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YMCA-SACC and Summer Camp at Lewis & Clark
18101 Clark & York Boulevard
Ruther glen, VA 22546
(804) 448-9622

Current Inspector: Jaime Harris (804) 807-3278

Inspection Date: May 14, 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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
An unannounced monitoring inspection was initiated on Tuesday, May 14, 2024, and concluded on May 15, 2024. On May 14, the inspector was on site from 4:00pm to approximately 5:45pm. There were a total of 34 children in care in the direct care of three staff members. During the
inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility used by the children were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance. The center administers medications and medications were reviewed. Five children's records and three staff records were reviewed. On May 15, the inspector was at the center's administrative office to review staff records from 10:25am to approximately 12:50pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 8VAC20-780-40-M
Description: Based on documentation reviewed, observations, and interviews, the center did not maintain, in a way that is accessible to all staff who work with children, a current list of all children's allergies, sensitivities, and dietary restrictions.

Evidence: The record of Child #2 indicated the child has a diagnosed food allergy. During interviews, staff reported Child #2 has a diagnosed food allergy and was present on 05/14/24, but a current written list of all children's allergies, sensitivities, and dietary restrictions could not be located at the time of the inspection.

Plan of Correction: The list will be posted and made available to all staff moving forward.

Standard #: 8VAC20-780-60-A
Description: (Repeat Violation) Based on a review of five children's records and interviews, the center did not ensure one child's record contained the required information.

Evidence: One of the emergency contacts in the record of Child #2, enrolled on 08/14/23, did not contain the emergency contact's address and a second emergency contact was not listed. During interview, a member of management confirmed the center did not have two complete emergency contacts on file for Child #2.

Each child record shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

Plan of Correction: Corrected on 05/16/24. In the future, staff reviewing submitted paperwork will ensure all emergency contacts contain the required information.

Standard #: 8VAC20-780-70
Description: Based on observations and a review of documentation on 05/14/24, the center did not ensure that the required information for each staff was kept at the center.

Evidence: During the inspection on 05/14/24, Staff #1, Staff #2, and Staff #3, were observed at the center. The emergency contact information and information about any health problems which may interfere with fulfilling the job responsibilities were not observed at the center for the staff. During interview, Staff #1 reported the information could not be located at the time of the inspection.

The center should maintain at the center the name, address and telephone number of a person to be notified in an emergency and information about any health problems which may interfere with fulfilling the job responsibilities for each staff member.

Plan of Correction: The information will be located and staff will ensure it remains on site as required.

Standard #: 8VAC20-780-240-A
Description: Based on a review of three staff records and interviews, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation within 90 calendar days of employment.

Evidence: The record of Staff #1, employed on 08/11/23, did not contain documentation that the staff completed the Virginia Department of Education-sponsored orientation course. During interview, a member of management confirmed the center did not have documentation that the staff completed the training within 90 days of employment.

Plan of Correction: The documentation will be requested and maintained in the record.

Standard #: 8VAC20-780-245-J-3
Description: Based on a observation, a review of documentation, and interviews, the center did not ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements for medication administration training (MAT).

Evidence: 1. During the inspection on 05/14/24, the inspector observed two emergency medications on site for two children that were present during the inspection.
2. During interview, Staff #1 was identified as the MAT certified staff member on site.
3. The record of Staff #1 indicated her MAT certification expired on 03/22/2024.
4. Staff #1 acknowledged her MAT certification was expired and there were no other MAT certified staff on site at the time of the inspection.

Plan of Correction: Staff #1 has scheduled a class to renew the MAT certificate for 06/08/24. In the meantime, other MAT certified staff will be scheduled for this location.

Standard #: 8VAC20-780-550-G
Description: Based on a review of documentation and interviews, the center did not ensure the emergency evacuation documentation contained the required information.

Evidence: The center's emergency evacuation drills for 2024 were reviewed. The documentation for drills conducted from January 2024 through April 2024 did not include the method used for notification of the drill; the number of staff participating; the number of children participating; or the time it took to complete the drill.

During interview, a member of management confirmed the form that was used to document the drills did not contain all the required information.

Plan of Correction: Staff will be reminded to use to correct form to document all drills.

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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