written care plan is required to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the vent of the suspected or confirmed allergic reaction.

“Evidence: The record for Child #5 indicated the child has a food allergy. The submitted record did not contain a written care plan. During the 06/09/2022 onsite inspection, the allergy list located in the center confirmed Child #5 had a documented food allergy.”

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

Based on review of 10 staff records, the center did obtain the required information for four staff members.

“Evidence: 1. The records for Staff #4, Staff #5, Staff #7 and Staff #8 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training.”

Rule 8VAC20-780-70.