Young Men's Christian Association of Greater Richmond - MES

8VAC20-790-600-D-1

“Repeat All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration; and current certification in first aid appropriate to the ages of children in care. Staff #2, employed for 22 months, did not have current CPR and first aid certification.”

8VAC20-780-510-G

“The center shall ensure medication is labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. One medication, Epi-Pen, was observed without a child's name, the dosage amount and the time or times to be given. Center Director confirmed the medication belonged to child #6, currently enrolled in the program.”

8VAC20-780-540-E

“The center shall maintain one working, battery-operated radio in each building used by children. The battery-operated radio was not operational. Staff #1 stated additional batteries were not available.”

8VAC20-780-150-B

“Each report of immunizations shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record of child #1 contained documentation of immunizations that were not dated or signed by a physician. 2. The record of child #4 contained documentation of immunizations that were not signed by a physician.”

8VAC20-780-530-C

“Repeat There shall be at least two staff members who have obtained current CPR and first aid certification present on the premises during the center's hours of operation, on field trips, and wherever children are in care. Staff #1 and staff #3 were the only staff on site on February 18, 2026. Neither staff #1 or staff #3 had obtained CPR and first aid certification.”

8VAC20-780-530-A-2

“The center shall have at least one staff in each classroom or area where children are present with current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #1 and staff #3 were observed with a group of children. Neither staff #1 or staff #3 had current first aid certification.”

8VAC20-780-530-A-1

“Repeat The center shall have at least one staff in each classroom or area where children are present with current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff #1 and staff #3 were observed with a group of children. Neither staff #1 or staff #3 had current CPR certification.”

8VAC20-780-245-L

“Repeat There shall always be at least one staff member on duty who has obtained within the last three years instruction for performing the daily health observation of children. Staff #1 and staff #3, the only staff on site on February 18, 2026, did not have daily health observation training.”

8VAC20-780-245-J-3

“The center shall ensure when any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed, shall always be in the care of a staff member or independent contractor who meets the requirements. Child #1 prescribed an emergency medication was in care on February 18, 2026. Staff #1 and staff #3, the only staff on site, did not have MAT certification.”

8VAC20-790-600-D-2

“Repeat All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. However, staff who are registered nurses or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. 1. Staff #1, employed for three months and three days, did not have first aid certification. 2. Staff #2, employed for five months, did not have first aid certification.”

8VAC20-790-600-D-1

“Repeat All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. 1. Staff #1, employed for three months and three days, did not have CPR certification. 2. Staff #2, employed for five months, did not have CPR certification.”

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening. An updated tuberculosis screening for staff #3 was due seven days ago.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. The record of child #1, enrolled for 31 days, did not have documentation of immunizations. 2. The record of child #2, enrolled for 32 days, did not have documentation of immunizations. 3. The record of child #3, enrolled for 32 days, did not have documentation of immunizations. 4. The record of child #4, enrolled for 24 days, did not have documentation of immunizations. 5. The record of child #5, enrolled for 32 days, did not have documentation of immunizations.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Provisional hires, effect 7/1/2024, require all out of state background checks to be requested prior to employment. The record of staff #1, employed for 11 months, contained a completed out of state child abuse and neglect search dated three months after employment. There was no documentation that the out of state child abuse and neglect check was requested prior to employment.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. 1. Staff #1, who has not completed daily health observation training, was observed alone on the premises with children. 2. Staff #2, who arrived approximately 35 minutes later did not have daily health observation training.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff #1, alone with children for 45 minutes, did not have CPR certification that included an in-person competency demonstration.”

8VAC20-780-530-C

“There shall be at least two staff members who meet the requirements of having current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. 1. Staff #1 was the only staff on site for 45 minutes. Staff #1 does not have CPR certification that includes an in-person competency demonstration.”

8VAC20-780-560-F

“Repeat When centers choose to provide meals or snacks, children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns. Staff #1 was observed telling a child they couldn?t have a second serving of snack.”

8VAC20-780-60-A-8

“Repeat The center shall 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. 1. The record of child #6, with an allergy, did not contain an allergy care plan. 2. The record of child #7, with an allergy, did not contain an allergy care plan”

8VAC20-780-60-A

“Repeat Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. 1. The record of child #3 did not contain the Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and the place of employment and work phone number for the two parents listed. 2. There was no record for child #3 who was in attendance on September 17, 2025. 3. Staff #1 stated she was not able to access children’s records on the iPad system.”

