Young Men's Christian Association of Greater Richmond - Maybeury

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current first aid certification. 2. A member of management stated staff #1 did not have current first aid certification.”

8VAC20-790-600-F

“Based on review of staff records, the center did not ensure staff obtained in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually. Evidence: 1. The record of staff #2, employed 08/30/2019, contained documentation of the department’s health and safety update course dated 05/31/2021. The record did not contain documentation of the health & safety updated course for the 2022 year. 2. he record of staff #3, employed 06/07/2021, contained documentation of the department’s health and safety update course dated 06/27/2021. The record did not contain documentation of the health & safety updated course for the 2022 year”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current CPR certification. 2. A member of management stated staff #1 did not have current CPR certification.”

8VAC20-780-510-E

“Based on review of the center's medication policy it was determined the medication policy did not address methods to prevent use of outdated medication. Evidence: Emergency medication for child #5 expired 01/2023. The medication was on site. The center’s medication policies did not address preventing the use of outdated medication.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s records. Evidence: 1. The record of child #1, with a diagnosed food allergy, did not have a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to taken in the event of a suspected or confirmed allergic reaction. 2. A member of management stated they did not have a written allergy care plan for child #1.”

8VAC20-780-70

“Based on a review of four staff records and interviews, the center did not ensure that one staff record contained all the required information. Evidence: The tuberculosis (TB) screening results in the record for Staff #1, employed on 09/07/2021, were dated 10/07/2021. 2) During interview, a member of management acknowledged the TB results for Staff #1 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

8VAC20-780-550-D

“Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1. The most recent evacuation drill was documented on 10/31/2022. There was no documentation of evacuation drills from November 2022 through January 2023. 2. A member of management stated the evacuation drills had not been conducted.”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current first aid certification. 2. A member of management stated staff #1 did not have current first aid certification.”

8VAC20-790-600-F

“Based on review of staff records, the center did not ensure staff obtained in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually. Evidence: 1. The record of staff #2, employed 08/30/2019, contained documentation of the department’s health and safety update course dated 05/31/2021. The record did not contain documentation of the health & safety updated course for the 2022 year. 2. he record of staff #3, employed 06/07/2021, contained documentation of the department’s health and safety update course dated 06/27/2021. The record did not contain documentation of the health & safety updated course for the 2022 year”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #1, employed 09/07/2021, did not have documentation of current CPR certification. 2. A member of management stated staff #1 did not have current CPR certification.”

8VAC20-780-510-E

“Based on review of the center's medication policy it was determined the medication policy did not address methods to prevent use of outdated medication. Evidence: Emergency medication for child #5 expired 01/2023. The medication was on site. The center’s medication policies did not address preventing the use of outdated medication.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s records. Evidence: 1. The record of child #1, with a diagnosed food allergy, did not have a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to taken in the event of a suspected or confirmed allergic reaction. 2. A member of management stated they did not have a written allergy care plan for child #1.”

8VAC20-780-70

“Based on a review of four staff records and interviews, the center did not ensure that one staff record contained all the required information. Evidence: The tuberculosis (TB) screening results in the record for Staff #1, employed on 09/07/2021, were dated 10/07/2021. 2) During interview, a member of management acknowledged the TB results for Staff #1 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

8VAC20-780-550-D

“Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1. The most recent evacuation drill was documented on 10/31/2022. There was no documentation of evacuation drills from November 2022 through January 2023. 2. A member of management stated the evacuation drills had not been conducted.”

8VAC20-790-600-B

“Based on review of two staff records, the center did not ensure one staff completed Virginia preservice training within the first 90 days of employment. Evidence: The record of staff #1, hired 10/25/2021, contained documentation of the Virginia preservice training dated 04/26/2022 exceeding 90 days from employment.”

8VAC20-780-530-A-1

“Based on review of two staff records, the center did not ensure one staff held current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: The record of staff #1 contained documentation of CPR certification for adults dated 10/09/2020. The CPR certification did not include certification for child CPR.”

