VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of Metropolitan Washington-Sanders Corner Elementary School
43100 Ashburn Farm Parkway
Ashburn, VA 20147
(703) 777-9622

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: July 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. ? 8VAC20-820 THE LICENSE. ? 8VAC20-820 THE LICENSING PROCESS. ? 8VAC20-820 HEARINGS PROCEDURES. ? 8VAC20-770 Background Checks (8VAC20-770) ? 20 Access to minor?s records ? 22.1 Background Checks Code, Carbon Monoxide ? 63.2 Child Abuse & Neglect ? 8VAC20-790 Subsidy Regulations.

Comments:

An unannounced renewal inspection was conducted today between the hours of 9:30am-10:45am. There were a total of 24 children with five staff members present. Children were observed during snack time, engaged in group activities and gym play time. A selection of staff and children records, medications and other documents were reviewed. The physical space, emergency supplies, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-40-K
Description:	Based on documentation review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: 1. Documentation of written procedures for prevention of shaken baby syndrome or abusive head trauma was not available at the time of the inspection. 2. Staff #2 confirmed that staff received the training, but the written procedures for prevention of shaken baby or abusive head trauma was not available.
Plan of Correction:	The center will develop written procedures for Shaken Baby Syndrome and abusive head trauma.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interview, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of children's allergies, sensitivities, and dietary restrictions. Evidence: 1. The center did not maintain a current list of children's allergies, sensitivities, and dietary restrictions. 2. Staff #1 confirmed that a current list of children's allergies, sensitivities, and dietary restrictions were not maintained.
Plan of Correction:	A current allergy list will be made and sent to the Licensing Inspector.
Standard #:	8VAC20-780-60-A-8
Description:	Based on documentation review and interview, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: 1. Child #6 (Start date-06/13/23) has a diagnosed food allergy to peanuts and had emergency medication on site. Child #6's record does not contain documentation of a written allergy care plan. 2. Staff #1 confirmed that the center did not obtain documentation of a written allergy care plan for Child #6.
Plan of Correction:	Staff will follow up with the parents to get an allergy care plan for child.
Standard #:	8VAC20-780-350-F
Description:	Based on documentation review and interview, the center did not develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: 1. The center did not have documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff. 2. Staff #2 confirmed that the center did not have a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff.
Plan of Correction:	The center will develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, children did not wash their hands with soap and running water or disposable wipes after eating meals or snacks. Evidence: 1. After eating snack, children transitioned to the gym area without washing their hands with soap and running water.
Plan of Correction:	The staff will be retrained on handwashing times and techniques.
Standard #:	8VAC20-780-510-G
Description:	Based on review of medications and documentation review, one of four medications was not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. Child #9 has emergency medication on site. A box of albuterol was located in a clear plastic bag with no prescription label identifying the child's name, the name of the medication, the dosage amount, and the time or times to be given.
Plan of Correction:	Staff will follow up with parents to locate the prescription label of the medication.
Standard #:	8VAC20-780-540-D
Description:	Based on observation and interview, emergency supplies were not available at the center. Evidence: 1. An ice pack or cooling agent was not available at the center at the time of the inspection. 2. Staff #1 confirmed that ice packs were not available at the center.
Plan of Correction:	Staff will get ice packs for the center.
Standard #:	8VAC20-780-550-G
Description:	Based on documentation review and interview, documentation of emergency evacuation, shelter in place, and lockdown drills were not maintained. Evidence: 1. Documentation of emergency evacuation, shelter in place, and lockdown drills was not available at the time of the inspection. 2. Staff #1 confirmed that emergency evacuation, shelter in place, and lockdown drills were conducted for the month of June, but not documented.
Plan of Correction:	Documentation of the emergency evacuation, shelter in place, and lockdown drills will be sent to the Licensing Inspector today.