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YMCA Programs at Oakridge Elementary School

Inspection · 2024-07-15

Date
2024-07-15
Complaint Related
No
Licensing Inspector
Margaret Allworth
(703) 209-3521
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was completed on July 15, 2024. The on-site inspection began at 9:10 am and ended at 10:30 am. The inspector reviewed compliance in the areas listed above. There were (64) children present and (6) staff. The inspector reviewed (4)
children?s records and (5) staff records on-site and electronically on July 16, 2024. This inspection included:
? document review: emergency drill logs, medication administration logs, authorization forms, staff and children records
? tour of the facility,
? interviews,
? classroom 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.

The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification. Once the background check is received by the center, the results must be forwarded to the licensing inspector.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/23/2024. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-2
Repeat Violation:
Based on a review of staff records, staff have not submitted to fingerprints prior to the fist day
of employment.
Evidence: Staff #2, date of employment 6/1/2022 does not have documentation of fingerprint results. The staff was observed caring for children this date.
Plan of Correction: Will update records by end of week.
Standard 8VAC20-770-60-B
Based on a review of staff records, staff were employed without the person's completed
sworn statement.
Evidence: Staff #1, date of employment unknown does not have documentation of
completing the sworn statement prior to employment. The staff was observed caring for
children this date.
Plan of Correction: Make sure to get all required info in folder before 1st day of work
Standard 8VAC20-770-60-C-2
Repeat Violation:
Based on a review of staff records, staff do not have results from the central registry finding
within 30 days of employment.
Evidence: The following staff do not have documentation of the central registry finding within 30 days of employment. These staff were observed caring for children this date.
Staff # 1, date of hire unknown
Staff # 3, date of hire 6/3/2024
Staff # 4, date of hire 6/14/2024
Staff # 5, date of hire 6/19/2023 (repeat violation)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on a review of staff records,2 staff have not submitted documentation of a negative tuberculosis screening at the time of employment.
Evidence: The following staff do not have documentation of a negative tuberculosis screening at the time of employment. Both staff were observed caring for children this date.
Staff # 4, date of hire 6-14-2024
Staff # 1, date of hire unknown
Plan of Correction: Get folder updated.
Standard 8VAC20-780-240-B
Based on a review of staff records, 1 staff does not have documentation of orientation training no later than 7 days of the date of assuming job responsibility.
Evidence: Staff #1 stated he was hired at the beginning of the summer camp, end of June. There is no documentation of staff orientation.
Plan of Correction: Will get paperwork complete, staff did attend orientation.
Standard 8VAC20-780-240-C
Repeat Violation:
Based on a review of staff records, staff have not completed the required Recognizing Child
Abuse and Neglect training prior to working with children.
Evidence: The Following staff do not have documentation that they completed Recognizing Child Abuse and Neglect training. Staff were observed caring for children this date.
Staff # 2, hire date 6/1/2022
Staff #1, hire date unknown
Plan of Correction: Get folder updated
Standard 8VAC20-780-240-E
Based on a review of staff records, several staff do not have documentation that they completed orientation training in first aid within 30 days of employment.
Evidence: The following staff do not have documentation they have received orientation in first aid training and they do not have documentation of first aid certification. These staff were observed this date caring for children.
Staff #1, date of hire unknown
Staff # 2, date of hire 6/1/2022
Staff # 3, date of hire 6/3/2024
Staff # 4, date of hire 6/14/2024
Plan of Correction: Make sure to get all required info in folder before 1st day of work.
Standard 8VAC20-780-560-G
Based on observation, food brought from home is not dated and labeled in a way to identify the owner.
Evidence: The children were observed eating snack, the food containers brought from home were not all labeled with the child's name and none were dated.
Plan of Correction: Get folder updated.
Standard 8VAC20-780-70
Based on a review of staff records, there was no documentation of a staff record for one staff member to include emergency contact information, date of employment, documentation of 2 references, documentation of position qualifications, first aid and CPR certifications.
Evidence: Staff #1 stated he was hired for the supervisor position at the beginning of the summer program. Staff #1 was caring for children this day without a staff record on file.
Plan of Correction: Make sure to get all required info in folder before 1st day of work.