Young Men's Christian Association of Greater Richmond-JB Watkins

8VAC20-770-60-C-2

“Based on a review of three (3) staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #3 (date of employment: 3/20/2023) did not contain a central registry finding. 2. Administration acknowledged that they did not have the finding in the record.”

8VAC20-780-240-A

“Based on a review of three (3) staff records and interview, the center did not ensure that one (1) staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #1 (date of employment: 2/1/2023) did not contain record of the completion of the Virginia Department of Education-sponsored orientation course. 2. Administration acknowledged that the course was not completed within the 90 days as required.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure to keep a separate record for two (2) children that contained the required information. Evidence: 1. The record of child #4 (date of attendance: 3/22/2022) and child #5 (date of attendance: 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. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-70

“Based on a review of five (5) staff records and interview, the center did not ensure that three (3) staff had a complete record. Evidence: 1. Administration identified staff #4 (date of employment: 7/7/2022) as a program leader. The record was missing documentation that the staff possessed the certification and training required by job position. Administration identified staff #5 (date of employment: 6/2/2022) as a program leader. The record was missing documentation that the staff possessed the certification and training required by job position. The record of staff #2 (date of employment: 12/8/2022) was missing documentation of orientation training. 2. Administration acknowledged that the 24 hours of training and orientation had not been documented.”

8VAC20-780-240-E

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment as required. Evidence: 1. The records of staff #2 (date of employment: 12/8/2022) and staff #3 (date of employment: 11/29/2022) did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR). 2. Administration acknowledged that the training was not completed.”

8VAC20-780-540-D

“Based on observation and interview, the center did not ensure that the required emergency supplies were available. Evidence: 1. A ice pack or cooling agent was not available during the inspection. 2. Administration acknowledged that they were unable to locate one.”

8VAC20-780-550-G

“Based on observation and interview, the center did not ensure that documentation of emergency evacuation, shelter-in-place, and lockdown drills were maintained. Evidence: 1. An evacuation drill was not documented in December of 2022 as required. One (1) of the two (2) required shelter in place drills in 2022 was not documented. A 2022 lockdown drill was not documented. 2. Administration stated that the drills were conducted by the center but not documented.”

8VAC20-780-60-A-8

“Based on review of documentation and interview, the center did not ensure to obtain a written care plan for one (1) 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: 1. The record of child #2 (date of attendance: 9/2/2022) contained written documentation from the child's physician and parent that the child had diagnosed food allergies. The record did not contain the required written care plan. 2. Administration acknowledged that the child did not have a written care plan.”

8VAC20-780-240-A

“Based on observation and interview, the center did not ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record(s) of staff #1 (date of employment: 8/26/2022), staff #4 (date of employment: 7/7/2022) and staff #5 (date of employment: 6/2/2022) did not contain documentation of course completion. 2. Administration acknowledged that the staff did not have the certificates.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff had a central registry finding within 30 days of employment as required. Evidence: 1. The record of staff #5 (date of employment: 6/2/2022) contained a central registry finding dated 1/12/2023. 2. Administration acknowledged that the finding was not received with 30 days of employment.”

8VAC20-780-140-A

“Based on a review of five (5) child 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 #1 (date of attendance: 12/8/2022) did not contain a physical. 2. Administration acknowledged that the physical record was not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that four (4) records contained the required information. 1. The record of child #1 (date of attendance 12/8/2022) 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 of child #2 (date of attendance: 9/2/2022) 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 of child #3 (date of attendance: 1/25/2023) 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 of child #4 (date of attendance: 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. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-70

“Based on a review of five (5) staff records and interview, the center did not ensure that three (3) staff had a complete record. Evidence: 1. Administration identified staff #4 (date of employment: 7/7/2022) as a program leader. The record was missing documentation that the staff possessed the certification and training required by job position. Administration identified staff #5 (date of employment: 6/2/2022) as a program leader. The record was missing documentation that the staff possessed the certification and training required by job position. The record of staff #2 (date of employment: 12/8/2022) was missing documentation of orientation training. 2. Administration acknowledged that the 24 hours of training and orientation had not been documented.”

8VAC20-780-240-E

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment as required. Evidence: 1. The records of staff #2 (date of employment: 12/8/2022) and staff #3 (date of employment: 11/29/2022) did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR). 2. Administration acknowledged that the training was not completed.”

8VAC20-780-540-D

“Based on observation and interview, the center did not ensure that the required emergency supplies were available. Evidence: 1. A ice pack or cooling agent was not available during the inspection. 2. Administration acknowledged that they were unable to locate one.”

