VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Stafford Elementary School
1349 Courthouse Road
Stafford, VA 22554
(540) 371-9622

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: Jan. 16, 2020 , Jan. 24, 2020 and Jan. 31, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

Provided consultation on Standard 22 VAC 40-185-160: 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; or 3) The results of a chest x-ray negative for tuberculosis disease. Discussed with the Manager Program Director Qualifications.

Comments:

An announced staff record review was conducted today from 1:30pm to 4:30pm at the Massad Branch YMCA Administration office. Four staff records were reviewed for required documentation. An exit interview was conducted 1/31/20 with the Manager. If you have any questions about this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review of four staff records, the facility did not ensure each staff record contained written information to demonstrate that the individual possesses the education, staff development, or certification required by the job position. Evidence: The records for Staff A, Staff B, and Staff C did not contain documentation that the individuals possess the education, or staff development training, or certification required by their job positions.
Plan of Correction:	We will request from staff documentation of lead teacher qualifications and add it to their files. Moving forward, we will ensure staff hired as a PL2 will have lead teacher qualifications on file.
Standard #:	22VAC40-185-200-A
Description:	Based on review of documentation and interview with the Manager, the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence: 1. The Manager provided four staff records for the program but none indicated the staff was a program director. 2. The Manager stated that she was not aware this was a requirement.
Plan of Correction:	We will request documentation of education from the staff who are working at the site and if none of them are qualified, we will hire a qualified director. Until that time, a manager will split her time between this site and another to ensure a director qualified staff is on site 50% of the time.