Young Men's Christian Association of Greater Richmond-Crestview

8VAC20-780-60-A-8

“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.”

8VAC20-780-160-A

“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.”

8VAC20-770-40-D-6

“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.”

22.1-289.035-B-2

“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.”

8VAC20-780-240-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.”

8VAC20-780-60-A-8

“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.”

8VAC20-780-160-A

“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.”

8VAC20-770-40-D-6

“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.”

22.1-289.035-B-2

“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.”

8VAC20-780-240-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.”

8VAC20-790-600-F

“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.”

8VAC20-780-245-L

“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.”

8VAC20-780-540-C

“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.”

8VAC20-780-60-A

“Based you review of five children’s records, the center did not obtain all required information for five children’s records. Evidence: 1. The record of child #1, enrolled 01/17/2023, did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #1 also did not contain the work phone number and employer of each parent who has custody. 2. 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. The record of child #2 also did not contain the work phone number of each parent who has custody. 3. The record of child #3, 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. The record of child #3 also did not contain the work phone number of each parent who has custody. 4. The record of child #4, 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. 5. The record of child #5, enrolled 08/29/2022, did not contain the name, address and phone number of one designated person to call in an emergency if a parent cannot be reached. The record of child #5 also did not contain the work phone number of each parent who has custody”

8VAC20-790-600-F

“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.”

8VAC20-780-245-L

“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.”

8VAC20-780-540-C

“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.”

8VAC20-780-60-A

“Based you review of five children’s records, the center did not obtain all required information for five children’s records. Evidence: 1. The record of child #1, enrolled 01/17/2023, did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #1 also did not contain the work phone number and employer of each parent who has custody. 2. 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. The record of child #2 also did not contain the work phone number of each parent who has custody. 3. The record of child #3, 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. The record of child #3 also did not contain the work phone number of each parent who has custody. 4. The record of child #4, 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. 5. The record of child #5, enrolled 08/29/2022, did not contain the name, address and phone number of one designated person to call in an emergency if a parent cannot be reached. The record of child #5 also did not contain the work phone number of each parent who has custody”

8VAC20-780-510-L

“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.”

8VAC20-780-60-A

“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.”

8VAC20-780-245-J-3

“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.”

8VAC20-790-600-B

“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.”

8VAC20-790-600-D-2

“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.”

8VAC20-790-600-D-1

“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.”

8VAC20-780-510-L

“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.”

8VAC20-780-160-A

“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.”

8VAC20-770-60-C-2

“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.”

22.1-289.035-A

“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.”

8VAC20-770-60-B

“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.”

8VAC20-790-600-B

“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.”

8VAC20-790-600-D-2

“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.”

8VAC20-790-600-D-1

“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.”

8VAC20-780-510-L

“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.”

8VAC20-780-160-A

“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.”

8VAC20-770-60-C-2

“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.”

22.1-289.035-A

“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.”

8VAC20-770-60-B

“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.”