VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Staunton-Augusta YMCA-Clymore Afterschool Program
184 Fort Defiance Road
Fort defiance, VA 24437
(540) 885-8089

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 17, 2022

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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A non-mandated monitoring inspection was initiated onsite on November 17, 2022 from 3:10 P.M.-4:55 P.M. and concluded on November 28, 2022. There were ten children present, ranging in ages from five to twelve years of age, with three staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and three staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. An intensive plan of correction conference will be scheduled. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of staff records, the center failed to ensure that the National Fingerprint background check was completed and on file prior to the first date of employment. Evidence: 1. Staff #1's date of hire was 09/01/2022, the fingerprints on file were dated 09/19/2022. 2. Staff #2's date of hire was 08/31/2022, the fingerprints on file were dated 09/16/2022. 3. Staff verified the dates of employment and the dates on the fingerprints for Staff #1 and Staff #2.
Plan of Correction:	Please see the intensive plan of correction.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of staff records, the center failed to ensure that a completed tuberculosis screening/test was on file prior to the staff coming into contact with children. Evidence: 1. Staff #1's date of employment was 08/31/2022. There was no results of a tuberculosis screening/test on file for Staff #1. 2. Staff verified that there was not a copy of the results of a tuberculosis screening/test on file for Staff #1.
Plan of Correction:	Documentation of the screening shall be submitted and on file prior to employment and before coming into contact with children.
Standard #:	8VAC20-780-510-F
Description:	Based on a review of medication, the center failed to ensure that a medication authorization shall be available to staff during the entire time it is effective. Evidence: Child #1 had an over the counter emergency medication, Children's Benadryl, at the center. The medication form completed was for over-the-counter skin products. There was no other medication authorization form available to staff. The medication had not been administered.
Plan of Correction:	Please see the intensive plan of correction.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of evacuation drills, the center failed to implement a monthly practice evacuation drill. Evidence: 1. There was not an evacuation drill recorded for September 2022. The center opened on September 6, 2022. 2. Staff verified that there was not an evacuation drill completed in September 2022.
Plan of Correction:	The center will implement a monthly fire drill. The program will have a calendar marked with a date each month for the drill to be completed so that the drill is not missed again. There will also be reminders set on devices that are used daily to make sure that the date does not get overlooked from the calendar.