VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Harrison Road Elementary School
6230 Harrison Road
Fredericksburg, VA 22407
(540) 371-9622

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Feb. 15, 2023

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 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on 2/15/23 from 1:00pm to 1:45pm with program staff. There were five children in care, supervised by two staff. The children were observed playing on tablets and playing a board game with a staff member. Four on-site child records and two on-site staff records were requested. Off-site records were scanned by the Director to the Licensing Inspector. The Center has two staff with current certification in CPR and First Aid, as well as two staff trained in Daily Health Observation Training. There was no medication on-site but one of the staff has current certification in Medication Administration Training. The attendance and emergency drill log were reviewed. The first aid kit and emergency supplies were observed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 2/27/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on review of two staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening and that documentation of the screening had been completed within the last 30 calendar days of the date of employment. Evidence: The TB screening on record for Staff #1, with a start date of 9/7/22, was dated 6/2/22.
Plan of Correction:	In the future will make sure that the TB test is completed before hire.
Standard #:	8VAC20-780-40-M
Description:	Based on interview, the center did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: Staff stated there was no allergy list on-site. The record for Child C contained documentation that the child has an allergy to egg and has emergency medication for the allergy that is kept at home.
Plan of Correction:	Provided an updated allergy list for the site.
Standard #:	8VAC20-780-60-A
Description:	Based on review of four child records, the center did not obtain all required information. Evidence: 1. The record for Child A did not contain documentation of the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The records for Child C and Child D did not contain the work phone number and place of employment of each parent who has custody.
Plan of Correction:	Parent will update health history from in playerspace. Parents will update emergency contacts.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and interview, the center did not maintain and keep at the center a separate record for each child enrolled which contained all of the required information. Evidence: The record for Child C contained documentation of a diagnosed food allergy to egg. The record indicated the child has emergency medication for the allergy at home. The center did not have a written care plan for the child, 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, at the center, as required.
Plan of Correction:	Provided the emergency action plan to the staff.
Standard #:	8VAC20-780-70
Description:	Based on observation, required staff records were not kept at the center. Evidence: There was no record of name, address, verification of age requirement, job title, date of employment or name, address, and telephone number of a person to be notified in an emergency at the center for Staff #2.
Plan of Correction:	Updated staff binder with additional staff information.
Standard #:	8VAC20-780-540-E
Description:	Based on interview, the center did not obtain all required nonmedical emergency supplies. Evidence: The staff reported there was no battery-operated radio on-site.
Plan of Correction:	Battery-operated radio was purchased and given to the site.