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YMCA Programs at Oakridge Elementary School

Inspection · 2024-08-05

Date
2024-08-05
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
8VAC20-780 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

Inspector Notes

An unannounced, on-site renewal inspection was completed on August 5, 2024. The on-site inspection began at 9:40 am and ended at 10:25 am. The inspector reviewed compliance in the areas listed above. There were (38) children present and (5) staff. The inspector reviewed (4) children?s records, staff records were not available to be reviewed, they were not onsite this date. This inspection included
? document review (children records, emergency drill logs, no medication this date)
? tour of the facility,
? interviews,
? observations of 4 classrooms

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 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 (date). A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-2
Repeat Violation, Systemic Deficiency:
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.
Staff #6, date of employment unknown, there is no record to review if the staff had obtained fingerprints. (staff was observed caring for children this date).
Plan of Correction: Date of employment has been added to all files.
Standard 8VAC20-770-60-B
Repeat violation:
Based on a review of staff records, staff were employed without the person's completed
sworn statement.
Evidence: Staff #1(repeat) and staff #6, date of employment unknown, does not have documentation of completing the sworn statement prior to employment.
Plan of Correction: Staff #1 has signed sworn statement
Standard 8VAC20-770-60-C-2
Repeat Violation, Systemic deficiency:
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
Staff # 6, date of hire unknown
Plan of Correction: CRS have been submitted and awaiting results.
Standard 8VAC20-780-160-A
Repeat violation:
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.
Staff # 4, date of hire 6-14-2024 (caring for children this date)
Staff # 1, date of hire unknown
Staff # 6, date of hire unknown (caring for children this date)
Plan of Correction: TB tests have been reviewed updated the ones completed.
Standard 8VAC20-780-240-B
Repeat violation:
Based on a review of staff records, 2 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.
Staff # 6 had no record on site today to show he has completed orientation training.
Plan of Correction: Orientation paperwork has been placed in files.
Standard 8VAC20-780-240-C
Repeat Violation, Systemic Deficiency:
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 # 2, hire date 6/1/2022
Staff #1, hire date unknown
Staff#6, hire date unknown (caring for children this date)
Plan of Correction: Child abuse records have been updated
Standard 8VAC20-780-240-E
Repeat violation:
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.

Staff #1, date of hire unknown
Staff # 2, date of hire 6/1/2022
Staff # 3, date of hire 6/3/2024 (caring for children this date)
Staff # 4, date of hire 6/14/2024 (caring for children this date)
Staff #6, date of hire unknown (caring for children this date)
Plan of Correction: Orientation of first aid was completed when CPR and AED training was completed.
Standard 8VAC20-780-70
Repeat and systemic deficiency:
Based on staff interview, the staff records were not at the center location. There were no records to be reviewed.

Evidence: There were no records for the 5 staff needing to follow up for prior violations. Office staff said the records were taken home. The inspector could not review staff #1- # 6 records due to the record not being at the center program.
Plan of Correction: Camp director had records with him to update and go over files. Records were brought back to camp site