VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA-SACC and Summer Camp at Lewis & Clark
18101 Clark & York Boulevard
Ruther glen, VA 22546
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Aug. 4, 2022

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 20 Access to minor's records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

n/a

Comments:

The licensing inspector conducted an unannounced monitoring inspection on Thursday, August 4, 2022 from 12:10pm to approximately 1:30pm. There were a total of 21 children in care in the direct care of 3 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including the cafeteria, the gym, hallways, and bathrooms were inspected. The required postings were reviewed and found to be in compliance. The center is equipped with toys and supplies and items were available to the children. Medication is administered when required and medication and medication authorizations were reviewed. Five children's records were reviewed. The facility submitted additional information virtually. Additional components of staff records are stored off site and will be reviewed by the licensing inspector at a later date. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of five children's records and interview, the center did not ensure two children with a diagnosed food allergy had a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1) Child #4, enrolled 06/21/22, has a diagnosed food allergy. During the inspection on 08/04/22, staff interviewed reported the child's written care plan was not available for review on site. 2) Child #5, enrolled on 10/25/21, has a diagnosed food allergy. During the inspection on 08/04/22, staff interviewed reported the child's written care plan was not available for review on site.
Plan of Correction:	The center provided copies of each allergy care plan, but the forms were off site. The information will be kept on site moving forward. Staff will be trained on where to locate information for the next licensing visit.
Standard #:	8VAC20-780-70
Description:	Based on staff interview on 08/04/2022, the center did not ensure that the required information for each staff was kept at the center. Evidence: 1) Staff #1, Staff #2, and Staff #3 were observed at the center on 08/04/2022. Staff interviewed stated that an emergency contact and information about any health problems staff have were not available for review at the center. The center should maintain at the center the name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities for each staff member.
Plan of Correction:	Per the director, the information was available on site, but staff did not know where to locate it. Staff will be trained on where to locate information for future licensing visits.
Standard #:	8VAC20-780-510-F
Description:	Based on a review of four medications and interview, the center did not ensure the medication authorization for four medications were available to staff during the entire time they were effective. Evidence: 1) On 08/04/22, two medications were observed on site for Child #4. 2) During interview, staff reported the medication authorizations were not available on site. 3) On 08/04/2022, two medications were observed on site for Child #5. 4) During interview, staff reported the medication authorizations were not available on site.
Plan of Correction:	The center provided copies of each authorization, but the authorizations were kept off site. The information will be kept on site moving forward. Staff will be trained on where to locate information for the next licensing visit.
Standard #:	8VAC20-780-510-G
Description:	Based on observation and interview, the center did not ensure that two medications were labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1) On 08/04/2022, two prescription medications were observed on site for Child #4. The medications were observed in a plastic bag, but the medications did not have a label with the child's name, the name of the medication, the dosage amount, and the time or times to be given. 2) Staff interviewed stated the label for the medications were not given to staff upon receipt of the medications.
Plan of Correction:	Child #4 is no longer enrolled in the program. The medications were returned. In the future, the center will ensure each medication is labeled with the required information.