VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Salem Elementary School
4501 Jackson Road
Fredericksburg, VA 22407
(540) 684-7263

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Jan. 11, 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 22.1 Background Checks Code

Technical Assistance:

Technical Assistance: When a center has agreed to administer medication, there should be a Medication Administration Trained (MAT) staff on site during all hours of operation.

Comments:

An unannounced renewal inspection was conducted on-site on 1/11/23 from 6:30am to 7:15am with program staff. An off-site record review was also conducted as part of the renewal inspection on 1/11/23 from 10:05am to 10:35am with the Director at the Ron Rosner YMCA Office. There were two children in care at the beginning of the inspection and more children arrived throughout. Children ranged in age from six-years to seven-years-old, and were supervised by two staff. Children were observed sweeping the floor/helping clean up, and doing a coloring activity with staff. Three child records and two staff records were reviewed. Staff reported that there were no medications on site for children and are aware that they must receive Medication Administration Training (MAT) in order to give medication. The attendance and emergency drill log were reviewed. The first aid kit was observed. The flashlight and battery-operated radio were requested. 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 1/13/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-780-60-A
Description:	Based on review of three child records, the center did not obtain all of the required documentation for child records. Evidence: The record for Child B did not contain the names, addresses, and phone numbers of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Parents will correct and provide proper information.
Standard #:	8VAC20-780-70
Description:	Based on review of two staff records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #2 did not contain documentation of references.
Plan of Correction:	Continue to make sure references are completed before hire.
Standard #:	8VAC20-780-530-C
Description:	Based on observation, interview, and review of two staff records, the center did not ensure that there were at least two staff members with CPR certification present on the premises during the center's hours of operation and wherever children were in care. Evidence: On the morning of 1/11/23, Staff #1 and Staff #2 were observed on-site. The records for Staff #1 and Staff #2 were reviewed and Staff #2 does not have current certification in CPR.
Plan of Correction:	Employee is attending CPR on January 21st.
Standard #:	8VAC20-780-540-C
Description:	Based on observation, the center did not obtain all of the required items for the first aid kit. Evidence: The first aid kit was missing a thermometer and triangular bandages.
Plan of Correction:	Thermometer and triangular bandages have been added to first aid bag.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interview, the center did not obtain all required nonmedical emergency supplies. Evidence: Staff reported that there was no working, battery-operated flashlight or working, battery-operated radio on-site.
Plan of Correction:	Flashlight and radio have been purchased.
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation, the center did not implement a monthly practice evacuation drill. Evidence: The center re-opened on 10/31/22. There was no documentation of a monthly practice drill in November 2022 or December 2022.
Plan of Correction:	Remind staff about monthly drills.