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YMCA SACC at Falmouth Elementary School

Inspection · 2026-03-12

Date
2026-03-12
Complaint Related
No
Licensing Inspector
Laura Brindle
(540) 905-2062
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
Yes

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
8VAC20-821 Violation Review
22.1 Early Childhood Care and Education
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 3/12/26 and completed on 3/13/26. The on-site inspection began at 6:50am and ended at 7:50am. The inspector reviewed compliance in the areas listed above. There were seven children present initially and two staff. The inspector reviewed three children?s records on-site and electronically and four on-site staff records. This inspection included document review, interviews, and observations. A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards. Information gathered during the inspection determined noncompliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 3/24/26. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 8VAC20-780-40-M
The center is required to maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions documented in the allergy plan required.

On 3/12/26 the written allergy list on-site did not contain documentation of Child B?s diagnosed allergy. Child B had emergency medication on site for the allergy.
Plan of Correction: Ensure proper paper work for medication is obtained to include Medication authorization and allergy plan for each child in care.
Standard 8VAC20-780-60-A-8
A written care plan is required 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.

The record for Child D contained documentation that Child D has a diagnosed food allergy. There was no written care plan from a physician on record for Child D.
Plan of Correction: Ensure proper paper work for medication is obtained to include Medication authorization and allergy plan for each child in care.
View original record on Virginia Department of Social Services