Young Men's Christian Association of Greater Richmond - Munford

8VAC20-790-600-F

“Based on a review of five records and interview, the vendor did not ensure that five staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #1 (date of employment: 3/18/2021) contained a health and safety update course dated 8/30/2022.The record of staff #2 (date of employment 9/22/2022) did not contain a health and safety update course. The record of staff #3 (date of employment: 8/16/2022) did not contain a health and safety update course. The record of staff #4 (date of employment: 9/8/2021) did not contain a health and safety update course. The record of staff #5 (date of employment: 9/14/2022) did not contain a health and safety update course. 2. The vendor acknowledged that staff #1 had not completed the 2023 update course by 8/30/2023. The vendor stated that the current annual update course certificates were not in the records for staff #2, #3, #4, and #5.”

8VAC20-770-60-B

“Based on a review of five staff records and interview, the center did not ensure that one staff had a complete sworn statement prior to employment as required. Evidence: 1. The record of staff #5 (date of employment: 9/14/2022) contained a sworn statement dated 8/22/2022. The sworn statement questions were not completed. 2. Administration acknowledged that a complete sworn statement was not in the record.”

8VAC20-780-560-J

“Based on observation and interview, the center did not ensure that tables were sanitized before and after each use for feeding as required. Evidence: 1. On 9/21/2023, staff were observed cleaning the tables after snack with sanitizing wipes. After wiping the tables, the children started working on activities at the tables. 2. Administration acknowledged that the tables were not sanitized according to the requirements. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.”

8VAC20-780-160-C

“Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative repeat tuberculosis screening for one staff every two years as required. Evidence: 1. The record of staff #4 (date of employment: 9/8/2021) contained a TB screening dated 8/27/2021. 2. Administration acknowledged they did not have documentation of a follow up TB screening.”

8VAC20-790-600-F

“Based on a review of five records and interview, the vendor did not ensure that five staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #1 (date of employment: 3/18/2021) contained a health and safety update course dated 8/30/2022.The record of staff #2 (date of employment 9/22/2022) did not contain a health and safety update course. The record of staff #3 (date of employment: 8/16/2022) did not contain a health and safety update course. The record of staff #4 (date of employment: 9/8/2021) did not contain a health and safety update course. The record of staff #5 (date of employment: 9/14/2022) did not contain a health and safety update course. 2. The vendor acknowledged that staff #1 had not completed the 2023 update course by 8/30/2023. The vendor stated that the current annual update course certificates were not in the records for staff #2, #3, #4, and #5.”

8VAC20-770-60-B

“Based on a review of five staff records and interview, the center did not ensure that one staff had a complete sworn statement prior to employment as required. Evidence: 1. The record of staff #5 (date of employment: 9/14/2022) contained a sworn statement dated 8/22/2022. The sworn statement questions were not completed. 2. Administration acknowledged that a complete sworn statement was not in the record.”

8VAC20-780-560-J

“Based on observation and interview, the center did not ensure that tables were sanitized before and after each use for feeding as required. Evidence: 1. On 9/21/2023, staff were observed cleaning the tables after snack with sanitizing wipes. After wiping the tables, the children started working on activities at the tables. 2. Administration acknowledged that the tables were not sanitized according to the requirements. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.”

8VAC20-780-160-C

“Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative repeat tuberculosis screening for one staff every two years as required. Evidence: 1. The record of staff #4 (date of employment: 9/8/2021) contained a TB screening dated 8/27/2021. 2. Administration acknowledged they did not have documentation of a follow up TB screening.”

8VAC20-770-60-C-2

“Based on a review of four (4) staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff within 30 days of employment as required. Evidence: 1. The record of staff #1 (date of employment: 09/08/2021) contained a central registry finding dated 05/04/2022. 2. Administration acknowledged that the findings were not obtained within the required time frame.”

8VAC20-770-60-B

“Based on a review of four (4) staff records and interview, the center did not ensure that one (1) staff had a completed sworn statement prior to the first date of employment as required. Evidence: 1. The record of staff #4 (date of employment: 10/8/2022) did not contain a completed sworn statement. 2. Administration acknowledged that the sworn statement was missing from the record.”

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 #4 (date of attendance: 08/29/2022) did not contain a physical report. 2. Administration acknowledged that the report had not been obtained.”

8VAC20-780-40-E

“Based on review of documentation, observation, and interview, the center did not ensure that the center's services were maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. The record of child #1 (date of enrollment: 8/29/2022) contained a current medication authorization. The medication in the center’s lock box expired in July of 2022. The center’s procedure for methods to prevent use of outdated medication stated that ?If medication is found to be out-of-date, the medication must be immediately returned to the locked location?when the child is picked up that same day, the medication must be handed in person to the parent/legal guardian for their disposal?Staff are responsible for completing a medication checklist once a month in order to stay on top of expiring medications and authorization forms.? 2. Administration acknowledged that the medication was expired and had not been returned to the parent.”

8VAC20-770-60-C-2

“Based on a review of 2 staff records and interview, the center did not ensure to obtain the results of a central registry background check by the end of the 30th day for 1 staff as required. Evidence: 1. The record of staff #2 (DOH: 10/04/2021) contained a central registry background check dated 11/16/2021. 2. Administration acknowledged that the results were not received within the required time frame.”