YMCA SACC at Conway Elementary School
105 Primmer House Road
Fredericksburg, VA 22405
(540) 371-9622
Current Inspector: Sharon Allen (540) 272-2941
Inspection Date: Jan. 16, 2020 and Jan. 31, 2020
Complaint Related: No
- Areas Reviewed:
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22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
- Technical Assistance:
-
Provided consultation on:
1) standard 22 VAC 40-185-160B: Acceptable forms of documentation of a negative tuberculosis (TB) screening are 1. A clearance statement signed by a physician, the physician's designee or an official of the local health department; 2. The results of a negative tuberculin skin test (TST); or 3. The results of a chest x-ray negative for tuberculosis disease.
2) 22 VAC 40-185-70A: staff records shall contain the name, address and telephone number of a person to be notified in an emergency
- Comments:
-
An announced focused monitoring inspection was conducted from 1:00 - 4:30 pm offsite at the Massad central office. Six staff records were reviewed. An exit interview was conducted 1/31/2020. If you have any questions about this inspection, contact Donna Liberman at 540-359-5244 or Donna.Liberman@dss.virginia.gov.
- Violations:
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Standard #: 22VAC40-185-160-C Description: Based on review of six staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated 3/20/17. Plan of Correction: Staff will obtain an updated TB test/screening.
Standard #: 22VAC40-185-70-A Description: Based on review of six staff records, the facility did not ensure that each staff record contained all required information. Evidence: the records for staff #1, staff #3, staff #4 and staff #6 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position. Plan of Correction: Will ensure that education and experience are documented in the records.
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.
