VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of Pulaski County-Snowville Elementary
4858 Lead Mine Road
Hiwassee, VA 24347
(540) 980-3671

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: Nov. 8, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Facilities & Programs.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including phone contacts, and documents review. A monitoring inspection was initiated on 11/08/2021 and concluded on 11/15/2021. The director was contacted by phone and a virtual inspection was conducted. There were 13 school-age children present, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of two child records and three staff records were reviewed. New requirements became effective on 10/13/21. The facility has not fully complied with the following requirement; 8VAC20-780-240: The following needs to be included in orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities: Prevention of sudden infant death syndrome and use of safe sleep practices; Prevention of shaken baby syndrome and abusive head trauma, including procedure to cope with crying babies or distraught children. Prevention of and response to emergencies due to food and other allergic reactions including: Recognizing the symptoms of an allergic reaction; Responding to allergic reaction; Preventing exposure to the specific food and other substances to which the child is allergic; and D. Preventing cross contamination; The facility is to review the new requirements and work with their assigned inspector to ensure future compliance. The inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-240-D-4
Description:	Based on interview and record review, the center failed to have a staff member or independent contractor who meets the requirements in subdivision 1 of this subsection present for a child whom emergency mediation has been prescribed. Evidence: 1. The inspector reviewed an allergy plan for child #1 for whom an epi-pen had been prescribed. 2. The inspector reviewed staff #2's red cross epi-pen training certificate; MAT training had not been received. 3. The director confirmed that no staff person at the site had the required MAT training.
Plan of Correction:	The director has sought out a MAT trainer to have staff trained for emergency medications. The child has a bee allergy and is in care after-school from approximately 3:15 to 4:30 each day. All staff is aware of the allergy.
Standard #:	22VAC40-185-260-A
Description:	The center did not have an updated annual fire inspection. Evidence: 1. The last fire inspection was 10/29/2020.
Plan of Correction:	The director has contacted the school representative who is in charge of the fire inspections; when it has been updated the director will be given a copy.