VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Riverview Elementary School
7001 North Roxbury Mill Road
Spotsylvania, VA 22551
(540) 684-7261

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Oct. 3, 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 (8VAC20-770) 22.1 Background Checks Code

Comments:

An unannounced monitoring inspection was conducted on 10/3/23 from 3:50pm to 4:25pm with program staff. There were 19 children in care, ranging in age from five-years to 12-years-old, supervised by two staff. Children were observed have free play. Required postings were observed. The attendance, menu, allergy list, and emergency drill log were reviewed. Three on-site child records were reviewed. A review of required on-site documentation was conducted for staff certified in CPR/First Aid, Daily Health Observation Training, and Medication Administration Training (MAT). An off-site staff record review was also conducted on 10/3/23 from 2:00pm-3:15pm at the Ron Rosner YMCA office. Staff reported that there were no medications on-site but the center has staff with current certification in Medication Administration Training (MAT). 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 10/12/23. 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-8
Description:	Based on review of three child records, the program did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contains documentation that the child is allergic to shrimp and shellfish. The record does not contain an allergy care plan.
Plan of Correction:	The center has received the Allergy action plan and in the future will receive one before the child starts.
Standard #:	8VAC20-780-70
Description:	REPEAT Based on review of staff records, the program did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #1 did not contain documentation of the program obtaining a second reference as to character and reputation before employment for the staff member. 2. Staff #3 was on-site for the afternoon of 10/3/23, but there was no record on-site for the staff containing their address, verification of age, job title, date of employment, training certificates required on-site; and the name, address, and telephone number of a person to be notified in an emergency.
Plan of Correction:	In the future, all staff records will be on site.
Standard #:	8VAC20-780-530-C
Description:	Based on review of on-site staff records and interview, the program 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 when children were in care. Evidence: On the afternoon of 10/3/23, there was only one staff on the premises with current certification in CPR.
Plan of Correction:	In the future, there will be two staff members with CPR. The staff member that was their that day received CPR on 10/14/2023.