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YMCA SACC at Hartwood Elementary
14 Shackelfords Well Road
Fredericksburg, VA 22406
(540) 371-9622

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: May 22, 2024

Complaint Related: 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
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Comments:
An unannounced monitoring inspection was conducted on 5/22/24 from 4:10 p.m. to 5:00 p.m. with the Site Director. There were 26 children in care, ranging in age from five to 12-years-old, supervised by three staff. The children were observed playing with table toys. Five child records and three staff records were reviewed. The Center has three staff with current certification in CPR and First Aid, and three staff trained in Daily Health Observation Training. No medications were on site and the center has two staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio were observed. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5pm.on 7/1/2024.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on review of five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members.

Evidence:
1. The record for Staff #1 with an employment date of 8/24/22, the results of the central registry search background check was dated 10/24/22.
2. The record for Staff #2 with an employment date of 6/29/22, the results of the central registry search background check was dated 9/22/22.
3. The record for Staff #3, with an employment date of 9/13/22, the results of the central registry search background check was dated 10/26/22.

Plan of Correction: When waiting for central registry search background, there will be an email sent out to check on when results will be received.

Standard #: 8VAC20-780-80-A
Description: Repeat Violation

Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

Evidence: At approximately 4:10 p.m. there were 26 children present. Staff stated there were 30 children in attendance and the written record reflected 28 children present.

Plan of Correction: Staff meeting was held to address the issue and to express the importance of knowing our head count vs attendance.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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