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YMCA SACC At Anne Moncure Elementary
75 Moncure Lane
Stafford, VA 22556
(540) 371-9622

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: May 1, 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 (8VAC20-770)
22.1 Background Checks Code

Technical Assistance:
Provided consultation on standards:
1) 340F: children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom; when children use a hallway bathroom and there are no staff in the hallway, this standard is not met; when children enter a storage room alone, they are not in sight and sound of staff
2) 550: emergency drills are used to practice the most likely to occur emergency scenarios; each drill should be a stand-alone drill so that everyone knows and understands what to do for that specific scenario. Please vary the times and days of emergency drills so that they do not occur back-to-back.

Comments:
An unannounced monitoring inspection was conducted from 4:00 - 4:45 pm with staff. There were 35 children, ranging from five years to 11 years of age, present with three staff supervising. Children were observed completing an art project, washing hands, eating snack and playing in a variety of centers with age-appropriate toys. Three onsite staff records and two onsite child records were reviewed at the time of the inspection along with the daily attendance record, emergency drill log, written list of food allergies, sensitivities and dietary restrictions, nine medications and the required posted information. Two staff were on site with current Medication Administration Training (MAT) certification. Three staff records were reviewed off site at the YMCA office on 5/4/2023.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Friday, 5/12/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 8VAC20-780-40-L
Description: Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could accurately state which children in the group had allergies, sensitivities and/or dietary restrictions.

Plan of Correction: All staff need to know who has allergies and dietary restrictions.

Standard #: 8VAC20-780-280-B
Description: Based on observation, and staff interview, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of sanitizing solution was observed sitting on the mini fridge in the storage room with it's door wide open. When asked, staff stated that children enter this area and the LI observed two children enter the storage room alone.

Plan of Correction: Staff need to check shared space and make sure everything is in a secured location.

Standard #: 8VAC20-780-510-E
Description: Based on review of nine medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the record for child #2 did not contain written authorization from the parent for long term medication observed on site.

Plan of Correction: Staff need to make sure proper form is being used.

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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