Young Men's Christian Association of Greater Richmond-Evergreen

8VAC20-790-600-D-2

“REPEAT VIOLATION: Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current first aid certification. 2. The vendor stated that staff #5's certification had expired.”

8VAC20-790-600-D-1

“REPEAT VIOLATION Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current CPR certification. 2. The vendor stated that staff #5's certification had expired.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to maintain a record for one child that contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/23/2023) contained one of the two required emergency contacts. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that child #1's second emergency contact was missing.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #1 (date of attendance: 8/23/2023) did not contain an immunization record. 2. Administration acknowledged the record was not obtained.”

8VAC20-790-600-D-2

“REPEAT VIOLATION: Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current first aid certification. 2. The vendor stated that staff #5's certification had expired.”

8VAC20-790-600-D-1

“REPEAT VIOLATION Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current CPR certification. 2. The vendor stated that staff #5's certification had expired.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to maintain a record for one child that contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/23/2023) contained one of the two required emergency contacts. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that child #1's second emergency contact was missing.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #1 (date of attendance: 8/23/2023) did not contain an immunization record. 2. Administration acknowledged the record was not obtained.”

8VAC20-790-600-D-1

“Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a CPR certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure that one (1) staff annually attended at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record of staff #4 (date of employment: 9/30/21) did not contain a 2022 health and safety update course certificate. 2. Administration acknowledged that they did not have record of the course completion.”

8VAC20-790-600-D-2

“Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a first aid certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

8VAC20-780-140-A

“Based on a review of five (5) children's records and interview, the center did not ensure that two (2) children 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 records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-560-I

“Based on observation and interview, the center did not ensure that contaminated or spoiled food was not served to children. Evidence: 1. On 4/17/2023, the children were observed eating Sunchips and applesauce. Several of the bags showed an expiration date of 4/11/2023. 2. Administration acknowledged that the chips had expired.”

8VAC20-780-550-D

“Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in February and March of 2023.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) were missing all required record information. Administration stated in interview that that the digital records were empty. The record of child #5 (date of enrollment: 9/21/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a current dated menu was posted in a location conspicuous to parents or given to parents as required. Evidence: 1. The center was observed serving snack. A snack menu was not posted. 2. Administration acknowledged that the current menu was not posted or given to the parents.”

8VAC20-780-130-A

“Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain an immunization record. 2. Administration acknowledged that the records were incomplete.”

8VAC20-790-600-D-1

“Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a CPR certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure that one (1) staff annually attended at least 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record of staff #4 (date of employment: 9/30/21) did not contain a 2022 health and safety update course certificate. 2. Administration acknowledged that they did not have record of the course completion.”

8VAC20-790-600-D-2

“Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a first aid certification. 2. Administration acknowledged that there was not record of a certification for staff #3.”

8VAC20-780-140-A

“Based on a review of five (5) children's records and interview, the center did not ensure that two (2) children 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 records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-560-I

“Based on observation and interview, the center did not ensure that contaminated or spoiled food was not served to children. Evidence: 1. On 4/17/2023, the children were observed eating Sunchips and applesauce. Several of the bags showed an expiration date of 4/11/2023. 2. Administration acknowledged that the chips had expired.”

8VAC20-780-550-D

“Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in February and March of 2023.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) were missing all required record information. Administration stated in interview that that the digital records were empty. The record of child #5 (date of enrollment: 9/21/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a current dated menu was posted in a location conspicuous to parents or given to parents as required. Evidence: 1. The center was observed serving snack. A snack menu was not posted. 2. Administration acknowledged that the current menu was not posted or given to the parents.”

8VAC20-780-130-A

“Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain an immunization record. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-540-D

“Based on review of documentation and interview, the center did not ensure that the required emergency supplies were available at the center. Evidence: 1. On 11/4/2022, the Department of Education received a serious injury report that a child had sustained an injury that required medical attention on 11/3/2022. In the report, the center's representative wrote that the center was out of instant ice packs so they were unable to give ice to the injured child. On 11/16/2022, staff were interviewed on site. Staff #2 who was present on site the day of the injury confirmed that the staff were unable to locate and provide ice or a cooling agent. An ice pack or cooling agent is an emergency supply that is required to be available at the center.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/22/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. The record was missing one (1) contact. The record of child #2 (date of enrollment: 8/22/2022) was missing the contact information for one (1) designated person. The record of child #4 (date of enrollment: 8/22/2022) was missing the contact information for two (2) designated people. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-140-A

“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 #2 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the record was not obtained.”

