The Young Men's Christian Association of Danville, Virginia

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 2 contained a documented hire date of 01/12/2022. The sworn statement was dated 01/31/2022.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 2 contained a documented hire date of 01/12/2022. The documentation of a negative tuberculosis screening was dated 02/11/2022. 2. The record for Staff 3 contained a documented hire date of 06/13/2022. The documentation of a negative tuberculosis screening was dated 08/28/2022.”

22.1-289.035-A

“Based on observations and interviews with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: 1. The most recent employment eligibility letter for Staff 1 was dated 02/23/2018. There was no 2023 employment eligibility letter available for review during the inspection. Staff 1 confirmed there was no 2023 employment eligibility letter available for review during the inspection. 2. The most recent employment eligibility letter for Staff 4 was dated 02/13/2018. There was no 2023 employment eligibility letter available for review during the inspection. Staff 1 confirmed there was no 2023 employment eligibility letter available for review during the inspection.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 2 contained a documented hire date of 01/12/2022. The sworn statement was dated 01/31/2022.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 2 contained a documented hire date of 01/12/2022. The documentation of a negative tuberculosis screening was dated 02/11/2022. 2. The record for Staff 3 contained a documented hire date of 06/13/2022. The documentation of a negative tuberculosis screening was dated 08/28/2022.”

22.1-289.035-A

“Based on observations and interviews with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: 1. The most recent employment eligibility letter for Staff 1 was dated 02/23/2018. There was no 2023 employment eligibility letter available for review during the inspection. Staff 1 confirmed there was no 2023 employment eligibility letter available for review during the inspection. 2. The most recent employment eligibility letter for Staff 4 was dated 02/13/2018. There was no 2023 employment eligibility letter available for review during the inspection. Staff 1 confirmed there was no 2023 employment eligibility letter available for review during the inspection.”

22.1-289.035-A

“Based on record review and discussion with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: The most recent sworn statement for Staff 1 was dated 02/14/2017. Staff 3 confirmed there was not a sworn statement for 2022 available during the inspection.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 2 contained a documented hire date of 06/20/2022. Staff 3 confirmed there was not a finding from the search of the central registry available for review.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of license and every five years thereafter. 1. The most recent sworn statement for Agent 1 was dated 08/14/2017. Staff 3 confirmed there was not a sworn statement for 2022 available during the inspection. 2. The most recent sworn statement for Agent 2 was dated 08/14/2017. Staff 3 confirmed there was not a sworn statement for 2022 available during the inspection. 3. The most recent sworn statement for Agent 3 was dated 08/20/2017. Staff 3 confirmed there was not a sworn statement for 2022 available during the inspection.”

8VAC20-780-60-A-8

“Based on record review and discussion with staff, the center failed to ensure 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. Evidence: The record review for Child 1 documented a diagnosed food allergy. Staff 3 confirmed no allergy care plan was available for review.”

8VAC20-780-550-G

“Based on record review and discussion with staff, the center failed to ensure that the documentation of monthly evacuation drills contains all of the required components as required by the standards. Evidence: The emergency evacuation drill for January and February 2022 did not contain the following information: method used for notification of the drill; the number of staff participating; any special conditions simulated; problems encountered, if any; and weather conditions (for emergency evacuation drills only).”

22.1-289.035-A

“Based on record review and discussion with the staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: The record for Staff 2 contained the findings from a search of the central registry dated 02/14/2017; the five year (02/14/2022) repeat search of the central registry was not available for review during the 03/02/2022 inspection.”

8VAC20-780-550-G

“Based on record review and discussion with staff, the center failed to ensure that the documentation of monthly evacuation drills contains all of the required components as required by the standards. Evidence: The emergency evacuation drill for January and February 2022 did not contain the following information: method used for notification of the drill; the number of staff participating; any special conditions simulated; problems encountered, if any; and weather conditions (for emergency evacuation drills only).”

22.1-289.035-A

“Based on record review and discussion with the staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: The record for Staff 2 contained the findings from a search of the central registry dated 02/14/2017; the five year (02/14/2022) repeat search of the central registry was not available for review during the 03/02/2022 inspection.”