Young Men's Christian Association of Greater Richmond-Evergreen

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 seven months, did not have documentation of an immunization record on file.

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22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The license and the findings from the most recent inspection were not posted in a conspicuous place on the premises. The center had a portable licensing board with the required documents that was stored in a non conspicuous place during the inspection. Staff stated the board had not been displayed recently.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled

that contains all of the required information. The record for child #3, enrolled for over 3 months, was missing one emergency contact. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #4, enrolled for over 6 months, was missing one emergency contact.

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8VAC20-790-600-F · Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required.

Evidence: 1. The record of staff #4 contained a health and safety update course dated 4/4/2023. 2. The vendor acknowledged that the annual course was not completed by 4/4/2024.

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8VAC20-780-245-A · Based on a review of five staff records and interview, the center did not ensure that one staff annually completed 16 hours of training appropriate to the age of children in care.

Evidence: 1. The record of staff #1 (date of employment: 5/12/2021) did not contain 16 hours of annual training between 5/12/2023 and 5/12/2024. 2. Administration acknowledged that the staff had not completed 16 hours of training.

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8VAC20-790-600-D-1 · REPEAT VIOLATION

Based on a review of five staff records 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 as required. Evidence: 1. The record of staff #4 (date of employment: 9/30/2021) did not contain documentation of a current CPR certification. 2. The vendor stated that staff #4's certification had expired on 12/16/2023.

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22.1-289.011-F · Based on observation and interview, the center did not ensure that the most recent inspection findings were posted in a conspicuous place on the licensed premises.

Evidence: 1. The most recent inspection report was not posted on the center's licensing board. 2. Administration acknowledged that it was not posted in a conspicuous place on the licensed premises.

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8VAC20-790-600-D-1 · REPEAT VIOLATION

Based on a review of five staff records and interview, the vendor did not ensure that one staff that worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff #5 (date of employment: 8/24/2022) did not contain a current CPR certification. 2. The vendor stated that staff #5's certification had expired.

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8VAC20-780-130-A · REPEAT VIOLATION

Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #1 (date of attendance: 8/23/2023) did not contain an immunization record. 2. Administration acknowledged the record was not obtained.

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8VAC20-790-600-D-1 · Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff that worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1. The record of staff #3 (date of employment: 6/9/2022) did not contain record of a CPR certification. 2. Administration acknowledged that there was not record of a certification for staff #3.

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8VAC20-780-130-A · Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of attendance as required.

Evidence: 1. The records of child #1 (date of enrollment: 3/16/2023) and child #4 (date of enrollment: 8/22/2022) did not contain an immunization record. 2. Administration acknowledged that the records were incomplete.

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8VAC20-780-540-D · Based on review of documentation and interview, the center did not ensure that the required emergency supplies were available at the center.

Evidence: 1. On 11/4/2022, the Department of Education received a serious injury report that a child had sustained an injury that required medical attention on 11/3/2022. In the report, the center's representative wrote that the center was out of instant ice packs so they were unable to give ice to the injured child. On 11/16/2022, staff were interviewed on site. Staff #2 who was present on site the day of the injury confirmed that the staff were unable to locate and provide ice or a cooling agent. An ice pack or cooling agent is an emergency supply that is required to be available at the center.

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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 #2 (date of enrollment: 8/22/2022) did not contain a physical record. 2. Administration acknowledged that the record was not obtained.

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22.1-289.035-B-2 · Based on record review and interview, the center did not ensure to obtain the results of a fingerprint background check for one staff prior to the first date of employment as required.

Evidence: 1. The record of staff #1 (DOH:9/23/2019) contained the results of a fingerprint background check dated 10/8/2019. 2. Administration acknowledged that the background check was completed after the first date of employment.

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