VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of Pulaski County-Pulaski Elementary
2004 Morehead Lane
Pulaski, VA 24301
(540) 643-0737

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: May 24, 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Comments:

A renewal inspection was initiated on 5/24/23 and concluded on 5/24/23. There were 15 children present with 2 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 5 child records and 4 staff records were reviewed. The inspection started at 2:50pm and concluded at 3:50ppm. 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 #:	8VAC20-780-510-E
Description:	Based on review of medications and related documentation the facility failed to ensure that there was current authorization to administer the medication. Evidence: The emergency medication for child #1 did not have a current authorization to administer document. The document was signed by the parent but had not been renewed after the allowed 10 days of authorization. There was no long term authorization by the physician.
Plan of Correction:	A long term use form will be obtained by the physician if the child returns for care next term. Until then the parent will renew the 10 day authorization to complete this term.
Standard #:	8VAC20-780-510-I
Description:	Based on review of staff files and discussions with staff the facility failed to ensure that a staff was present who meets Medication Administration requirements. Evidence: On 5/23/23 the sole staff member who has Medication Administration Certification was not on site, but was on site at another Y program that was being inspected by licensing. There were 2 children present on 5/23/23 who have emergency medications and there was no staff present holding MAT Certification on this day as required.
Plan of Correction:	Moving forward there will always be a staff present that is certified in MAT if there are medications present.