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YMCA SACC at Conway Elementary School
105 Primmer House Road
Fredericksburg, VA 22405
(540) 371-9622

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Jan. 16, 2020 and Jan. 31, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Provided consultation on:
1) standard 22 VAC 40-185-160B: Acceptable forms of documentation of a negative tuberculosis (TB) screening are 1. A clearance statement signed by a physician, the physician's designee or an official of the local health department; 2. The results of a negative tuberculin skin test (TST); or 3. The results of a chest x-ray negative for tuberculosis disease.
2) 22 VAC 40-185-70A: staff records shall contain the name, address and telephone number of a person to be notified in an emergency

Comments:
An announced focused monitoring inspection was conducted from 1:00 - 4:30 pm offsite at the Massad central office. Six staff records were reviewed. An exit interview was conducted 1/31/2020. If you have any questions about this inspection, contact Donna Liberman at 540-359-5244 or Donna.Liberman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review of six staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated 3/20/17.

Plan of Correction: Staff will obtain an updated TB test/screening.

Standard #: 22VAC40-185-70-A
Description: Based on review of six staff records, the facility did not ensure that each staff record contained all required information. Evidence: the records for staff #1, staff #3, staff #4 and staff #6 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position.

Plan of Correction: Will ensure that education and experience are documented in the records.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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