VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Spotswood Elementary School
400 Lorraine Avenue
Fredericksburg, VA 22408
(540) 735-9622

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: June 13, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 6/13/23 from 1:00pm to 3:25pm with the program director. There were 77 children in care, ranging in age from five-years to 12-years-old, supervised by nine staff. The children were observed watching a canine demonstration with the local Sherriff?s office, then transitioning back to their enrichment classes. Six child records and five staff records were reviewed. The program has seven staff with current certification in CPR and First Aid, as well as staff trained in Daily Health Observation Training. The director reported that there were no medications on-site for children, but the center has three staff current in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio were observed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 6/16/2023. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on review of five staff records, the center did not obtain documentation of a completed sworn disclosure statement for three staff prior to employment. Evidence: The record for Staff #2, with an employment date of 5/30/23, contained a sworn disclosure dated 6/1/23. The record for Staff #4, with an employment date of 6/6/23, contained a sworn disclosure dated 6/7/23. The record for Staff #5, with an employment date of 5/2/23, contained a sworn disclosure dated 5/16/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of five staff records, the center did not obtain the results of a search of the central registry for one staff within 30 days of employment. Evidence: The record for Staff #5, with an employment date of 5/2/23, did not contain documentation of the results of a search of the central registry. A copy of the search contained documentation that the search had been submitted on 5/24/23, and not within the required seven days.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of six child records, the program did not obtain all of the required documentation for child records. Evidence: The record for Child A did not contain the addresses of two designated people to call in an emergency if a parent cannot be reached. The record for Child B did not contain documentation of a phone number for a parent. The record for Child F did not contain the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of six child records, the program did not obtain a written care plan 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. Evidence: The allergy list and the record for Child E contained documentation that the child is allergic to ranch dressing. There was no allergy care plan from a physician on record for Child E. The allergy list and the record for Child F contained documentation that the child is allergic to star fruit and dairy. There was no allergy care plan from a physician on record for Child F.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of five staff records, the program did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for five staff. Evidence: The records for Staff #3, Staff #4, and Staff #5 did not contain documentation of any references. The records for Staff #1 and Staff #2 contained documentation of one reference.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on observation, interview, and review of documentation, the program did not ensure that for each group of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 6/13/23 at approximately 1:56pm, the attendance for the second-grade group contained documentation of 17 children present for the afternoon. Staff stated there were 19 children present and that there were 19 children in the group since dismissal at approximately 12:30pm. After doing a name-to-face check, it was determined that two children were not included on the attendance list for the week. 2. On 6/13/23 the weekly attendance for the Kindergarten and first-grade groups did not contain documentation of arrival and departure, only whether the child attended for the day or was absent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-I
Description:	Based on interview and review of five staff records, the program did not ensure that documentation of orientation training was kept by the program and included: 1. Name of staff; 2. Training topics; 3. Training delivery method; 4. The entity or individual providing training; and 5. The date of training. Evidence: The records for Staff #1, Staff #2, and Staff #3 did not contain documentation of orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.