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YMCA of Pulaski County-Dublin Elementary

Inspection · 2022-11-17

Date
2022-11-17
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.
8VAC20-770 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 monitoring inspection was initiated on 11/17/2022 and concluded on 11/17/2022. There were 16 children present with 3 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 3 staff records were reviewed. The inspection started at 2:48pm and concluded at 4pm.

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

4
Standard 8VAC20-780-510-I
Based on discussions with staff and review of documentation the center failed to ensure that medication policies were followed.

Evidence:
1. Child #2 and #4 both had inhalers and no staff members present held Medication Administration Certification as required.
2. Child #2 and #4 did not have parental or physician authorization on file for administering of the inhalers as required.
Plan of Correction: Medication authorization will be obtained for both children and placed in the file for compliance. A staff member will be put in place who holds current MAT certification until another staff who works at this site can obtain this certification.
Standard 8VAC20-780-510-L
Based on discussions with staff and review of documentation the center failed to ensure that a child who carries their own medication has physician documentation to do so in order for the medication not to be required to be stored in a locked area.

Evidence:
Child #2 and #4 both carry their own inhalers according to the staff. Neither child had physician authorization to do so as required and the medication was therefore no stored in a locked area.
Plan of Correction: Physician authorization to carry medication will be obtained for both children and placed in their files for compliance.
Standard 8VAC20-780-550-G
Based on discussions with staff and review of documentation the center failed to ensure that documentation was maintained of practiced monthly evacuation drills.

Evidence:
Staff stated that monthly evacuation drills had occurred but that the documentation where they recorded these monthly drills could not be located at the time of inspection.
Plan of Correction: If the documentation cannot be located a new sheet will be started and maintained recording monthly evacuation drills as required.
Standard 8VAC20-780-60-A-8
Based on discussions with staff and review of documents the center failed to ensure that children with a diagnosed food allergy has an allergy action plan from the physician.

Evidence:
Child #4 had medically diagnosed food allergies and no allergy action plan as required.
Plan of Correction: An allergy action care plan will be requested and placed within the child's file for future compliance and review.