YMCA - Midlothian

8VAC20-780-60-A · REPEAT VIOLATION:

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #5 was missing one of the two required names, address, and phone number of designated people to call in an emergency.

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8VAC20-780-130-A · 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. Child #3, who had been attending for six months, did not have documentation of an immunization record on file.

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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. Child #1, who has been enrolled for five months, has a diagnosed food allergy and did not have a written care plan in their file.

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8VAC20-780-60-A · Based on review of seven children's records, the center did not obtain the required information for one child.

Evidence: The record for Child #6 (date of enrollment 06/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

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8VAC20-790-600-D-2 · Based on review of five staff records, the vendor did not ensure all staff who work directly with children obtained current certification in first aid within 90 days of the date of employment.

Evidence: 1. The records for Staff #3 (Date of Employment 06/05/2023) and Staff #4 (Date of Employment 06/05/2023) did not contain current certification in first aid. 2. A member of management confirmed Staff #3 and Staff #4 did not current first aid certification.

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8VAC20-780-150-B · Based on review of five children?s records, the center did not ensure one child?s immunization records was not signed by a physician, his designee, or an official of a local health department.

Evidence: The record for Child #1 (First day of attendance 08/21/2023) contained immunizations records that were not signed and dated by a physician.

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22.1-289.035-B-4 · Based on record review, the center did not ensure one of ten staff records contained documentation of criminal history record results from any state in which the individual has resided in the past five years, prior to employment.

Evidence: The record of staff #10 (employment date: 5/8/2023) did not have documentation of out of state criminal history record results.

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8VAC20-790-600-F · Based on a review of five staff records and interview, the vendor did not ensure one staff

member who works directly with children completed the department's health and safety update course annually. Evidence: 1) The record of Staff #5 (DOE: 05/23/22) did not have documentation of the department's health and safety update course. 2) During interview, a member of management reported the center does not have documentation that the staff completed the course. The course should have been completed no later than 05/23/23.

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22.1-289.035-A · Based on a review of five staff records and interview, the center did not ensure one staff completed three required background checks every five years.

Evidence: 1) The most recent results of the fingerprint-based national criminal background check in the record of Staff #3 (DOE: 11/23/10) was completed on 04/17/23. The previous fingerprint-based national criminal background check was completed on 04/02/18. The new results should have been obtained no later than 04/02/23. 2) The most recent central registry check in the record of Staff #3 was completed on 05/09/22. The previous central registry check in the record was completed on 04/17/17. A new search of the central registry should have been obtained no later than 04/17/22. 3) The most recent sworn statements in the record of Staff #3 were completed on 08/30/22 and 11/11/22. The previous sworn statement in the record was completed on 08/01/17. A new sworn statement should have been completed no later than 08/01/22. 4) During interview, a member of management acknowledged the background checks for Staff #3 were not completed every five years as required.

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