Young Men's Christian Association of Greater Richmond - MES

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.

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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.

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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.

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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.

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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.

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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.

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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.

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8VAC20-790-600-D-1 · Based on review of three staff records, the center did not ensure all staff who work directly with

children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #1 contained documentation of CPR certification that expired on 11/23/2022. The director stated the staff members had not renewed the CPR certification.

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8VAC20-770-60-C-2 · Based on a review of three staff records and interviews, the center did not ensure a completed central registry was obtained within 30 days of employment for one staff member.

Evidence: The record for Staff #2, employed on 08/21/2022, contained the results of a central registry finding dated 12/07/2022 exceeding 30 days from the date of employment. The record did not contain documentation of any further contact or follow up as to the status of the request and the staff has been continuously employed. A member of management stated there was no documentation of a follow up to the status of the request.

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8VAC20-780-600-B · Based on review of four staff records, the center did not ensure one staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

Evidence: Staff #2, employed 12/13/2021, did not have documentation of completing the Virginia Preservice Training, exceeding 90 days from employment.

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8VAC20-780-130-A · Based on review of seven children?s records and interview, the center did not obtain documentation of immunizations required by the State Board of Health before the child attended the center.

Evidence: 1.The record of child #1, enrolled 10/03/2022, did not contain documentation of immunizations. 2. The record of child #5, enrolled 02/01/2023, did not contain documentation of immunizations. 3. The record of child #6, enrolled 09/13/2022, did not contain documentation of immunizations. 4. The record of child #7, enrolled 09/13/2022, did not contain documentation of immunizations. 5. Staff #1 confirmed the record of child #1, child #5, child #6, and child #7 did not contain documentation of immunizations.

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8VAC20-790-600-B · Based on review of four staff records, the center did not ensure one staff member completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

Evidence: 1. The record of staff #2, hired 12/13/2021, did not contain documentation of completing the Virginia Preservice Training, exceeding 90 days from employment. 2. A member of management stated staff #2 had completed the training however documentation could not be located.

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8VAC20-780-140-A · Based on review of five children?s records, the center did not obtain documentation of a physical exam for one child before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The record of child #4, enrolled 09/13/2022, did not contain documentation of a physical, exceeding 30 days from enrollment.

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