Young Men's Christian Association of Greater Richmond-Northside

8VAC20-780-510-G

“Based on observation, the center did not ensure that medication is labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: The center had a box of unlabeled medication for a child. The prescription medication was located in the original container but did not have the prescription label with the child's name, name of medication, dosage amount and times to be given.”

8VAC20-780-70

“Based on record review, the center did not ensure four of ten staff records contained all of the required documentation. Evidence: 1. The record of staff #1 (employment date: 6/9/2023) did not have documentation to demonstrate that the individual possesses the experience required by the job position, and orientation training. 2. The record of staff #5 (employment date: 6/12/2023) did not have documentation to demonstrate that the individual possesses the education required by the job position, and orientation training. 3. The record of staff #7 (employment date: 6/7/2023) did not have documentation to demonstrate that the individual possesses the education required by the job position, and orientation training. 4. The record of staff #8 (employment date: 6/2/2023) did not have documentation of orientation training.”

8VAC20-780-500-A

“Based on observation, 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. The inspector observed the children in huddle 3 and 4 finish snack and transition to another classroom for an activity without washing their hands with soap and running water or using disposable wipes. 2. The inspector observed the children in huddle 1 eat snack without washing their hands with soap and running water or using disposable wipes before or after eating.”

8VAC20-780-510-G

“Based on observation, the center did not ensure that medication is labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: The center had a box of unlabeled medication for a child. The prescription medication was located in the original container but did not have the prescription label with the child's name, name of medication, dosage amount and times to be given.”

8VAC20-780-70

“Based on record review, the center did not ensure four of ten staff records contained all of the required documentation. Evidence: 1. The record of staff #1 (employment date: 6/9/2023) did not have documentation to demonstrate that the individual possesses the experience required by the job position, and orientation training. 2. The record of staff #5 (employment date: 6/12/2023) did not have documentation to demonstrate that the individual possesses the education required by the job position, and orientation training. 3. The record of staff #7 (employment date: 6/7/2023) did not have documentation to demonstrate that the individual possesses the education required by the job position, and orientation training. 4. The record of staff #8 (employment date: 6/2/2023) did not have documentation of orientation training.”

8VAC20-780-500-A

“Based on observation, 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. The inspector observed the children in huddle 3 and 4 finish snack and transition to another classroom for an activity without washing their hands with soap and running water or using disposable wipes. 2. The inspector observed the children in huddle 1 eat snack without washing their hands with soap and running water or using disposable wipes before or after eating.”

8VAC20-790-600-F

“Based on a review of six staff records and interview, the vendor did not ensure one staff who works directly with children completed the department's health and safety update course annually. Evidence: 1) The record of Staff #6 (DOE: 04/21/21) did not have any documentation of the staff completing the department's health and safety update course. 2) The center was unable to locate documentation to show the staff member completed the course. The department's health and safety update course should be completed annually.”

8VAC20-780-240-A

“Based on a review of six staff records, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course. Evidence: The Virginia Department of Education-sponsored orientation course in the record of Staff #5 (DOE: 06/12/22) was completed on 01/12/23; exceeding 90 calendar days of employment.”

8VAC20-780-245-A

“Based on a review of six staff records and interview, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The record of Staff #3 (DOE: 05/12/21) contained a total of 8 hours of annual training from 05/2022 - 05/2023. 2) The record of Staff #6 (DOE: 04/21/21) contained a total of 7 hours of annual training from 04/2022 - 04/2023. 3) During interview, a member of management confirmed the staff members did not have 16 hours of annual training on file.”

8VAC20-780-270-A

“Based on observations of the playground area, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) The inspector observed three plastic boards around the playground that were cracked. Children were observed playing in this area. 2) During interview, a member of management acknowledged the cracks and indicated maintenance has been made of aware that they need to be fixed. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.”

22.1-289.035-A

“Based on a review of six staff records, the center did not ensure one staff completed a required background check every five years. Evidence: The most recent sworn statement in the record of Staff #1 (DOE: 02/22/18) was completed on 02/28/23. The previous sworn statement in the record was completed on 02/16/18. A new sworn statement should have been completed no later than 02/16/23.”

8VAC20-780-160-C

“Based on a review of six staff records, the center did not ensure three staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: 1) The most recent TB screening in the record of Staff #3 (DOE: 05/12/21) was completed on 05/24/23. The previous TB screening was completed on 05/10/21. A new TB screening should have been obtained no later than 05/10/23. 2) The most recent TB screening in the record of Staff #4 (DOE: 05/12/21) was completed on 05/24/23. The previous TB screening was completed on 04/26/21. A new TB screening should have been obtained no later than 04/26/23. 3) The most recent TB screening in the record of Staff #6 (DOE: 04/21/21) was completed on 06/05/23. The previous TB screening was completed on 04/15/21. A new TB screening should have been obtained no later than 04/15/23.”

