Young Men’s Christian Association of Greater Richmond-Northside

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts. The last monthly evacuation drill was documented as occurring on 04/20/2026.”

Rule 8VAC20-780-550-H.

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 #10, enrolled for two weeks, was missing 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.

8VAC20-780-70

“Staff records shall be kept for each staff person and contain name, address, and 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. This information is required to be kept at the center. Staff #4 and Staff #5 were present at the center and supervising children during the inspection. The required information was not present at the center.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval shall have Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #1, employed for five months, does not have current CPR.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval shall have current certification in first aid appropriate to the ages of children in care. Staff #1, employed for five months, does not have current first aid.”

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

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #2 did not complete the annual health and safety update course in 2025 calendar year. Staff #2 has been employed for two years and eight months.”

Rule 8VAC20-790-600-F.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. 1. There was no medication authorization for child #7. The medication was on site and had not been administered. 2. There was no medication authorization for child #15. The medication was on site and had not been administered. 3. There was no medication authorization for child #16. The medication was on site and had not been administered.”

Rule 8VAC20-780-510-F.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Medication for child #15 and child #16, was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“The center shall maintain and keep at the center a separate a written care plan 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, child #2, child #3, and child #11, all with diagnosed food allergies, did not have allergy care plans on file.”

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

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

“Evidence: The record for Child #8did 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.

8VAC20-780-240-A

“Based on review of seven staff records, observations, and interviews, the center did not ensure one staff completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 days of employment. Evidence: 1. The record of Staff #2 (date of employment 06/15/2023) contained documentation of completing the VDOE-sponsored orientation course on 04/20/2024. 2. Staff #2 was observed working and counting in staff-to-child ratio during the inspection. 3. A member of management confirmed this information via email on 04/30/2024.”

Rule 8VAC20-780-240-A.

Based on review of two medications and medication authorizations, the center did not obtain written permission from one parent to administer long-term prescription.

“Evidence: Child #1 was present at the center during the inspection. A long-term prescription medication was located at the center. The medical authorization form did not contain written permission from a parent allowing the center to administer the medication.”

Rule 8VAC20-780-510-E.

8VAC20-780-500-A

Rule 8VAC20-780-500-A.

8VAC20-780-510-G

“Based on observation, the center did not ensure that medication is labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: The center had a box of unlabeled medication for a child. The prescription medication was located in the original container but did not have the prescription label with the child’s name, name of medication, dosage amount and times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-70

Rule 8VAC20-780-70.

Based on a review of six staff records and interview, the vendor did not ensure one staff who works directly with children completed the department’s health and safety update course annually.

“Evidence: 1) The record of Staff #6 (DOE: 04/21/21) did not have any documentation of the staff completing the department’s health and safety update course. 2) The center was unable to locate documentation to show the staff member completed the course. The department’s health and safety update course should be completed annually.”

Rule 8VAC20-790-600-F.

Based on a review of six staff records, the center did not ensure one staff completed a required background check every five years.

“Evidence: The most recent sworn statement in the record of Staff #1 (DOE: 02/22/18) was completed on 02/28/23. The previous sworn statement in the record was completed on 02/16/18. A new sworn statement should have been completed no later than 02/16/23.”

Rule 22.1-289.035-A.

Based on a review of six staff records and interview, the center did not ensure one staff had a complete sworn statement or affirmation prior to employment.

“Evidence: The sworn statement in the record of Staff #5 (DOE: 06/12/22) was completed on 11/04/22. The center was unable to locate a sworn statement that was completed prior to the staff beginning employment.”

Rule 8VAC20-770-60-B.

Based on a review of five children’s records and interview, the center did not ensure one child had a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance.

“Evidence: 1) The record of Child #5 (DOA: 09/15/22) did not contain documentation of a physical examination. 2) During interview, a member of management confirmed a physical examination was not on file for Child #5.”

Rule 8VAC20-780-140-A.

Based on a review of six staff records, the center did not ensure three staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years.

Rule 8VAC20-780-160-C.

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

“Evidence: The Virginia Department of Education-sponsored orientation course in the record of Staff #5 (DOE: 06/12/22) was completed on 01/12/23; exceeding 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

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

“Evidence: 1) The record of Staff #3 (DOE: 05/12/21) contained a total of 8 hours of annual training from 05/2022 - 05/2023. 2) The record of Staff #6 (DOE: 04/21/21) contained a total of 7 hours of annual training from 04/2022 - 04/2023. 3) During interview, a member of management confirmed the staff members did not have 16 hours of annual training on file.”

Rule 8VAC20-780-245-A.

Based on observations of the playground area, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on a 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.

“Evidence: 1) The record of Child #2 (DOA: 09/06/22) indicated the child has a diagnosed food allergy, but the record did not contain a written care plan, 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. 2) During interview, a member of management confirmed a written care plan has not been obtained for Child #2.”

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

Based on a review of five children’s records and interview, the center did not obtain the required written agreements between the parent and the center for one child.

Rule 8VAC20-780-90-A.

Based on review of six staff records, the center did not ensure two staff obtained Virginia preservice training within 90 days of employment.

“Evidence: 1. The record of staff #2, hired 04/21/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment. 2. The record of staff #5, hired 05/12/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment.”

Rule 8VAC20-790-600-B.

Based on review of six staff records, the center did not obtain an out of state child abuse and neglect search for one staff by the end of the 30th day of employment for each state the individual has resided in the past five years.

“Evidence: The record of staff #5, hired 05/12/2021, indicated staff #5 had lived out of state in the past five years. The record contained documentation that a request for an out of state child abuse and neglect search had been requested on 05/12/2022, exceeding the requirement to request an out of state child abuse and neglect search by the end of the 30th day of employment and to follow-up 45 days after request of search.”

Rule 22.1-289.035-B-4.

Based on review of six staff records and interview, the center did not obtain central registry results for one staff by the end of the 30th day of employment.

“Evidence: The record of staff #3, hired 07/22/2019, had documentation of a central registry check that was dated 02/09/2021, exceeding 30 days from the hire date. 2. Administration for staff records stated the central registry dated 02/09/2021 was the original central registry for staff #3.”

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

Based on review of three children’s records and interview, the center did not obtain documentation of one child’s immunizations required by the State Board of Health before the child’s attendance.

“Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain documentation of immunizations. 2. The director stated she had not received documentation of immunizations for child #3.”

Rule 8VAC20-780-130-A.

Based on review of three children’s records and interview, the center did not obtain documentation of a physical examination for one child’s record before the child’s attendance; or within 30 days after the first day of attendance.

“Evidence: 1. The record for child #3, enrolled 09/07/2021, did not contain documentation of a physical. 2. The director stated a physical had not been received for child #3.”

Rule 8VAC20-780-140-A.

Based on review of six staff records, the center did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing.

“Evidence: The most recent documentation of a tuberculosis screening for staff #1, was dated 03/26/2020, exceeding the two year requirement to renew.”

Rule 8VAC20-780-160-C.

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: Multiple bottles of cleaning and disinfecting materials were observed unlocked in the kitchen area that was open to the main area used for childcare.”

Rule 8VAC20-780-280-B.

Based on review of three children’s records and interview, the center did not maintain and keep at the center a separate record for one child enrolled which contained all required information.

“Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain the following required information; birthdate of child, name and phone number of child’s physician, and written agreements between parent and the center. 2. The director stated the record of child #3 was missing information and that she had requested the missing information, however the parent had not provided it.”

Rule 8VAC20-780-60-A.