8VAC20-780-550-G

“Based on observation and interview, the center did not ensure that documentation of emergency evacuation, shelter-in-place, and lockdown drills were maintained. Evidence: 1. An evacuation drill was not documented in December of 2022 as required. One (1) of the two (2) required shelter in place drills in 2022 was not documented. A 2022 lockdown drill was not documented. 2. Administration stated that the drills were conducted by the center but not documented.”

8VAC20-780-60-A-8

“Based on review of documentation and interview, the center did not ensure to obtain a written care plan for one (1) 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: 1. The record of child #2 (date of attendance: 9/2/2022) contained written documentation from the child's physician and parent that the child had diagnosed food allergies. The record did not contain the required written care plan. 2. Administration acknowledged that the child did not have a written care plan.”

8VAC20-780-240-A

“Based on observation and interview, the center did not ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record(s) of staff #1 (date of employment: 8/26/2022), staff #4 (date of employment: 7/7/2022) and staff #5 (date of employment: 6/2/2022) did not contain documentation of course completion. 2. Administration acknowledged that the staff did not have the certificates.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff had a central registry finding within 30 days of employment as required. Evidence: 1. The record of staff #5 (date of employment: 6/2/2022) contained a central registry finding dated 1/12/2023. 2. Administration acknowledged that the finding was not received with 30 days of employment.”

8VAC20-780-140-A

“Based on a review of five (5) child 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 #1 (date of attendance: 12/8/2022) did not contain a physical. 2. Administration acknowledged that the physical record was not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that four (4) records contained the required information. 1. The record of child #1 (date of attendance 12/8/2022) 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 of child #2 (date of attendance: 9/2/2022) 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 of child #3 (date of attendance: 1/25/2023) 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 of child #4 (date of attendance: 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. 2. Administration acknowledged that the records were incomplete.”

8VAC20-790-600-F

“Based on record review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department of Education as required. Evidence: 1. The record of staff #2 (date of employment 5/12/2021) did not contain documentation of the annual health and safety update course. 3. The vendor acknowledged that the annual training update was not completed by staff #2.”

8VAC20-780-80-B-2

“Based on review of documentation and interview, the center did not ensure to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. In interview on 9/28/2022, the center's administration informed the inspector of a serious injury that occurred on 9/7/2022. The injury required outside medical attention. 2. Administration acknowledged that the department's representative was not informed within two business days.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period was dated and posted in a location conspicuous to parents or given to parents. Evidence: 1. A posted menu was observed that was dated for May. 2. Administration acknowledged that the menu was not current and a current copy was not given to the parents.”

8VAC20-780-70

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) records were complete. Evidence: 1. The records of staff #1 (date of employment: 8/26/2022) did not contain documentation to demonstrate that the individual possessed the education required by the position. The record of staff #3 (date of employment: 8/24/2022) did not contain documentation to demonstrate that the individual possessed the orientation training required by the position. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The record of child #3 (date of enrollment: 9/2/2022) 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 of child #4 (date of enrollment: 9/13/2022) was missing the contact information for one designated person. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-160-C

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for one (1) staff at least every two years from the date of the initial screening or testing as required. Evidence: 1. The record of staff # 4 contained a tuberculosis screening dated 8/29/2020. 2. Administration acknowledged that a follow up tuberculosis screening had not been obtained for staff #4.”

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.”

8VAC20-790-600-F

“Based on record review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department of Education as required. Evidence: 1. The record of staff #2 (date of employment 5/12/2021) did not contain documentation of the annual health and safety update course. 3. The vendor acknowledged that the annual training update was not completed by staff #2.”

8VAC20-780-80-B-2

“Based on review of documentation and interview, the center did not ensure to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. In interview on 9/28/2022, the center's administration informed the inspector of a serious injury that occurred on 9/7/2022. The injury required outside medical attention. 2. Administration acknowledged that the department's representative was not informed within two business days.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period was dated and posted in a location conspicuous to parents or given to parents. Evidence: 1. A posted menu was observed that was dated for May. 2. Administration acknowledged that the menu was not current and a current copy was not given to the parents.”

8VAC20-780-70

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) records were complete. Evidence: 1. The records of staff #1 (date of employment: 8/26/2022) did not contain documentation to demonstrate that the individual possessed the education required by the position. The record of staff #3 (date of employment: 8/24/2022) did not contain documentation to demonstrate that the individual possessed the orientation training required by the position. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The record of child #3 (date of enrollment: 9/2/2022) 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 of child #4 (date of enrollment: 9/13/2022) was missing the contact information for one designated person. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-160-C

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for one (1) staff at least every two years from the date of the initial screening or testing as required. Evidence: 1. The record of staff # 4 contained a tuberculosis screening dated 8/29/2020. 2. Administration acknowledged that a follow up tuberculosis screening had not been obtained for staff #4.”