8VAC20-780-140-A

“Based on a review of five children's records and interview, the center did not ensure one child had 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. Evidence: 1) The record of Child #5 (DOA: 09/15/22) did not contain documentation of a physical examination. 2) During interview, a member of management confirmed a physical examination was not on file for Child #5.”

8VAC20-780-60-A-8

“Based on a review of five children's records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy. Evidence: 1) The record of Child #2 (DOA: 09/06/22) indicated the child has a diagnosed food allergy, but the record did not contain a written care plan, 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. 2) During interview, a member of management confirmed a written care plan has not been obtained for Child #2.”

8VAC20-780-90-A

“Based on a review of five children's records and interview, the center did not obtain the required written agreements between the parent and the center for one child. Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain a written agreement between the parent and the center by the child's first day of attendance that included: An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. 2) During interview, a member of management acknowledged the child's record did not contain the required agreements between the parent and the center.”

8VAC20-770-60-B

“Based on a review of six staff records and interview, the center did not ensure one staff had a complete sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Staff #5 (DOE: 06/12/22) was completed on 11/04/22. The center was unable to locate a sworn statement that was completed prior to the staff beginning employment.”

8VAC20-790-600-F

“Based on a review of six staff records and interview, the vendor did not ensure one staff who works directly with children completed the department's health and safety update course annually. Evidence: 1) The record of Staff #6 (DOE: 04/21/21) did not have any documentation of the staff completing the department's health and safety update course. 2) The center was unable to locate documentation to show the staff member completed the course. The department's health and safety update course should be completed annually.”

8VAC20-780-240-A

“Based on a review of six staff records, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course. Evidence: The Virginia Department of Education-sponsored orientation course in the record of Staff #5 (DOE: 06/12/22) was completed on 01/12/23; exceeding 90 calendar days of employment.”

8VAC20-780-245-A

“Based on a review of six staff records and interview, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The record of Staff #3 (DOE: 05/12/21) contained a total of 8 hours of annual training from 05/2022 - 05/2023. 2) The record of Staff #6 (DOE: 04/21/21) contained a total of 7 hours of annual training from 04/2022 - 04/2023. 3) During interview, a member of management confirmed the staff members did not have 16 hours of annual training on file.”

8VAC20-780-270-A

“Based on observations of the playground area, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) The inspector observed three plastic boards around the playground that were cracked. Children were observed playing in this area. 2) During interview, a member of management acknowledged the cracks and indicated maintenance has been made of aware that they need to be fixed. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.”

22.1-289.035-A

“Based on a review of six staff records, the center did not ensure one staff completed a required background check every five years. Evidence: The most recent sworn statement in the record of Staff #1 (DOE: 02/22/18) was completed on 02/28/23. The previous sworn statement in the record was completed on 02/16/18. A new sworn statement should have been completed no later than 02/16/23.”

8VAC20-780-160-C

“Based on a review of six staff records, the center did not ensure three staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: 1) The most recent TB screening in the record of Staff #3 (DOE: 05/12/21) was completed on 05/24/23. The previous TB screening was completed on 05/10/21. A new TB screening should have been obtained no later than 05/10/23. 2) The most recent TB screening in the record of Staff #4 (DOE: 05/12/21) was completed on 05/24/23. The previous TB screening was completed on 04/26/21. A new TB screening should have been obtained no later than 04/26/23. 3) The most recent TB screening in the record of Staff #6 (DOE: 04/21/21) was completed on 06/05/23. The previous TB screening was completed on 04/15/21. A new TB screening should have been obtained no later than 04/15/23.”

8VAC20-780-140-A

“Based on a review of five children's records and interview, the center did not ensure one child had 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. Evidence: 1) The record of Child #5 (DOA: 09/15/22) did not contain documentation of a physical examination. 2) During interview, a member of management confirmed a physical examination was not on file for Child #5.”

8VAC20-780-60-A-8

“Based on a review of five children's records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy. Evidence: 1) The record of Child #2 (DOA: 09/06/22) indicated the child has a diagnosed food allergy, but the record did not contain a written care plan, 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. 2) During interview, a member of management confirmed a written care plan has not been obtained for Child #2.”

8VAC20-780-90-A

“Based on a review of five children's records and interview, the center did not obtain the required written agreements between the parent and the center for one child. Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain a written agreement between the parent and the center by the child's first day of attendance that included: An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. 2) During interview, a member of management acknowledged the child's record did not contain the required agreements between the parent and the center.”

8VAC20-770-60-B

“Based on a review of six staff records and interview, the center did not ensure one staff had a complete sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Staff #5 (DOE: 06/12/22) was completed on 11/04/22. The center was unable to locate a sworn statement that was completed prior to the staff beginning employment.”

