VIRGINIA DEPARTMENT OF SOCIAL SERVICES

YMCA of Metropolitan Washington - Reston
12196 Sunset Hills Road
Reston, VA 20190
(703) 742-8800

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: March 15, 2023

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 63.2 Child Abuse & Neglect

Technical Assistance:

Reviewed repeat violations from previous inspections (indicated on violation notice). Advised that possible enforcement actions may occur as a result of such violations during renewal inspection. The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification dated (insert date of the Acknowledgement Form). Once the background check is received by the center, the results must be forwarded to the licensing inspector. A renewed license will not be issued until all outstanding background checks are reviewed by a representative of the Office of Child Care Health and Safety, and a complete application is received.

Comments:

An unannounced renewal inspection and an investigation in response to an incident reported by the center was conducted on 3/15/2023 at 10:30am. There were 47 children directly supervised by 10 staff. The physical plant, 5 staff records, 7 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Interviews were conducted with parents, current and former staff. Children were observed swimming and participating in circle time and floor play, and free play. There was an assortment of age appropriate materials for the children in care. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice.

Violations:

Standard #:	22.1-289-036-B-4
Description:	Based on record review and staff statement, a renewal agent did not have the results of a central registry check within 30 days service. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no central registry background check was produced and email correspondence states that the results have not been received.
Plan of Correction:	All staff with outstanding or expired background checks have updated/completed them.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, out of state background checks were not conducted for employees who have resided in a state other than Virginia within five years preceding their hire date. Evidence: Staff 3's record did not contain documentation of a criminal record check or a central registry check from a state the employee has listed as a previous state of residence.
Plan of Correction:	All staff with outstanding background checks have updated/completed them.
Standard #:	22.1-289.036-A
Description:	Based on record review, not all renewal applicants had completed a central registry check withing the previous five years. Evidence: Applicant 1's Central Registry Check was last conducted 1/31/2018.
Plan of Correction:	All staff with outstanding background checks have updated/completed them.
Standard #:	22.1-289.036-B-2
Description:	Based on record review and staff statement, not all renewal applicants have a national criminal record check on file within 30 days of being appointed to their position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no criminal background check was produced and email correspondence states that the results have not been received.
Plan of Correction:	All staff with outstanding background checks have updated/completed them.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on record review and staff statement, a renewal agent did not complete a Sworn Statement or Affirmation within 30 days of being appointed to the position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no sworn statement or affirmation was produced and email correspondence states that the document has not been received by the center.
Plan of Correction:	All staff with missing sworn statements have signed them and they have been added to their file.
Standard #:	8VAC20-780-40-G
Description:	Based on record review, the center did not meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: The record for Child 5 does not contain documentation that the child's age and identity was verified.
Plan of Correction:	The missing proof of birth information in the files have been filled in.
Standard #:	8VAC20-780-40-M
Description:	Based on observation, the center did not maintain a staff accessible written list of all children's allergies, sensitivities, and dietary restrictions in a confidential location. Evidence: The Purple and Red classrooms had a current allergy list posted on an open bulletin board.
Plan of Correction:	N/A (We do have allergies and dietary restrictions listed in the proper, confidential place and it is staff accessible)
Standard #:	8VAC20-780-60-A
Description:	Based on record review, children's records did not contain all required information. Evidence: Child 1's record did not contain the name, address, and phone number for one of two required emergency contacts.
Plan of Correction:	All missing information in student files have been filled and completed.
Standard #:	8VAC20-780-240-A
Description:	Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Staff 1, hired 6/17/2022, did not have a certificate of completion on file for the Virginia Department of Education-sponsored orientation course.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on record review, staff members did not complete an orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1's record has no documentation of orientation training. 2. Staff 5's record has a blank copy of the orientation form, with no dates or signatures to verify completion.
Plan of Correction:	All staff members who did not go through orientation have it completed it and the signed documentation has been added to their file.
Standard #:	8VAC20-780-410-1
Description:	Based on interviews and video footage, staff roughly handled a child and restricted a child's movement through binding. Evidence: On March 8th at approximately 10:50 am, Staff 2 witnessed Staff 1 roughly grabbing Child 8 and forcing the child into a chair. The child was observed struggling to get away.
Plan of Correction:	On March 9, this staff member was put on administrative leave while an investigation was conducted. On March 14, this staff was terminated.
Standard #:	8VAC20-780-510-P
Description:	Based on record review, medication was present in the center more than 14 days after the medication authorization expiration. Evidence: 1. Child 1 has two medications present at the center, the expiration for each medication authorization from the parents expired on 8/30/2022. 2. Child 4's has a medication present at the center and the authorization expired on 8/30/2022.
Plan of Correction:	All expired medication has been sent home.
Standard #:	8VAC20-780-550-P
Description:	Based on record review, the written record of serious and minor injuries did not contain all required information. Evidence: Child 8's record had one incident report that did not list the aid given to the student and one incident report that did not document how to prevent the incident from future occurances.
Plan of Correction:	Moving forward, we will ensure that all incident reports are filled in.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, when food was brought from home it was not properly labeled. Evidence: Two lunch bags were observed on the cubbies in the hallway without a labeled date.
Plan of Correction:	We notified the parents that bring food from home to label their containers and lunchbags.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, infant bottles were not dated and labeled with the child's name. Evidence: 1. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled date. 2. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled name.
Plan of Correction:	We sent notification out to the infant parents to make sure that their bottles are labeled everyday. Additionally, we keep tape and a market available for parents if they come in without their bottles labeled.