Young Men’s Christian Association of Greater Richmond - Munford

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 #5, who had been attending for four weeks, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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

“The updated screenings for Staff #1 and Staff #6 were due over one month ago and had not yet been completed.”

Rule 8VAC20-780-160-C.

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 four weeks, was missing the names of persons authorized to pick up the child.”

Rule 8VAC20-780-60-A.

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

“The record of Staff #4, employed for three weeks, was missing documentation of the orientation training required no later than seven days of the date of assuming job responsibilities. Staff #4 was observed supervising a group of children on 9/16/2026.”

Rule 8VAC20-780-70.

Training on the center’s emergency preparedness plan shall be completed annually and each time the plan is updated.

“Administration stated that staff did not receive annual emergency preparedness training in 2025.”

Rule 8VAC20-780-245-I.

Repeat violation

Rule 8VAC20-780-40-E.

The center shall ensure that their activities and services are maintained in compliance with their own policies and procedures that are required by the standards.

Rule 8VAC20-780-40-E.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Administration stated that no one on site had current training in daily health observation.”

Rule 8VAC20-780-245-L.

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

“Evidence: 1. The record of staff #5 (date of employment: 5/21/2024) did not contain documentation of completion of the required course. 2. Administration acknowledged the training was not in the record.”

Rule 8VAC20-780-240-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 #2 (date of employment: 10/2/2022) contained an annual health and safety update certificate dated 3/13/2024. 2. The vendor acknowledged that the training was completed late.”

Rule 8VAC20-790-600-F.

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

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure that one staff had a complete sworn statement prior to employment as required.

“Evidence: 1. The record of staff #5 (date of employment: 9/14/2022) contained a sworn statement dated 8/22/2022. The sworn statement questions were not completed. 2. Administration acknowledged that a complete sworn statement was not in the record.”

Rule 8VAC20-770-60-B.

Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative repeat tuberculosis screening for one staff every two years as required.

“Evidence: 1. The record of staff #4 (date of employment: 9/8/2021) contained a TB screening dated 8/27/2021. 2. Administration acknowledged they did not have documentation of a follow up TB screening.”

Rule 8VAC20-780-160-C.

Based on observation and interview, the center did not ensure that tables were sanitized before and after each use for feeding as required.

Rule 8VAC20-780-560-J.

Based on a review of four (4) staff records and interview, the center did not ensure that one (1) staff had a completed sworn statement prior to the first date of employment as required.

“Evidence: 1. The record of staff #4 (date of employment: 10/8/2022) did not contain a completed sworn statement. 2. Administration acknowledged that the sworn statement was missing from the record.”

Rule 8VAC20-770-60-B.

Based on a review of four (4) staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff within 30 days of employment as required.

“Evidence: 1. The record of staff #1 (date of employment: 09/08/2021) contained a central registry finding dated 05/04/2022. 2. Administration acknowledged that the findings were not obtained within the required time frame.”

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

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 #4 (date of attendance: 08/29/2022) did not contain a physical report. 2. Administration acknowledged that the report had not been obtained.”

Rule 8VAC20-780-140-A.

Based on review of documentation, observation, and interview, the center did not ensure that the center’s services were maintained in compliance with the center’s own policies and procedures that are required by the standards.

Rule 8VAC20-780-40-E.

Based on a review of 2 staff records and interview, the center did not ensure to obtain the results of a central registry background check by the end of the 30th day for 1 staff as required.

“Evidence: 1. The record of staff #2 (DOH: 10/04/2021) contained a central registry background check dated 11/16/2021. 2. Administration acknowledged that the results were not received within the required time frame.”

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