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

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Feb. 1, 2024

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

Comments:
An unannounced monitoring inspection was conducted from 7:00 - 7:30am with staff. There were two children, present with two staff supervising. Children were observed playing a game. Two onsite staff records and two onsite child records were reviewed at the time of the inspection along with the daily attendance record, emergency drill log, written list of food allergies, sensitivities and dietary restrictions, and the required posted information. It was reported that there were no medications on site. One additional staff record was reviewed off site at the YMCA office on 2/1/2024 and one record was reviewed virtually.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Friday, 3/8/2024. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 8VAC20-780-130-A
Description: Based on a review of two child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: approximately 1/22/2024) did not have documentation of immunizations.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-140-A
Description: Based on a review of two child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 8/2023) did not have documentation of a physical examination.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-40-M
Description: Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children?s allergies, sensitivities and dietary restrictions. Evidence: staff were not able to locate a written allergy list and they reported that an enrolled child had a food sensitivity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on review of two child records, and staff interview, the facility failed to maintain and keep at the center a separate record for each enrolled child. Evidence: there was no record for child #2, (date of first attendance: approximately 1/22/2024.)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on review of two staff records, not all records contained all required information. Evidence: the record for staff #1 (date of hire: 7/19/2023) did not have documentation of current first aid and CPR certification; there was no onsite record for staff #2, that included an emergency contact, first aid, CPR, and other certifications.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-200-A
Description: Based on review of documentation, and staff interview, the facility failed to have a qualified program director regularly on site at least 50% of the facility's hours of operation. Evidence: there is no documentation that the two staff on site are director qualified, or that director qualified staff are there 50% of the time.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-245-L
Description: Based on review of documentation, the facility failed to ensure there is always a staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation (DHO) of children. Evidence: there was no documentation on site that staff #1 or #2 had DHO training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-530-C
Description: Based on review of documentation, the facility failed to ensure there were at least two staff members with current certification in First Aid and CPR present, on site, during the facility's hours of operation and whenever children are in care. Evidence: there was no documentation on site that staff #1 or #2 had current First Aid and CPR certification.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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