VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Parkside Elementary School
5620 Smith Station Road
Fredericksburg, VA 22407
(540) 642-3824

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Oct. 3, 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

Comments:

An unannounced monitoring inspection was conducted on 10/3/23 from 6:25am to 7:15am with program staff. There were initially five children in care, supervised by one staff; by the end of the inspection there were 13 children in care, supervised by two staff. Children were observed playing Uno, doing crafts, and having free play. Required postings were observed. The attendance, menu, allergy list, and emergency drill log were reviewed. Two on-site child records were reviewed. A review of required on-site documentation was conducted for staff certified in CPR/First Aid, Daily Health Observation Training, and Medication Administration Training (MAT). There were four medications on-site and the center has staff with current certification in Medication Administration Training (MAT). 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 10/11/23. 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 four staff records, the program did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: There was no TB screening on record for Staff #3 with an employment date of 5/31/23.
Plan of Correction:	Staff will obtain TB screening prior to working on the floor.
Standard #:	8VAC20-780-70
Description:	Based on review of four staff records, the program did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #3 did not contain documentation of references.
Plan of Correction:	References will be completed prior to hire.
Standard #:	8VAC20-780-340-C
Description:	Based on observation and interview, the program did not ensure that during the stated hours of operation, there was always on the premises when one or more children were present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member. Evidence: On 10/3/23, from approximately 6:00am until 6:45am, there was only one staff on-site.
Plan of Correction:	Will ensure proper staffing.
Standard #:	8VAC20-780-530-C
Description:	Based on review of staff records and observation, the program did not ensure that there were at least two staff members with CPR certification present on the premises during the center's hours of operation and when children are in care. Evidence: On 10/3/23, from approximately 6:00am to 6:45am, there was only one staff on the premises. The staff member who arrived at 6:45am did not have CPR certification. By the time the inspection ended at approximately 7:15am, a second staff member with CPR certification had not yet arrived.
Plan of Correction:	Will continue to ensure all staff are certified.