VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Winding Creek Elem School
475 Winding Creek Road
Stafford, VA 22554
(540) 760-0835

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: Jan. 24, 2020 and Jan. 31, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

Provided consultation on Standard 22 VAC 40-185-160: Acceptable forms of documentation of a negative tuberculosis (TB) screening are 1) A clearance statement signed by a physician, the physician?s designee or an official of the local health department; 2) The results of a negative tuberculin skin test; or 3) The results of a chest x-ray negative for tuberculosis disease.

Comments:

An announced staff record review was conducted today from 9:30am to 12:30pm at the Massad Branch YMCA Administration office. Five staff records and one Manager record were reviewed for required documentation. An exit interview was conducted 1/31/20 with the Manager. If you have any questions about this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review of six staff records, the facility did not ensure each staff record contained written information to demonstrate that the individual possesses the education, staff development, or certification required by the job position. Evidence: The records for Staff A and Staff B, did not include documentation that the individual possesses the education or staff development training for their position.
Plan of Correction:	We will request from staff documentation of lead teacher qualifications and add it to their files. Moving forward, we will ensure staff hired as a PL2 will have lead teacher qualifications on file.
Standard #:	22VAC40-185-200-A
Description:	Based on review of documentation and interview with the Manager, the facility does not have a qualified program director or a qualified back-up program director who meets one of hte director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence: The Manager provided six records for the facility, but one was the Manager's who is on leave. None of the other five records indicated the staff was a qualified program director and the Manager confirmed this.
Plan of Correction:	I will request documentation of education and qualifications from the staff. If none of them are qualified, we will hire someone for the site. During that time, I (the Manager) will be splitting my time between this site and another to ensure a qualified program director is on site at least 50% of the time.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of six staff records, interview with the Manager, and a phone conference with the staff, the facility did not perform a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for one staff. Evidence: 1. The sworn statement on file for Staff A, dated 9/10/19, did not indicate living out of state in the past five years, but the Drivers License on file for the staff was issued by the State of Georgia in December 2018. 2. Upon speaking with the staff, she stated that she had lived in Georgia within the past five years. 3. There was no documentation of a central registry request for the staff for the State of Georgia and the Manager confirmed that they had not completed the request.
Plan of Correction:	We did not realize that the staff lived out of the State. We will submit a request to Georgia.