VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: April 16, 2024

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 4:15-4:45 pm with staff. There were 11 school age children, present with two staff supervising. Children were observed at tables coloring and working on crafts during calm down, and then transitioned to a group game of bingo. Two onsite staff records and three 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, one staff member on site has current Medication Administration Training (MAT) certification. 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-M
Description:	Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions. Evidence: The allergy list was dated: 7/19/2023 and did not include all children that staff identified as having allergies, sensitivities and dietary restrictions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of three child records, not all records contained all required information. Evidence: the on site record for child #3 did not contain complete name, address and phone number for two emergency contacts, a written care plan for a diagnosed food allergy, or documentation of health information as required by 8VAC20-780-130, 140 and 150.
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 interviews with staff, 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: 11 children were observed, however no children were listed as present on the attendance sheet for 4/16/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-C
Description:	Based on review of documentation, the facility failed to ensure there were at least two staff members with current certification in First Aid and CPR present, on site, during the facility's hours of operation and whenever children are in care. Evidence: there were two staff on site supervising children, and staff #1 did not have documentation of valid First Aid and CPR certification.
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 in 2023 or 2024. Staff stated that they cannot get into the lockdown location because it is locked.
Plan of Correction:	Not available online. Contact Inspector for more information.