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YMCA-SACC and Summer Camp at Lewis & Clark

Inspection · 2024-11-25

Date
2024-11-25
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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.
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

During the inspection, the inspector reviewed the areas listed above. 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 11/25/2024 and completed on 11/25/2024. The on-site inspection began at 3:10 pm and ended at 4:30 pm. The inspector reviewed compliance in the areas listed above. There were 35 children present and three staff. The inspector reviewed five children?s records and zero staff records on-site on 12/10/2024.

This inspection included document review, tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance 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 (5) business days from today, which will be the close of business on 1/3/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

There was not a sworn disclosure statement in the record for Staff #1. Staff #1 has been employed for one day and was observed working with children on the day of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #1, who has been employed for one day, did not have a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Staff #1, who has been employed for one day, did not have a central registry search requested.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff #1 had no documentation of TB screening and has been employed for one day and was working with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or
flushing it down the toilet.

Child #1 had two medication authorizations forms on file, that expired six months ago. Medication on file for Child #1 had expired four months ago. The medications had not been administered past the expiration of the authorizations. The authorizations had not been renewed and the medications were not returned or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
REPEAT VIOLATION:
The following staff records shall be kept for each staff person:
Name, address, verification of age requirement, job title, and date of employment and name, address, telephone number of a person to be notified in an emergency which shall be kept at the center and information, about any health problems that may
interfere with fulfilling the job responsibilities. Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.

Personal information, emergency contact and health information were not available onsite for Staff #1, who was working with children on the date of inspection. Staff #1?s record only contained one of two required references, and position title. Staff #2, who has been employed for 2 years and Staff #3, who has been employed for 3 years, did not have information onsite about health problems that may interfere with job responsibilities.
Plan of Correction: Not available online. Contact Inspector for more information.