VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Battlefield Elementary School
11108 Leavells Road
Fredericksburg, VA 22407
(540) 735-9622

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Oct. 18, 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 from 4:30 - 5:00 pm with staff. There were 14 children, ranging from five years to nine years of age, present with two staff supervising. Children were observed finishing snack, cleaning up, playing a group game and coloring. Snack served today: pretzels and a wrap. Two onsite staff records and two onsite child records were reviewed at the time of the inspection along with the daily attendance record, emergency drill log, written list of food allergies, sensitivities and dietary restrictions, and the required posted information. It was reported that there were no medications on site, however, one staff member on site has current Medication Administration Training (MAT) certification. Two staff records were reviewed off site at the YMCA office on 9/6/2023 and two child records were reviewed virtually. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Wednesday, 11/1/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions. Evidence: the allergy list was not dated, and did not include child #1 with a documented food allergy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	(Repeat Violation) Based on review of two child records, not all records contained all required information. Evidence: the on site records for child #1 and child #2 did not contain complete name, address and phone number for two emergency contacts. The on site record for child #1 did not contain a written care plan for a diagnosed food allergy. The on site record for child #1 did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of two staff records, not all records contained all required information. Evidence: the record for staff #1 (date of hire: 8/15/2023) did not have documentation that two or more references were checked before employment; the records for staff #1 (date of hire: 8/15/2023) and staff #2 (date of hire: 4/7/2022) did not have complete documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 14 children were observed, however 15 children were listed as present on the attendance sheet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-200-A
Description:	Based on review of documentation, and an interview with staff, the facility failed to have a qualified program director regularly on site at least 50% of the facility's hours of operation. Evidence: there is no documentation that the two staff on site are director qualified. Staff stated that director qualified staff are not on site 50% of the time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on review of documentation, not all staff completed orientation training as required. Evidence: the record for staff #1 (date of hire: 8/15/2023) did not contain documentation of orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there were two bottles of disinfectant spray, a bottle of window cleaner and a cannister of ant/roach killer sitting on the bottom shelf of an unlocked cabinet in the teacher work room/office. Children were observed going in and out of the room alone and staff stated that the cabinet was broken and wouldn't lock. The products had labels stating, "Caution" and "Keep out of reach of children."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on review of documentation, and observation, the facility failed to ensure that in each grouping of children at least one staff member who meets the qualifications of program leader shall be regularly present. Evidence: neither staff onsite had documentation of program leader qualifications in their record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the facility failed to ensure that children under ten years of age are always within sight and sound supervision of staff. Evidence: Approximately four children, ages 6-7, were observed going in and out of a teacher workroom/office alone to retrieve items and/or put items away. Children were in the workroom/office for less than a minute, but some children went into the office multiple times. Teachers could not see the children when they were inside the workroom/office.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to ensure that handwashing procedures were followed as required. Evidence: The children did not wash their hands after snack.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-C
Description:	Based on review of documentation, the facility failed to ensure there were at least two staff members with current certification in First Aid and CPR present, on site, during the facility's hours of operation and whenever children are in care. Evidence: there were two staff on site supervising children, and staff #1 did not have documentation of First Aid and CPR certification.
Plan of Correction:	Not available online. Contact Inspector for more information.