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YMCA/Loudoun at Leesburg Elementary School

Inspection · 2025-07-03

Date
2025-07-03
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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

8 VAC 20-780 Administration
8 VAC 20-780 Staff Training
8 VAC 20-780 Physical Plant
8 VAC 20-780 Staffing and Supervision
8 VAC 20-780 Programs
8 VAC 20-780 Special Care Provisions and Emergencies
8 VAC 20-780 Special Services
8 VAC 20-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
20 Access to minor?s records
22.1 Carbon Monoxide
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 monitoring inspection was initiated and completed on 07/03/2025. The on-site inspection began at 8:45 am and ended at 10:15 am. The inspector reviewed compliance in the areas listed above. At the start of the inspection, there were (18) children present and (3) staff. The inspector reviewed (5) children?s records and (3) staff on-site records on 07/03/2025.

This inspection included: document review (i.e. Files, injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms); 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.

Violations

3
Standard 8VAC20-780-245-J
Whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member who has satisfactorily completed a training program approved by the Board of Nursing and taught by an approved instructor pursuant to ? 54.1- 3408 of the Code of Virginia.

There was not a MAT certified staff person to administer the "as needed" prescribed medication stored on site for Child #5 on the date of inspection, from 8:47am until 9:51am (when a qualified staff person arrived).
Plan of Correction: Staff will be scheduled to ensure that MAT trained staff are on site at all applicable times.
Standard 8VAC20-780-510-E
Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.

There was not a medication authorization form for the second medication stored on-site for Child #5.
Plan of Correction: An authorization form will be obtained and placed on file.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

The was only 1 emergency contact listed for Child #3.
Plan of Correction: Will obtain this information and place it on file.
View original record on Virginia Department of Social Services