8VAC20-780-40-M

“Repeat The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergy, sensitivities, and dietary restriction list was not dated.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. 1. The record for child #1 (enrolled for 31 days), child #2 (enrolled 32 days), child #3 (enrolled 32 days), child #4 (enrolled 24 days), and child #5 (enrolled for 32 days) did not contain documentation of a signed agreement. 2. Staff #1 stated she was not able to access children’s records on the iPad system.”

8VAC20-780-340-C

“During the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. 1. On September 17, 2025, for approximately 45 minutes, staff #1 was the only staff on the premises with a total of 17 children. 2. The second staff arrived on site at 3:34 pm.”

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening. An updated tuberculosis screening for staff #3 was due seven days ago.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. The record of child #1, enrolled for 31 days, did not have documentation of immunizations. 2. The record of child #2, enrolled for 32 days, did not have documentation of immunizations. 3. The record of child #3, enrolled for 32 days, did not have documentation of immunizations. 4. The record of child #4, enrolled for 24 days, did not have documentation of immunizations. 5. The record of child #5, enrolled for 32 days, did not have documentation of immunizations.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Provisional hires, effect 7/1/2024, require all out of state background checks to be requested prior to employment. The record of staff #1, employed for 11 months, contained a completed out of state child abuse and neglect search dated three months after employment. There was no documentation that the out of state child abuse and neglect check was requested prior to employment.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. 1. Staff #1, who has not completed daily health observation training, was observed alone on the premises with children. 2. Staff #2, who arrived approximately 35 minutes later did not have daily health observation training.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff #1, alone with children for 45 minutes, did not have CPR certification that included an in-person competency demonstration.”

8VAC20-780-530-C

“There shall be at least two staff members who meet the requirements of having current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. 1. Staff #1 was the only staff on site for 45 minutes. Staff #1 does not have CPR certification that includes an in-person competency demonstration.”

8VAC20-780-560-F

“Repeat When centers choose to provide meals or snacks, children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns. Staff #1 was observed telling a child they couldn?t have a second serving of snack.”

8VAC20-780-60-A-8

“Repeat The center shall 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. 1. The record of child #6, with an allergy, did not contain an allergy care plan. 2. The record of child #7, with an allergy, did not contain an allergy care plan”

8VAC20-780-60-A

“Repeat Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. 1. The record of child #3 did not contain the Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and the place of employment and work phone number for the two parents listed. 2. There was no record for child #3 who was in attendance on September 17, 2025. 3. Staff #1 stated she was not able to access children’s records on the iPad system.”

8VAC20-780-40-M

“Repeat The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergy, sensitivities, and dietary restriction list was not dated.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. 1. The record for child #1 (enrolled for 31 days), child #2 (enrolled 32 days), child #3 (enrolled 32 days), child #4 (enrolled 24 days), and child #5 (enrolled for 32 days) did not contain documentation of a signed agreement. 2. Staff #1 stated she was not able to access children’s records on the iPad system.”

8VAC20-780-340-C

“During the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. 1. On September 17, 2025, for approximately 45 minutes, staff #1 was the only staff on the premises with a total of 17 children. 2. The second staff arrived on site at 3:34 pm.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1, employed for seven months, did not have current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for seven months, did not have current first aid certification.”

8VAC20-780-60-A-8

“A written care plan is required 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. The record of child #7, with a diagnosed food allergy, did not contain a written care plan.”

8VAC20-780-60-A

“Repeat Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. 1. The record of child #4 did not contain the work phone number and place of employment of each parent who has custody and 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 #5 did not contain the work phone number and place of employment of each parent who has custody.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record of child #2, enrolled for nine months, did not have documentation of a physical.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #2, enrolled for nine months, did not have documentation of immunizations.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1, employed for seven months, did not have current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for seven months, did not have current first aid certification.”

8VAC20-780-60-A-8

“A written care plan is required 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. The record of child #7, with a diagnosed food allergy, did not contain a written care plan.”

8VAC20-780-60-A

“Repeat Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. 1. The record of child #4 did not contain the work phone number and place of employment of each parent who has custody and 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 #5 did not contain the work phone number and place of employment of each parent who has custody.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record of child #2, enrolled for nine months, did not have documentation of a physical.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #2, enrolled for nine months, did not have documentation of immunizations.”

