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YMCA SACC at Cedar Forest Elementary School
3412 Massaponas Church Road
Fredericksburg, VA 22408
(540) 993-3416

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Nov. 22, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
**Complete staff records will be reviewed at the main office at a later date.

Comments:
An unannounced Monitoring Inspection was conducted today from 3:30pm to 4:30pm. There were 25 school-agers directly supervised by 2 staff. The physical plant, 5 staff records, 5 children?s records, children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, arriving to the cafeteria from the gym. Preparing for snack. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) or 540-340-2672.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review, the facility did not ensure that children's records were maintained with the required information.
Evidence: Reviewed 5 children's records and found that:
1) Child 3 did not have completed addresses for either emergency contact.
2) Child 5 did not have a completed address for their second emergency contact.
3) Child 4 did not have a second emergency contact.
4) Child 5 did not have documentation of parent work telephone numbers.

Plan of Correction: Will obtain missing information.

Standard #: 22VAC40-185-560-F
Description: Based on review and observation, the facility did not ensure that the menu of the current one week period indicated substitutions.
Evidence: Reviewed the menu and found that it stated: salad, cheese and dressing. Instead the children were given crackers and carrots.

Plan of Correction: Will add any changes to the posted menu from now on.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the facility did not have documentation of their most recent violation notice posted.
Evidence: Observed that the most recent posted inspection notice was dated 10/30/18. The facility's last inspection was on 5/22/19.

Plan of Correction: Will post most today's inspection report.

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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