VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Spotswood Elementary School
400 Lorraine Avenue
Fredericksburg, VA 22408
(540) 735-9622

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Jan. 16, 2020 , 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 9:30pm to 12:30pm at the Ron Rosner Branch YMCA Administration office. Two staff records 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 #:	22VAC40-185-160-A
Description:	Based on review of two staff records, the facility did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening or test no later than 21 days after employment. Evidence: The TB test or screening on file for Staff B, with a start date of 9/10/19, was dated 1/16/20.
Plan of Correction:	We will make sure to obtain this documentation on time moving forward.
Standard #:	22VAC40-185-70-A
Description:	Based on review of two 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 individuals possess the education, staff development training, of certification for their positions.
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 center did not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence: The Manager provided two staff records for the center but neither indicated a title of Program Director and the Manager confirmed that neither was considered a Director.
Plan of Correction:	We will obtain documentation that qualifies one of the staff or hire a qualified director.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of two staff records, the facility did not obtain the results of a central registry search within 30 days of employment or document follow-up attempts to obtain the results. Evidence: 1. The central registry results for Staff B, with a start date of 9/10/19, were dated 1/15/20. 2. There was no documentation in the staff record of attempts to follow-up on the request.
Plan of Correction:	We will make sure to obtain this on time moving forward and document our attempts.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of two staff records, 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 any founded complaint of child abuse or neglect against him/her within 30 days of employment. Evidence: The sworn statement for Staff B, dated 9/10/19, disclosed that the staff had lived in Texas within the past five years, but the search of the central registry for Texas was not requested until 1/15/20.
Plan of Correction:	We will make sure to do this on time moving forward.