8VAC20-780-70

“Based on a review of two (2) staff records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The records of staff #1 and staff #2 did not contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. 2. The records of staff #1 and staff #2 did not contain information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities. 3. Administration acknowledged that the staff's health and emergency contact information were not available on site during the inspection.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure that children's hands were washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: 1. On 10/12/2022, the children were observed using hand sanitizer before eating snack. 2. Administration acknowledged that the children did not wash their hands with soap and running water or disposable wipes before eating.”

8VAC20-780-550-D

“Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in August or September.”

8VAC20-820-120-E-2

“Based on observation and interview, the center did not ensure to post the findings of the most recent inspection as required. Evidence: 1. The most recent inspection was not observed on the center's licensing board. 2. Administration acknowledged that the most recent inspection findings were not posted.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/22/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. The record was missing one (1) contact. The record of child #2 (date of enrollment: 8/22/2022) was missing the contact information for one (1) designated person. The record of child #4 (date of enrollment: 8/22/2022) was missing the contact information for two (2) designated people. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-140-A

“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 #2 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the record was not obtained.”

8VAC20-780-70

“Based on a review of two (2) staff records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The records of staff #1 and staff #2 did not contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. 2. The records of staff #1 and staff #2 did not contain information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities. 3. Administration acknowledged that the staff's health and emergency contact information were not available on site during the inspection.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure that children's hands were washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: 1. On 10/12/2022, the children were observed using hand sanitizer before eating snack. 2. Administration acknowledged that the children did not wash their hands with soap and running water or disposable wipes before eating.”

8VAC20-780-550-D

“Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's evacuation log was not up to date. 2. Administration acknowledged that the drills were not completed in August or September.”

8VAC20-820-120-E-2

“Based on observation and interview, the center did not ensure to post the findings of the most recent inspection as required. Evidence: 1. The most recent inspection was not observed on the center's licensing board. 2. Administration acknowledged that the most recent inspection findings were not posted.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure to obtain the results of a fingerprint background check for one staff prior to the first date of employment as required. Evidence: 1. The record of staff #1 (DOH:9/23/2019) contained the results of a fingerprint background check dated 10/8/2019. 2. Administration acknowledged that the background check was completed after the first date of employment.”

8VAC20-780-540-C

“Based on observation and interview, the center did not ensure to maintain a first aid kit that contained all of the required supplies. Evidence: 1. The first aid kit did not contain a thermometer. 2. Administration acknowledged that the first aid kit was missing a thermometer.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure to obtain the results of an out of state sex offender registry background check for one staff hired prior to 7/1/2020 by 12/31/2020 as required. Evidence: 1. The record of staff #1 (DOH: 9/23/2019) contained a sworn statement that indicated that the staff resided outside of the state within the preceding 5 years. 2. The record contained an out of state sex offender check dated 3/12/2021. The check was required to be completed by 12/31/2020. 3. Administration acknowledged that the out of state background check was completed late.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information. Evidence: 1. The records of child #1 (DOE: 08/23/2021), child #2 (DOE:08/23/2021) and child #3 (DOE: 10/11/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was incomplete and the records for each child did not contain the required 2 designated people to call if the parents could not be reached.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for one staff. Evidence: 1. The record of staff #1 (DOH: 09/23/2019) contained the results of a central registry finding dated 1/6/2020. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure to obtain a completed sworn statement for one staff prior to employment as required. Evidence: 1. The record of staff #2 (DOH:5/12/2021) contained a sworn statement dated 4/26/2021. The questions were not completed by the staff member. 2. Administration acknowledged that the sworn statement was incomplete.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure to obtain the results of a fingerprint background check for one staff prior to the first date of employment as required. Evidence: 1. The record of staff #1 (DOH:9/23/2019) contained the results of a fingerprint background check dated 10/8/2019. 2. Administration acknowledged that the background check was completed after the first date of employment.”