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-7

“Based on record review and interview the center did not ensure to obtain 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: 1. The record of child #1 (DOE: 1/10/2022) contained documentation that the child had a diagnosed food allergy. The record did not contain the required allergy care plan. 2. Administration acknowledged that they did not have an allergy care plan for the child.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that each staff record contained all of the required information. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) contained references that were received after the start of employment dated 1/20/2022. 2. The record of staff #3 did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of employment. 3. Administration acknowledged that the record was not complete.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for one staff within 30 days of employment as required. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) did not contain the results of a central registry background check. 2. Administration acknowledged that the check was missing.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain the results of a negative TB screening at the time of employment as required. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) did not contain a TB screening. 2. Administration acknowledged that the screening was missing.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each enrolled child had a record that contained all of the required information. Evidence: 1. The record of child #2 (DOE: 8/23/2022) and child #3 (DOE: 8/23/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached as required. 2. Administration acknowledged that the record did not contain designated contacts that were not parents.”

8VAC20-780-60-A-7

“Based on record review and interview the center did not ensure to obtain 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: 1. The record of child #1 (DOE: 1/10/2022) contained documentation that the child had a diagnosed food allergy. The record did not contain the required allergy care plan. 2. Administration acknowledged that they did not have an allergy care plan for the child.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that each staff record contained all of the required information. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) contained references that were received after the start of employment dated 1/20/2022. 2. The record of staff #3 did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of employment. 3. Administration acknowledged that the record was not complete.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for one staff within 30 days of employment as required. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) did not contain the results of a central registry background check. 2. Administration acknowledged that the check was missing.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain the results of a negative TB screening at the time of employment as required. Evidence: 1. The record of staff #3 (DOH: 1/14/2022) did not contain a TB screening. 2. Administration acknowledged that the screening was missing.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each enrolled child had a record that contained all of the required information. Evidence: 1. The record of child #2 (DOE: 8/23/2022) and child #3 (DOE: 8/23/2022) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached as required. 2. Administration acknowledged that the record did not contain designated contacts that were not parents.”

63.2(17)-1720.1-B-4

“Based on record review and interview, the center did not ensure to obtain the results of an out of state child abuse and neglect registry search request by the end of the 30th day of employment for one staff. Evidence: 1. The record of staff #1 (DOH:08/23/2021) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record contained an out of state child abuse and neglect registry from one state dated 10/25/2021. 2. Administration acknowledged that the out of state child abuse and neglect registry was not received during the required time frame.”

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 one staff. Evidence: 1. The record of staff #1 (DOH:08/23/2021) contained the results of a central registry dated 10/27/2021. 2. Administration acknowledged that the results had not been received within the required time frame.”

22VAC40-185-140-A

“Based on record review and interview, the center did not ensure to obtain documentation of a physical for one child within the required time frame. Evidence: 1. The record of child #1 (DOE:08/23/2021) did not contain documentation of a complete physical examination. 2. Administration acknowledged that the documenation had not been obtained.”

22VAC40-191-60-B

“Based on record review and interview, the center did not ensure to obtain a complete sworn statement prior to the first date of employment for one staff as required. Evidence: 1. The record of staff #1 (DOH: 08/23/2021) contained an incomplete sworn statement dated 08/13/2021. 2. Administration acknowledged that the sworn statement was incomplete.”

63.2(17)-1720.1-B-4

“Based on record review and interview, the center did not ensure to obtain the results of an out of state child abuse and neglect registry search request by the end of the 30th day of employment for one staff. Evidence: 1. The record of staff #1 (DOH:08/23/2021) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record contained an out of state child abuse and neglect registry from one state dated 10/25/2021. 2. Administration acknowledged that the out of state child abuse and neglect registry was not received during the required time frame.”

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 one staff. Evidence: 1. The record of staff #1 (DOH:08/23/2021) contained the results of a central registry dated 10/27/2021. 2. Administration acknowledged that the results had not been received within the required time frame.”

22VAC40-185-140-A

“Based on record review and interview, the center did not ensure to obtain documentation of a physical for one child within the required time frame. Evidence: 1. The record of child #1 (DOE:08/23/2021) did not contain documentation of a complete physical examination. 2. Administration acknowledged that the documenation had not been obtained.”

22VAC40-191-60-B

“Based on record review and interview, the center did not ensure to obtain a complete sworn statement prior to the first date of employment for one staff as required. Evidence: 1. The record of staff #1 (DOH: 08/23/2021) contained an incomplete sworn statement dated 08/13/2021. 2. Administration acknowledged that the sworn statement was incomplete.”