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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: July 10, 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 monitoring inspection was conducted on 7/10/23 from 8:55am to 10:05AM with the Director and program staff. There were 20 children in care at the start of the inspection, ranging in age from five-years to 13-years-old, supervised by four staff. More children and more staff arrived throughout the inspection. The older group of children were observed transitioning to the playground, coming inside and washing hands, then having morning snack brought from home; younger children were observed eating their morning snack, playing ?sharks and minnows?, then getting their sunscreen to go outside. Five child records and five staff records were reviewed for required on-site documents. Additional documents for staff records were reviewed by the Licensing Inspector on 7/14/23. The program has multiple staff with current certification in CPR and First Aid, as well as staff trained in Daily Health Observation Training. There were no medications on-site but the program has multiple staff current in Medication Administration Training (MAT). Required postings were observed. The attendance and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio 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 7/20/23. 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 five staff records, the program did not obtain the results of a tuberculosis (TB) test within the required timeframe. Evidence: The TB test on record for Staff #4, with an employment date of 10/18/21, was dated 11/29/21. At the time of employment, the TB test for the staff member was due within 21 days of employment.

Plan of Correction: Staff will have TB screening prior to hire date.

Standard #: 8VAC20-780-240-A
Description: Based on review of five staff records, the program did not ensure that the Virginia Department of Education-sponsored orientation course (Preservice) was completed within 90 calendar days of employment. Evidence: The Preservice certificate on record for Staff #2, with an employment date of 5/20/23, was dated 9/5/22.

Plan of Correction: Make sure all staff complete training within 90 days of hire.

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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