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YMCA SACC at Courthouse Road Elementary School

Inspection · 2024-09-17

Date
2024-09-17
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

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 renewal inspection was initiated on 09/17/2024 and completed on 09/26/2024, as a part of the licensure period. The on-site inspection was conducted on 09/17/2024 and began at 7:30am and ended at 8:36am. The inspector reviewed compliance in the areas listed above. There were 26 children present and two staff. The inspector reviewed five children?s records on-site. Three staff records were reviewed on 09/26/2024 at the program?s administrative office. 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 10/16/2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-770-60-B
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #1was dated 12 days after their first day of employment.
Plan of Correction: Will make sure all new employees complete sworn statement prior to the first day of employment.
Standard 8VAC20-780-60-A
(REPEAT VIOLATION) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child #3, enrolled for two years, was missing the following required components: name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.
Plan of Correction: Add an additional emergency contact on the child file.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

The references for Staff #1 were checked 15 days after their first day of employment.
Plan of Correction: Will make sure all new employees have reference checks completed prior to the first day of employment.
View original record on Virginia Department of Social Services