8VAC20-780-560-F-4

“A menu listing foods to be severed for meals and snacks during the current one-week period shall be dated, be posted in a location conspicuous to parents or given to parents, list any substituted food; and be kept on file for one week at the center. There was no menu posted for the period of September 9, 2024 through September 13, 2024.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns. Child #6 was heard asking for seconds for snack. Extra snacks were available, however staff #1 told the child no.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The center did not have any documentation of completing an annual lockdown for the 2023 year.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report. The most recent fire inspection report was dated 06/27/2023. A current fire inspection had not been obtained.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. Staff #1 stated she did not have a list of allergies, sensitivities, and dietary restrictions and that she didn't know of any allergies among the children enrolled. The record of child #6 contained documentation of a diagnosed food allergy.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #5, who had been attending for one week, contained documentation of immunizations dated after the first day of attendance.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. 1. The record for child #2, enrolled for three weeks, was missing the following required components: the work phone number and place of employment of each parent who has custody. 2. The record of child #5, enrolled for one week, was missing the following required components: the work phone number and place of employment of each parent who has custody and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be”

8VAC20-780-560-F-4

“A menu listing foods to be severed for meals and snacks during the current one-week period shall be dated, be posted in a location conspicuous to parents or given to parents, list any substituted food; and be kept on file for one week at the center. There was no menu posted for the period of September 9, 2024 through September 13, 2024.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns. Child #6 was heard asking for seconds for snack. Extra snacks were available, however staff #1 told the child no.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The center did not have any documentation of completing an annual lockdown for the 2023 year.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report. The most recent fire inspection report was dated 06/27/2023. A current fire inspection had not been obtained.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. Staff #1 stated she did not have a list of allergies, sensitivities, and dietary restrictions and that she didn't know of any allergies among the children enrolled. The record of child #6 contained documentation of a diagnosed food allergy.”

8VAC20-780-130-A

“Repeat The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #5, who had been attending for one week, contained documentation of immunizations dated after the first day of attendance.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. 1. The record for child #2, enrolled for three weeks, was missing the following required components: the work phone number and place of employment of each parent who has custody. 2. The record of child #5, enrolled for one week, was missing the following required components: the work phone number and place of employment of each parent who has custody and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be”

8VAC20-790-600-F

“Based on review of three staff records, the center did not ensure three 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 most recent completion of the department’s annual health and safety update course for staff #3 (employed 09/01/2020) was dated 04/26/2021. There was no current 2023 documentation of the health and safety updated training.”

8VAC20-780-550-I

“Based on observation, the center did not post in a visible place at each telephone, 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center. Evidence: 1. The number 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted. 2. Staff #3 stated emergency numbers were in the licensing notebook. The notebook was kept in the storage closet.”

8VAC20-780-240-A

“Based on review of three staff records, the center did not ensure two staff completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record of staff #1, employed 09/01/2020, contained 11 hours of annual training for the period of 09/01/2022 through 08/31/2023 when 16 hours is required. 2. The record of staff #2, employed 07/08/2021, contained 11 hours of annual training for the period of 07/08/2022 through 07/07/2023 when 16 hours is required.”

8VAC20-780-140-A

“Repeat Based on review of five children’s records, the center did not obtain documentation of a physical before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #1, enrolled 08/22/2023, contained documentation of a physical dated 09/26/2023, exceeding 30 days from the first day of attendance. 2. A member of management confirmed the physical for child #1 was obtained more than 30 days after the first day of attendance.”

8VAC20-780-130-A

“Repeat Based on review of five children’s records, the center did not obtain documentation of immunizations for one child before the child attended the center. Evidence: 1. The record of child #1, enrolled 08/22/2023, contained documentation of immunizations dated 09/26/2023, exceeding the first day of attendance. 2. A member of management confirmed the immunization record for child #1 was obtained after the first day the child attended the center.”

8VAC20-780-560-F

“Based on observation, the center did not maintain a menu listing foods to be served for meals and snack during the one-week period. Evidence: A post-it note located on the licensing board was dated 02/26/2023 and listed sun chips and fruit for snack. There was no posting for today’s snack or the remaining three days for the week of February 26 through March 1, 2024.”