VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Lee Hill Elementary School
3600 Lee Hill School Drive
Fredericksburg, VA 22408
(540) 735-9622

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Oct. 30, 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 from 4:45 - 5:15 pm with staff. There were 15 children, ranging from five years to nine years of age, present with two staff supervising. Children were observed finishing snack and playing in centers. Snack served today: blueberries and cheese. Two 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, and the required posted information. It was reported that there were no medications on site, however, both staff on site have current Medication Administration Training (MAT) certification. One staff record was reviewed off site at the YMCA office on 9/6/2023 and two child records were reviewed virtually. 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 Tuesday, 11/21/2023. 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 review of documentation, and staff interviews, the facility failed to inform all staff who work with children of children?s allergies, sensitivities and dietary restrictions. Evidence: when asked if there were any children with allergies, sensitivities or dietary restrictions staff #2 stated, "I don?t know." A child in attendance has a diagnosed food allergy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions. Evidence: the allergy list did not include child #2, who has a diagnosed food allergy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of two child records, not all records contained all required information. Evidence: the record for child #2, with a diagnosed food allergy, did not contain a written care plan that included instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, and staff interview, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: There were 15 children observed in attendance, however there were 17 children listed as present on the attendance sheet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-200-A
Description:	Based on review of documentation, and an interview with staff, the facility failed to have a qualified program director regularly on site at least 50% of the facility's hours of operation. Evidence: there is no documentation that the two staff on site are director qualified, or that director qualified staff are there 50% of the time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	Based on staff interviews, the facility failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: When asked, staff did not know how many children were in care, if there was medication on site, or where emergency drills are conducted at this location. Staff stated they had never been in the school before.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on review of documentation, and observation, the facility failed to ensure that in each grouping of children at least one staff member who meets the qualifications of program leader shall be regularly present. Evidence: neither staff onsite had documentation of program leader qualifications in their record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the facility failed to ensure that children under ten years of age are always within sight and sound supervision of staff. Evidence: Approximately four children, ages 5-9, were observed going around a corner, and entering a back door to the stage area which is located behind a curtain, in order to retrieve toys and materials on carts. The children were out of sight supervision for approximately one to three minutes as the teachers could not see the children through the curtain.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to ensure that handwashing procedures were followed as required. Evidence: The children did not wash their hands after snack.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-F
Description:	Based on review of the emergency drill log, and an interview with staff, it was determined that lockdown procedures were not practiced at least annually as required. Evidence: There was no documented lock down drill. Staff stated that they do not know the location to conduct a lockdown drill.
Plan of Correction:	Not available online. Contact Inspector for more information.