8VAC20-780-540-C

“Based on observation and interview, the center did not ensure to maintain a first aid kit that contained all of the required supplies. Evidence: 1. The first aid kit did not contain a thermometer. 2. Administration acknowledged that the first aid kit was missing a thermometer.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure to obtain the results of an out of state sex offender registry background check for one staff hired prior to 7/1/2020 by 12/31/2020 as required. Evidence: 1. The record of staff #1 (DOH: 9/23/2019) contained a sworn statement that indicated that the staff resided outside of the state within the preceding 5 years. 2. The record contained an out of state sex offender check dated 3/12/2021. The check was required to be completed by 12/31/2020. 3. Administration acknowledged that the out of state background check was completed late.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information. Evidence: 1. The records of child #1 (DOE: 08/23/2021), child #2 (DOE:08/23/2021) and child #3 (DOE: 10/11/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was incomplete and the records for each child did not contain the required 2 designated people to call if the parents could not be reached.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for one staff. Evidence: 1. The record of staff #1 (DOH: 09/23/2019) contained the results of a central registry finding dated 1/6/2020. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure to obtain a completed sworn statement for one staff prior to employment as required. Evidence: 1. The record of staff #2 (DOH:5/12/2021) contained a sworn statement dated 4/26/2021. The questions were not completed by the staff member. 2. Administration acknowledged that the sworn statement was incomplete.”

22VAC40-191-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for two staff. Evidence: 1. The record of staff #1 (09/30/2021) did not contain the results of a central registry finding. The record of staff #2 (DOH:09/20/2021) contained the results of a central registry finding dated 10/27/2021. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

22VAC40-185-70-A

“Based on record review and interview, the center did not ensure that a complete record was kept for one staff. Evidence: 1. The record of staff #1 (DOH: 09/30/2021) did not contain documentation of orientation training. 2. Administration acknowledged that the orientation training was conducted but not documented.”

22VAC40-185-540-C

“Based on observation and interview, the center did not ensure that the first aid kit contained all of the required supplies. Evidence: 1. The first aid kit did not contain triangular bandages. 2. Administration acknowledged that they were missing.”

22VAC40-185-540-E

“Based on observation and interview, the center did not ensure that all required nonmedical emergency supplies were kept on site. Evidence: 1. The center did not have a working battery operated flashlight and a working battery operated radio. 2. Administration acknowledged that the supplies were missing.”

22VAC40-185-60-A

“Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information. Evidence: 1. The records of child #1 (DOE: 8/23/2021) and child #2 (DOE:08/23/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was missing.”

22VAC40-191-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry finding within 30 days of employment for two staff. Evidence: 1. The record of staff #1 (09/30/2021) did not contain the results of a central registry finding. The record of staff #2 (DOH:09/20/2021) contained the results of a central registry finding dated 10/27/2021. 2. Administration acknowledged that the central registry findings were not received within the required time frame.”

22VAC40-185-70-A

“Based on record review and interview, the center did not ensure that a complete record was kept for one staff. Evidence: 1. The record of staff #1 (DOH: 09/30/2021) did not contain documentation of orientation training. 2. Administration acknowledged that the orientation training was conducted but not documented.”

22VAC40-185-540-C

“Based on observation and interview, the center did not ensure that the first aid kit contained all of the required supplies. Evidence: 1. The first aid kit did not contain triangular bandages. 2. Administration acknowledged that they were missing.”

22VAC40-185-540-E

“Based on observation and interview, the center did not ensure that all required nonmedical emergency supplies were kept on site. Evidence: 1. The center did not have a working battery operated flashlight and a working battery operated radio. 2. Administration acknowledged that the supplies were missing.”

22VAC40-185-60-A

“Based on record review and interview, the center did not ensure to keep a separate record for each child enrolled that contained all of the required information. Evidence: 1. The records of child #1 (DOE: 8/23/2021) and child #2 (DOE:08/23/2021) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that the emergency contact information was missing.”