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YMCA SACC at Kate Waller Barrett Elementary
150 Duffey Drive
Stafford, VA 22556
(540) 371-9622

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Sept. 13, 2021 and Sept. 22, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
The final regulation to amend Standards for Licensed Child Day Centers (22VAC40-185, now 8VAC20-780) to address federal health and safety requirements will become effective on October 13, 2021. The final regulation can be found at https://townhall.virginia.gov/L/ViewXML.cfm?textid=15030.

Shelter-in-place drills shall be conducted two times per year, and documented. Please ensure all shelter-in-place drills are documented.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and an interview with staff.

A monitoring inspection was initiated on 9/13/2021 with an exit interview on 9/22/2021. The child care manager was contacted by telephone and a virtual inspection was conducted. There were 20 children present, with two staff supervising. The inspector reviewed compliance in the areas of administration, staff qualifications and training, staffing and supervision, and special care provisions and emergencies. A total of two child records and three staff records were reviewed.

The information gathered during the inspection determined non-compliance with standards that are documented on the violation notice issued to the facility. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of documentation, not all staff had a negative TB test/screening completed within 12 months prior to or 21 days after employment. Evidence: the TB test for staff #2 (date of hire: 2/3/2021) was dated 9/17/2019.

Plan of Correction: Will ensure all staff submit TB tests/screening in the required time frame.

Standard #: 22VAC40-185-160-B
Description: Based on review of three staff records, it was determined that not all staff have an acceptable form of documentation of a tuberculosis (TB) test/ screening. Evidence: the record for Staff #1 had the results of a TB test that was not signed by a physician, physicians designed or an official of the local health department.

Plan of Correction: Will ensure all staff obtain a TB test/screening with an acceptable form of documentation.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on review of three staff records, and an interview with staff, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #1, (date of hire: 8/10/2021) who indicated they lived out of state in the past five years, did not contain documentation of an Out Of State Sex Offender Registry check or Out Of State Criminal History Name Check prior to employment.

Plan of Correction: Will obtain out of state background checks for staff #1.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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