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: Feb. 13, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A renewal inspection was conducted on site on February 13, 2023 from 3:31 P.M.-4:56 P.M., and at administrative offices on February 14, 2023 from 8:45 A.M.-9:30 A.M. There were 13 children present, ranging in ages from five to twelve years of age, with two 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, three staff records, and two agents background checks 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-780-70
Description:	Based on a review of staff records, the center failed to ensure that all required information was kept in a staff record. Evidence: 1. One reference for Staff #2 was obtained late. Date of hire for Staff #2 was 05/26/2022. The reference was dated 06/28/2022. The reference was required to be completed and on file prior to the date of hire. 2. Staff #1's file did not contain written documentation to demonstrate the individual posses the education, certification and experienced required by job position. Staff #1 was observed working as a Program Lead on 02/08/2023.
Plan of Correction:	The director will make sure that no staff is hired until a minimum of two references are submitted, documented, and then placed in the employee file. A second member from administration will review and double check to ensure that all of the necessary information in on file as needed.
Standard #:	8VAC20-780-200-A
Description:	Based on interview, the center failed to ensure that a qualified program director shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. The program director was not present on 02/13/2023 when the Licensing Inspector arrived at the facility. 2. Staff stated that the program director had not been on site the week of 02/06/2023-02/10/2023. The last time the program director had been on site was 02/03/2023.
Plan of Correction:	Director will ensure that they are on site at least 50% of the centers hours of operations.
Standard #:	8VAC20-780-550-G
Description:	Based on review of documentation, the center failed to ensure to document all required information for emergency evacuations and lock down drills. Evidence: 1. The date the evacuation drills were conducted for November 2022 and January 2023 were not documented. 2. The date the lock-down drills were conducted for November 2022 and February 2023 were not documented. 3. Staff #1 verified that she had not documented the date the drill occurred.
Plan of Correction:	Director will make sure after conducting the drills that all of the required information is filled out the correct way for emergency evacuations and lock-down drills to reflect the date in numeric form.