Young Men’s Christian Association of Greater Richmond-Crestview

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. The record of child #4, indicated a dietary restriction that was not included on the allergies, sensitivities, and dietary restriction list.”

Rule 8VAC20-780-40-M.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-150-B

“Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The immunizations for child #4 were not signed by a physician or his designee”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-510-P

Rule 8VAC20-780-510-P.

8VAC20-780-70

“A staff record shall be kept for each staff person that contains documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required. The record of staff #1 and staff #2, both identified as program leads, did not contain documentation that the individuals possessed the education and experience required by the job position.”

Rule 8VAC20-780-70.

Based on review of documentation, the center did not ensure a practice evacuation drill was implemented monthly.

“Evidence: The most recent evacuation drill documented on the drill log, was dated 04/18/2024. The last day of operation before summer break was May 31, 2024. An evacuation drill was not documented for the month of May 2024”

Rule 8VAC20-780-550-D.

Based on review of documentation, the center did not ensure shelter in place procedures were practiced a minimum of twice per year.

“Evidence: For the 2023-2024 school year, there was only one practice shelter-in-place drill documented on 03/07/2024 when a minimum of two drills are required. The school year ran from August 21, 2023, through May 31, 2024.”

Rule 8VAC20-780-550-E.

Based on review of documentation, the center did not ensure lockdown procedures were practiced at least annually.

“Evidence: For the 2023-2024 school year, there was no documentation of a lockdown drill being practiced. The school year ran from August 21, 2023, through May 31, 2024.”

Rule 8VAC20-780-550-F.

Repeat Based on review of children’s records, the center did not maintain a separate record for each child enrolled which contained all required information.

Rule 8VAC20-780-60-A.

Based on review of four staff records, the center did not ensure one staff completed Virginia preservice training within the first 90 days of employment or subsidy vender approval.

“Evidence: The center obtained subsidy vender approval on 09/16/2022. The record of staff #1, employed 08/24/2022, contained documentation of the Virginia Preservice training dated 06/06/2023, exceeding 90 calendar days from vender approval.”

Rule 8VAC20-790-600-B.

Based on review of four staff records, the center did not ensure one staff completed the Virginia Department of Education- sponsored orientation course within 90 calendar days of employment.

“Evidence: The record of staff #2, employed 02/05/2023, contained documentation of the Virginia Department of Education-sponsored orientation course dated 09/26/2023, exceeding 90 calendar days from employment.”

Rule 8VAC20-780-240-A.

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

“Evidence: 1. The record of Child #3 did not contain the work phone number and place of employment of each parent who has custody and the name, address, and phone number of a second emergency contact to call in an emergency if a parent cannot be reached. 2. The records of Child #4 and Child #5 did not contain the work phone number and place of employment of each parent who has custody.”

Rule 8VAC20-780-60-A.

Repeat Based on a review of documentation and interviews, the center did not obtain a written care plan for one 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: The record of Child #6 indicated the child had a diagnosed food allergy, but the child’s record did not contain a written allergy care plan. During interview, a member of management confirmed the center does not have an allergy care plan for Child #6.”

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

Based on a review of three staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment and within the required time frame.

“Evidence: 1. The national fingerprint check for Staff #3, hired on 02/05/2023, was dated 02/07/2023 exceeding the first day of employment. 2. An administrator acknowledged the fingerprints background check was not completed prior to employment.”

Rule 22.1-289.035-B-2.

Based on review of three staff records, the center did not ensure a required sworn statement from an applicant, licensee, registrant, or other person was obtained at the time of employment.

“Evidence: The record of staff #3, employed 02/05/2023, contained a sworn statement dated 02/16/2023 exceeding the date of employment.”

Rule 8VAC20-770-40-D-6.

Based on review of three staff records, the center did not obtain documentation of a tuberculosis screening for one staff record that was submitted at the time of employment and shall have been completed within the last 30 calendar days prior to employment.

“Evidence: The record of staff #3, employed 02/05/2023, contained documentation of a tuberculosis screening dated 02/07/2023 exceeding the first day of employment.”

Rule 8VAC20-780-160-A.

Based on review of three staff records, the center did not ensure one staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. The record of staff #3, employed 02/05/2023, did not contain documentation of the completion of the Virginia Department of Education-sponsored orientation, exceeding 90 days from the date of employment. 2. An administrator stated staff #3 had not completed the Virginia Department of Education-sponsored orientation training.”

