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Caroline Family YMCA
17422 Library Boulevard
Ruther glen, VA 22546
(804) 448-9622

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Oct. 14, 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.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
An unannounced renewal inspection was initiated on Friday, October 14, 2022 and concluded on October 24, 2022. On October 14, 2022, the inspector was on-site from 11:00am to approximately 2:20pm. There were a total of 19 children present in the direct care of two staff members. During the inspection, the children were observed in the designated areas of the center. The children were observed participating in group activities and reading books. The staff were observed having positive interactions with the children. All areas used by the program were inspected. The required postings were reviewed and found to be in compliance. The program is equipped with toys and supplies and items were available to the children. Medication is administered when required and two medications were reviewed for compliance. Five children's records and two staff records were reviewed. Additional documentation was reviewed virtually on October 24, 2022.

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 #: 8VAC20-780-270-A
Description: Based on observation and interview, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: 1) During the inspection of the playground equipment on 10/14/22, the inspector observed a crack at the bottom of one of the slides. The crack created a pinching hazard, could entangle clothing or snag skin. 2) During interview, management reported the children use this slide.

Plan of Correction: The children will not be allowed to use the equipment until it is repaired. An order will be submitted to ensure it is taken care of.

Standard #: 8VAC20-780-280-B
Description: Based on observation and interview, the center did not maintain hazardous substances such as cleaning materials in a locked placed using a safe locking method that prevents access by children.

Evidence: 1) During the inspection of the vehicles used for transportation, the inspector observed a bucket with various bottles of cleaning supplies that were accessible to children. 2) During interview, management reported the cleaning supplies are not locked during transportation and the bus is used for transporting children.

Plan of Correction: The cleaning supplies will be locked during transportation and at all times.

Standard #: 8VAC20-780-540-C
Description: Based on an inspection of the first aid kit and interview, the center did not ensure all required items were supplied in the kit.

Evidence: 1) The first aid kit did not contain at least two triangular bandages. 2) During interview, management reported the center did not have triangular bandages on site.

Plan of Correction: Triangular bandages have been ordered and will be maintained in the first aid kit.

Standard #: 8VAC20-780-560-G
Description: Based on observation and interview, the center did not meet the requirements when food is brought from home.

Evidence: 1) The lunch boxes observed at the center on 10/14/2022 were not clearly dated or labeled in a way that identified the owner. There were 19 children present during the inspection. 2) During interview, staff and management confirmed not all lunch boxes are dated or labeled to identify the owner.

Plan of Correction: Moving forward, all food brought from home will be labeled with names and dates to identify each owner.

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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