8VAC20-790-600-B

“Based on review of six staff records, the center did not ensure two staff obtained Virginia preservice training within 90 days of employment. Evidence: 1. The record of staff #2, hired 04/21/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment. 2. The record of staff #5, hired 05/12/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment.”

8VAC20-770-60-C-2

“Based on review of six staff records and interview, the center did not obtain central registry results for one staff by the end of the 30th day of employment. Evidence: The record of staff #3, hired 07/22/2019, had documentation of a central registry check that was dated 02/09/2021, exceeding 30 days from the hire date. 2. Administration for staff records stated the central registry dated 02/09/2021 was the original central registry for staff #3.”

8VAC20-780-130-A

“Based on review of three children’s records and interview, the center did not obtain documentation of one child’s immunizations required by the State Board of Health before the child’s attendance. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain documentation of immunizations. 2. The director stated she had not received documentation of immunizations for child #3.”

8VAC20-780-140-A

“Based on review of three children’s records and interview, the center did not obtain documentation of a physical examination for one child’s record before the child’s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for child #3, enrolled 09/07/2021, did not contain documentation of a physical. 2. The director stated a physical had not been received for child #3.”

8VAC20-780-280-B

“Based on observation, 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: Multiple bottles of cleaning and disinfecting materials were observed unlocked in the kitchen area that was open to the main area used for childcare.”

8VAC20-780-60-A

“Based on review of three children’s records and interview, the center did not maintain and keep at the center a separate record for one child enrolled which contained all required information. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain the following required information; birthdate of child, name and phone number of child’s physician, and written agreements between parent and the center. 2. The director stated the record of child #3 was missing information and that she had requested the missing information, however the parent had not provided it.”

22.1-289.035-B-4

“Based on review of six staff records, the center did not obtain an out of state child abuse and neglect search for one staff by the end of the 30th day of employment for each state the individual has resided in the past five years. Evidence: The record of staff #5, hired 05/12/2021, indicated staff #5 had lived out of state in the past five years. The record contained documentation that a request for an out of state child abuse and neglect search had been requested on 05/12/2022, exceeding the requirement to request an out of state child abuse and neglect search by the end of the 30th day of employment and to follow-up 45 days after request of search.”

8VAC20-780-160-C

“Based on review of six staff records, the center did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent documentation of a tuberculosis screening for staff #1, was dated 03/26/2020, exceeding the two year requirement to renew.”

8VAC20-790-600-B

“Based on review of six staff records, the center did not ensure two staff obtained Virginia preservice training within 90 days of employment. Evidence: 1. The record of staff #2, hired 04/21/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment. 2. The record of staff #5, hired 05/12/2021, had documentation of Virginia preservice dated 11/04/2021, exceeding the requirement to obtain within 90 days of employment.”

8VAC20-770-60-C-2

“Based on review of six staff records and interview, the center did not obtain central registry results for one staff by the end of the 30th day of employment. Evidence: The record of staff #3, hired 07/22/2019, had documentation of a central registry check that was dated 02/09/2021, exceeding 30 days from the hire date. 2. Administration for staff records stated the central registry dated 02/09/2021 was the original central registry for staff #3.”

8VAC20-780-130-A

“Based on review of three children’s records and interview, the center did not obtain documentation of one child’s immunizations required by the State Board of Health before the child’s attendance. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain documentation of immunizations. 2. The director stated she had not received documentation of immunizations for child #3.”

8VAC20-780-140-A

“Based on review of three children’s records and interview, the center did not obtain documentation of a physical examination for one child’s record before the child’s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for child #3, enrolled 09/07/2021, did not contain documentation of a physical. 2. The director stated a physical had not been received for child #3.”

8VAC20-780-280-B

“Based on observation, 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: Multiple bottles of cleaning and disinfecting materials were observed unlocked in the kitchen area that was open to the main area used for childcare.”

8VAC20-780-60-A

“Based on review of three children’s records and interview, the center did not maintain and keep at the center a separate record for one child enrolled which contained all required information. Evidence: 1. The record of child #3, enrolled 09/07/2021, did not contain the following required information; birthdate of child, name and phone number of child’s physician, and written agreements between parent and the center. 2. The director stated the record of child #3 was missing information and that she had requested the missing information, however the parent had not provided it.”

22.1-289.035-B-4

“Based on review of six staff records, the center did not obtain an out of state child abuse and neglect search for one staff by the end of the 30th day of employment for each state the individual has resided in the past five years. Evidence: The record of staff #5, hired 05/12/2021, indicated staff #5 had lived out of state in the past five years. The record contained documentation that a request for an out of state child abuse and neglect search had been requested on 05/12/2022, exceeding the requirement to request an out of state child abuse and neglect search by the end of the 30th day of employment and to follow-up 45 days after request of search.”

8VAC20-780-160-C

“Based on review of six staff records, the center did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent documentation of a tuberculosis screening for staff #1, was dated 03/26/2020, exceeding the two year requirement to renew.”