Rule 8VAC20-780-240-A.

Based on review of five children’s records and interview, the center did not obtain a written care plan for one 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: The record of child #4, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.”

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

Based on review of two staff records, the center did not ensure one 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 record of staff #1, employed 01/19/2022, did not contain documentation of completing the department’s annual health and safety update course.”

Rule 8VAC20-790-600-F.

Based on review of staff records, the center did not ensure there was always 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: The record of staff #1 and staff #2 did not contain documentation of completing health observation training. Staff #1 and staff #2 were the only staff on site during the inspection on May 10, 2023.”

Rule 8VAC20-780-245-L.

Based on observation, the center did not maintain all required items in the first aid kit.

“Evidence: The first aid kit did not include adhesive tape and an antiseptic cleaning solution/ pad as required. Staff confirmed the first aid kit did not contain adhesive tape and antiseptic.”

Rule 8VAC20-780-540-C.

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

Rule 8VAC20-780-60-A.

Based on review of medication and staff records, the center did not ensure any child for whom emergency medications (such as albuterol and epinephrine auto injector) have been prescribe was always in the care of a staff member or independent contractor who meets the requirements to perform medication administration.

“Evidence: 1. Child #3, who has two prescribed emergency medication was in care on 08/31/2022 without a staff member who meet the requirements to perform medication administration. 2. Staff #1 and staff #2 did not have MAT certification.”

Rule 8VAC20-780-245-J-3.

Based on observation and interview, the center did not ensure medications, except for those prescriptions designated otherwise by written physician’s order, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Staff #1 stated two emergency medications for child #3 were being kept in the backpack of child #3 per the parent’s request. 2. Two emergency medications were observed in the unlocked back pack of child #3.”

Rule 8VAC20-780-510-L.

Based on review of three children’s records, the center did not obtain all required information for one child’s record.

“Evidence: 1. The record of child #2, enrolled 08/29/2022, did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The record of child #2 had the parents listed as the emergency contacts.”

Rule 8VAC20-780-60-A.

Based on review of four staff records, the center did not ensure one staff completed Virginia preservice training for Child Care Staff within the first 90 days of employment.

“Evidence: Staff #4, hired 10/18/2021, had documentation of Virginia preservice training dated 03/11/2022, exceeding 90 days from employment.”

Rule 8VAC20-790-600-B.

Based on review of four staff records, the center did not ensure one staff obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days or hire.

“Evidence: Staff #4, hired 10/18/2021, did not have documentation of CPR on file.”

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

Based on review of four staff records, the center did not ensure one staff obtained current certification in first aid appropriate to the ages of children in care within 90 days of hire.

“Evidence: Staff #4, hired 10/18/2021, did not have documentation of first aid certification on file.”

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

Based on review of four staff records and interview, the center failed to deny employment to anyone who has been convicted of any barrier crime as defined in ? 19.2-392.02 within or outside the Commonwealth.

“Evidence: Staff #4, hired 10/18/2021 had a national fingerprint background check dated 10/18/2021 with a “not eligible” status for employment in child care. During interviews, Administration confirmed staff #2 was currently employed and working at the center.”

Rule 22.1-289.035-A.

Based on review of four staff records, the center did not obtain a completed sworn statement prior to the first day of employment for one staff member.

“Evidence: The record of staff #3, hired 12/07/2021, had documentation of a sworn statement dated 02/17/2022 exceeding the first day of employment.”

Rule 8VAC20-770-60-B.

Based on review of four staff records, the center did not obtain a central registry finding within 30 days of employment or volunteer services for two staff members.

“Evidence: 1. The record of staff #1, hired 01/19/2022, had documentation of a central registry check dated 04/05/2022 exceeding 30 days from employment. 2. The record of staff #4, hired 10/18/2021, had documentation of a central registry check dated 12/06/2021 exceeding 30 days from employment.”

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

Based on review of staff records, the center did not ensure staff submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record of staff #1, hired 01/19/2022, had documentation of a negative tuberculosis screening dated 03/23/2022 exceeding the first day of employment.”

Rule 8VAC20-780-160-A.

Based on observation and interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: The unlocked first aid kit contained packages of ibuprofen. The first aid kit was stored in the supply closet accessible to children in care. Children were observed entering the supply closet to retrieve art supplies.”

Rule 8VAC20-780-510-L.