8VAC20-780-510-I

“Based on review of medication authorizations and medication logs, the center did not ensure prescription medications were only administered provided the center has obtained written authorization from a parent or guardian. Evidence: 1. Prescription medication was administered on May 2, 2022 and documented on the medication log for child #5. The medication authorization form was signed by the child’s physician but was not signed by the parent or guardian. 2. The director acknowledged the medication had been administered without written authorization from the parent.”

8VAC20-780-245-L

“Based on review of two staff records and interview, the center did not ensure there was always at least one staff member on duty who has obtained within the past three years instruction in performing the daily health observation of children. Evidence: The record for staff #1 and staff #2 did not contain documentation of daily health observation training for either staff. Staff #1 and Staff #2 were the only staff on duty during the inspection on 06/13/2022. The center administer stated staff #1 and staff #2 did not have daily health observation training”

8VAC20-780-140-A

“Based on review of three children’s records, the center did not obtain documentation of a physical for one child’s record before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #2, enrolled09/08/2021, did not contain documentation of a physical exceeding 30 days from the first day of attendance”

8VAC20-770-60-C-2

“Based on review of two staff records, the center did not obtain results of a central registry check request within 30 days of employment for one staff. Evidence: The record of staff #1, hired 10/25/2021, had documentation of a central registry check dated 12/01/2021 exceeding 30 days from employment. The record did not contain documentation of a follow up with the agency as to the status of the requested central registry check.”

8VAC20-780-280-B

“Based on observation and interview, 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: 1. Two bottles containing cleaning materials and sanitizing agent were observed unlocked in the cafeteria where children are in care. 2. The door to the janitorial closet was ajar. Multiple container of cleaning materials were observed in the closet accessible to children in care. 3. The director stated the school’s cleaning supplies are kept unlocked as the school wants the materials accessible to school personnel.”

8VAC20-790-600-B

“Based on review of two staff records, the center did not ensure one staff completed Virginia preservice training within the first 90 days of employment. Evidence: The record of staff #1, hired 10/25/2021, contained documentation of the Virginia preservice training dated 04/26/2022 exceeding 90 days from employment.”

8VAC20-780-530-A-1

“Based on review of two staff records, the center did not ensure one staff held current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: The record of staff #1 contained documentation of CPR certification for adults dated 10/09/2020. The CPR certification did not include certification for child CPR.”

8VAC20-780-510-I

“Based on review of medication authorizations and medication logs, the center did not ensure prescription medications were only administered provided the center has obtained written authorization from a parent or guardian. Evidence: 1. Prescription medication was administered on May 2, 2022 and documented on the medication log for child #5. The medication authorization form was signed by the child’s physician but was not signed by the parent or guardian. 2. The director acknowledged the medication had been administered without written authorization from the parent.”

8VAC20-780-245-L

“Based on review of two staff records and interview, the center did not ensure there was always at least one staff member on duty who has obtained within the past three years instruction in performing the daily health observation of children. Evidence: The record for staff #1 and staff #2 did not contain documentation of daily health observation training for either staff. Staff #1 and Staff #2 were the only staff on duty during the inspection on 06/13/2022. The center administer stated staff #1 and staff #2 did not have daily health observation training”

8VAC20-780-140-A

“Based on review of three children’s records, the center did not obtain documentation of a physical for one child’s record before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #2, enrolled09/08/2021, did not contain documentation of a physical exceeding 30 days from the first day of attendance”

8VAC20-770-60-C-2

“Based on review of two staff records, the center did not obtain results of a central registry check request within 30 days of employment for one staff. Evidence: The record of staff #1, hired 10/25/2021, had documentation of a central registry check dated 12/01/2021 exceeding 30 days from employment. The record did not contain documentation of a follow up with the agency as to the status of the requested central registry check.”

8VAC20-780-280-B

“Based on observation and interview, 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: 1. Two bottles containing cleaning materials and sanitizing agent were observed unlocked in the cafeteria where children are in care. 2. The door to the janitorial closet was ajar. Multiple container of cleaning materials were observed in the closet accessible to children in care. 3. The director stated the school’s cleaning supplies are kept unlocked as the school wants the materials accessible to school personnel.”