Young Men’s Christian Association of Greater Richmond - CSE

**Repeat Violation** A written care plan is required for each 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.

“Child #1, who has been enrolled for over 6 months, has a diagnosed food allergy and a written allergy care plan in their file without a physician’s signature.”

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

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

“Staff #4 completed an updated TB screening 3 days after the screening was due.”

Rule 8VAC20-780-160-C.

A written care plan is required for each 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.

“Child #2, who has been enrolled for 4 months, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-240-A

“Based on review of three staff records, the facility failed to have each staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff 1 (date of employment 2/21/2023) did not complete the VA Pre-service orientation course until 6/1/2023.”

Rule 8VAC20-780-240-A.

8VAC20-780-70

“Based on review of four staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Relatives by blood or marriage and people who are not knowledgeable of the individual, such as recent acquaintances, shall not be considered objective references. Evidence: Staff 1 (date of employment 2/21/2023) had two references that are relatives. Staff 3 (date of employment 6/20/2022) had two references that were not identified as to relation.”

Rule 8VAC20-780-70.

8VAC20-770-60-B

“Based on review of two staff files, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 2 (date of employment 9/27/2021) signed a sworn disclosure statement form on 9/03/2021, but did not mark answers to the four questions on the form.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of two records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 2 (date of employment 9/27/2021) did not have a completed search of the central registry on file until 3/11/2023. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

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

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have documentation that each child has received the immunizations, as required, before the child can attend the center. Evidence: Child 2 (date of enrollment 1/07/2023) did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of five children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1 (date of enrollment 10/7/2022) and Child 2 (date of enrollment 1/07/2023) did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-540-C

“Based on observation and staff interview, the facility failed to have a complete first aid kit wherever children are in care. Evidence: the first aid kit did not have an antiseptic cleansing solution, single use gloves, or triangular bandages.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-G

“Based on review of the emergency drill log and staff interview, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in February 2023.”

Rule 8VAC20-780-550-G.

8VAC20-780-60-A

“Based on review of five children’s files, the facility failed to have required information in each child’s file. Evidence: Child 2 did not have documentation of the name, address, and phone number of two designated people to contact in an emergency if a parent cannot be reached. Child 4 and Child 5 only had one (non-parent) emergency contact name, address, and phone number listed.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Based on review of the attendance record, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care. Evidence: on 11/29/2022, the attendance record had 12 children marked as present, however, there were 15 children in care.”

Rule 8VAC20-780-80-A.