VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA SACC at Kate Waller Barrett Elementary
150 Duffey Drive
Stafford, VA 22556
(540) 371-9622

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Nov. 15, 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

Technical Assistance:

Technical Assistance was provided to site staff regarding supervision of children who are leaving the program to go into the school and coming from the school to the program outside of the normal hours. Also discussed with site staff the requirements for allergy care plans and how to know when they are required.

Comments:

An unannounced monitoring inspection was conducted on 11/15/23 from 6:45am to 7:30am with program staff. There were 17 children in care by the end of the inspection, supervised by two staff. Children were observed having free play. Required postings were observed. The attendance, menu, allergy list, and emergency drill log were reviewed. Three 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). Off-site staff records were reviewed at the YMCA office on 9/6/23. Five medications and authorizations were reviewed 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 12/4/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-780-40-L
Description:	SYSTEMIC Based on review of documentation and interview, the program did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: On 11/15/23, the two staff on site stated that only Child A had a food allergy. The allergy/sensitivity/dietary preference list on site contained documentation that only Child A had a food allergy. The physical for Child C contains documentation that Child C also has a diagnosed food allergy, and the record for Child C contains documentation of an additional dietary preference. The physical for Child C was maintained online by the program, but was not accessible to on-site staff when requested.
Plan of Correction:	Staff have been trained on where to look for specific documentation Playerspace.
Standard #:	8VAC20-780-40-M
Description:	SYSTEMIC Based on review of documentation and interview, the program did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: Child C has a diagnosed allergy to chocolate. The record for Child C also indicated a dietary restriction for no red dye. The allergy/sensitivity/dietary restriction list on site on 11/15/23 did not contain documentation of Child C?s allergy or dietary restriction.
Plan of Correction:	In the future staff will be aware of allergies, dietary restrictions.
Standard #:	8VAC20-780-60-A-8
Description:	SYSTEMIC Based on review of child records, the program did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The physical for Child C contained documentation that the child is allergic to chocolate. The record for Child C did not contain an allergy care plan.
Plan of Correction:	Received allergy care plan for Child C from parent for red dye and chocolate. She has food intolerance. Documentation is onsite and has been uploaded.
Standard #:	8VAC20-780-510-I
Description:	Based on review of five medications and authorizations, the program did not obtain written authorization from a parent in order to give a child am emergency prescription medication. Evidence: An emergency prescription medication was on-site for Child D, but there was no written authorization signed by the parent for the medication on-site.
Plan of Correction:	Documentation has been received from parent and is onsite and has been uploaded.