Young Men's Christian Association of Greater Richmond-Walnut Hil

8VAC20-780-530-A-2

“Based on a review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid. 1. Staff #2 (date of employment: 7/13/2023) was identified as a program leader who supervises a grouping of children independently. The record of staff #2 did not contain a first aid certification. 2. Administration acknowledged that a certified staff was not present in every grouping of children.”

8VAC20-780-530-A-1

“Based on a review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had 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. Evidence: 1. Staff #1 (date of employment 6/14/2023) was identified as a program leader who supervises a grouping of children independently. The record of staff #1 contained a current online CPR certification which did not include an in-person competency demonstration as required. Staff #2 (date of employment: 7/13/2023) was also identified as a program leader who supervises a grouping of children independently. The record of staff #2 did not contain a CPR certification. 2. Administration acknowledged that a certified staff was not present in every grouping of children.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain a central registry finding for two (2) staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment:7/13/2022) contained a central registry finding dated 8/19/2022. The record of staff #5 (date of employment: 10/18/2022) contained a central registry finding dated 12/13/2022) 2. Administration acknowledged that the central registry findings were not obtained within the required time frame.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain a central registry finding for two (2) staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment:7/13/2022) contained a central registry finding dated 8/19/2022. The record of staff #5 (date of employment: 10/18/2022) contained a central registry finding dated 12/13/2022) 2. Administration acknowledged that the central registry findings were not obtained within the required time frame.”

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 #3 (date of employment: 5/12/2021) did not contain documentation of the Virginia Annual Health and Safety Update. 2. The vendor acknowledged that the training update was not completed.”

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 center posted an inspection at the center dated 11/8/2021. 2. Administration acknowledged that the most recent inspection findings were not posted.”

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. Evidence: 1. The record of child #2 (date of enrollment: 9/12/2022) 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 enrollment: 9/19/2022 was missing one emergency contact. The record of child #4 (date of enrollment: 9/12/2022) was missing two designated contacts. The record of child #5 (date of enrollment: 9/16/2022) was missing two emergency contacts. 2. Administration acknowledged that 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 #3 (date of employment: 5/12/2021) did not contain documentation of the Virginia Annual Health and Safety Update. 2. The vendor acknowledged that the training update was not completed.”

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 center posted an inspection at the center dated 11/8/2021. 2. Administration acknowledged that the most recent inspection findings were not posted.”

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. Evidence: 1. The record of child #2 (date of enrollment: 9/12/2022) 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 enrollment: 9/19/2022 was missing one emergency contact. The record of child #4 (date of enrollment: 9/12/2022) was missing two designated contacts. The record of child #5 (date of enrollment: 9/16/2022) was missing two emergency contacts. 2. Administration acknowledged that records were incomplete.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure that one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Administration acknowledged the staff did not have a current CPR certification.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that each staff's record contained all of the required information. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain record of the staff's orientation training. 2. The record of staff # 3 (DOH: 1/19/2022) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. Administration acknowledged that the records were not complete.”

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 records of child #1 (DOE:9/20/2021), child #2 (DOE:9/20/2021) and child #3 (DOE: 10/18/2021) did not contain complete information to include 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 each of the reviewed records were missing components of the emergency contact information.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain documentation to show the department sponsored course had been completed within 90 days of employment. 2. Administration acknowledged that the training had not been completed.”

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 within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) contained a central registry check dated 1/24/2022. The record of staff #3 (DOH: 1/19/2022) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) contained a TB screening dated 12/2/2021. The record of staff # 3 (DOH: 1/19/2022) did not contain a TB screening. 2. Administration acknowledged that the screenings ere not received within the required time frame.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure that one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Administration acknowledged the staff did not have a current CPR certification.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that each staff's record contained all of the required information. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain record of the staff's orientation training. 2. The record of staff # 3 (DOH: 1/19/2022) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. Administration acknowledged that the records were not complete.”

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 records of child #1 (DOE:9/20/2021), child #2 (DOE:9/20/2021) and child #3 (DOE: 10/18/2021) did not contain complete information to include 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 each of the reviewed records were missing components of the emergency contact information.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) did not contain documentation to show the department sponsored course had been completed within 90 days of employment. 2. Administration acknowledged that the training had not been completed.”

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 within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) contained a central registry check dated 1/24/2022. The record of staff #3 (DOH: 1/19/2022) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (DOH: 11/22/2021) contained a TB screening dated 12/2/2021. The record of staff # 3 (DOH: 1/19/2022) did not contain a TB screening. 2. Administration acknowledged that the screenings ere not received within 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 two staff. Evidence: 1. The records of staff #2 (DOH: 10/06/2021) and staff #3 (DOH: 09/14/2021) did not contain central registry results. 2. Administration acknowledged that they had not been received within the required time frame.”

22VAC40-185-60-A

“Based on record review and interview, the center did not ensure that a separate record was kept for each child enrolled that contained all of the required information. Evidence: 1. The record of child #2 (DOE: 09/07/2021) contained one of the two required names, addresses, and phone numbers of designated people to call in an emergency if a parent could not be reached. 2. The record of child #3 (DOE: 09/20/2021) contained documentation of the written agreements that are required to be in the record by the child's first date of attendance dated 11/9/2021. 3. Administration acknowledged that both records did not meet the requirements.”

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 sex offender registry and out of state criminal history name check prior to the first date of employment and an out of state child abuse and neglect registry by the end of the 30th day of employment for one staff. Evidence: 1. The record of staff #3 (DOH: 09/14/2021) contained a sworn statement that indicated that the staff resided outside of the state of Virginia within the preceding 5 years. 2. The record did not contain the results of the out of state sex offender name check, criminal history or child abuse and neglect background checks. 3. Administration acknowledged that they did not have records of the out of state background checks.”

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 two staff. Evidence: 1. The records of staff #2 (DOH: 10/06/2021) and staff #3 (DOH: 09/14/2021) did not contain central registry results. 2. Administration acknowledged that they had not been received within the required time frame.”

22VAC40-185-60-A

“Based on record review and interview, the center did not ensure that a separate record was kept for each child enrolled that contained all of the required information. Evidence: 1. The record of child #2 (DOE: 09/07/2021) contained one of the two required names, addresses, and phone numbers of designated people to call in an emergency if a parent could not be reached. 2. The record of child #3 (DOE: 09/20/2021) contained documentation of the written agreements that are required to be in the record by the child's first date of attendance dated 11/9/2021. 3. Administration acknowledged that both records did not meet the requirements.”

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 sex offender registry and out of state criminal history name check prior to the first date of employment and an out of state child abuse and neglect registry by the end of the 30th day of employment for one staff. Evidence: 1. The record of staff #3 (DOH: 09/14/2021) contained a sworn statement that indicated that the staff resided outside of the state of Virginia within the preceding 5 years. 2. The record did not contain the results of the out of state sex offender name check, criminal history or child abuse and neglect background checks. 3. Administration acknowledged that they did not have records of the out of state background checks.”