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YMCA of Pulaski County-Pulaski Elementary

Inspection · 2023-05-24

Date
2023-05-24
Complaint Related
No
Licensing Inspector
Todd Scott
(276) 608-3749
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
8VAC20-770 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

Inspector Notes

A renewal inspection was initiated on 5/24/23 and concluded on 5/24/23. There were 15 children present with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 4 staff records were reviewed. The inspection started at 2:50pm and concluded at 3:50ppm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

2
Standard 8VAC20-780-510-E
Based on review of medications and related documentation the facility failed to ensure that there was current authorization to administer the medication.

Evidence:
The emergency medication for child #1 did not have a current authorization to administer document. The document was signed by the parent but had not been renewed after the allowed 10 days of authorization. There was no long term authorization by the physician.
Plan of Correction: A long term use form will be obtained by the physician if the child returns for care next term. Until then the parent will renew the 10 day authorization to complete this term.
Standard 8VAC20-780-510-I
Based on review of staff files and discussions with staff the facility failed to ensure that a staff was present who meets Medication Administration requirements.

Evidence:
On 5/23/23 the sole staff member who has Medication Administration Certification was not on site, but was on site at another Y program that was being inspected by licensing.
There were 2 children present on 5/23/23 who have emergency medications and there was no staff present holding MAT Certification on this day as required.
Plan of Correction: Moving forward there will always be a staff present that is certified in MAT if there are medications present.
View original record on Virginia Department of Social Services