VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Smith Station Elementary School
7320 Smith Station Road
Fredericksburg, VA 22407
(540) 735-9622

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Oct. 3, 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

Comments:

An unannounced renewal inspection was conducted on 10/3/23 from 7:30am-8:00am with program staff. There were three children in care, supervised by two staff. Children were observed doing a Halloween craft activity. Required postings were observed. The attendance, menu, allergy list, and emergency drill log were reviewed. Two on-site child records were reviewed. A review of required on-site documentation was conducted for staff certified in CPR/First Aid, Daily Health Observation Training, and Medication Administration Training (MAT). An off-site staff record review was also conducted on 10/3/23 from 2:00pm-3:15pm at the Ron Rosner YMCA office. Board Officer background checks were also reviewed. Staff reported that there were no medications on-site but the center has staff with current certification in Medication Administration Training (MAT). 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 10/20/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on review of five Board Officer/Agent records, the program did not obtain the results of a national, fingerprint-based criminal history record check every five years from the date of the last check for each Board Officer. Evidence: The most recent fingerprints results on record for Board Officer A were dated 9/21/18.
Plan of Correction:	We will continue to communicate with Corporate board to ensure requirements are being completed.
Standard #:	8VAC20-780-160-A
Description:	Based on review of two staff records, the program did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #2, with an employment date of 5/18/23, did not contain documentation of a TB test or screening.
Plan of Correction:	Staff will completed and provide TB screening results prior to working on the floor.
Standard #:	8VAC20-780-70
Description:	Based on review of two staff records, the program did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #2 did not contain documentation of the program obtaining two references as to character and reputation before employment for the staff member.
Plan of Correction:	References will be completed prior to hire.
Standard #:	8VAC20-780-240-A
Description:	Based on review of two staff records, the program did not ensure that the Virginia Department of Education-sponsored orientation course (Preservice) was completed within 90 calendar days of employment by all staff. Evidence: The record for Staff #2, with an employment date of 5/18/23, did not contain documentation of the Preservice certificate.
Plan of Correction:	Ensure staff are completing trainings in the necessary timeframe.