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YMCA-SACC and Summer Camp at Lewis & Clark

Inspection · 2025-05-06

Date
2025-05-06
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 5/6/2025 and completed on 5/6/2025. The on-site inspection began at 3:10 pm and ended at 4:18 pm. The inspector reviewed compliance in the areas listed above. There were 28 children present and two staff. The inspector reviewed five children?s records and two staff records electronically on 5/19/2025.

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 5/30/2025. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH and/or the program did
not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

Staff #2 updated screening was due two months ago. The updated screenings have not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
When applicable, work phone number and place of employment of each parent who has custody.

Five children records were reviewed and in four of the children?s records, there were no work phone numbers provided for the parent?s place of employment.
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.

Staff record was not provided for Staff #1 upon request. The center was given seven days to present a record for Staff#1, record was never provided for review. 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, who has been employed for 3 weeks, 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.