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: July 11, 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:

The provider must send documentation to the LI that the background checks have been requested, or appropriate follow up for submitted background checks, no later than 10 days following this notification dated July 11, 2023. Once the background check is received by the center, the results must be forwarded to the licensing inspector. Discussed that the use of double gloves during diaper changes does not replace the handwashing of staff's hands between diaper changes. Discussed requirement for sanitizers. The surface of the item must be sprayed or dipped into disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Discussed when children displaying symptoms of illness should be isolated from other children until they can be picked up. Discussed checking medication for expiration dates and asking parents to provide unexpired medication. Discussed ensuring that the center is prepared to meet the needs of children on allergy plans by asking parents to supply medications listed on the allergy plan.

Comments:

An unannounced monitoring inspection was conducted today from 10:10am-11:55pm to review the center's compliance with the child day center standards. The center is currently operating with an license that expired on March 3, 2023. If a complete application is received in a timely manner the center will receive a Provisional License and continued oversite to determine if they can consistently maintain Child Day Center standards. At the beginning of the inspection 18 staff members were supervising 56 children. The inspection included a review of 8 Staff records, 9 Children's records, 8 Children's medications, and observations of classrooms. Children were observed eating lunch, and making a butterfly craft. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at kara.vaughan@doe.virginia.gov or 703-537-6241.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center failed to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: Staff 1, 2, and 8's records did not contain documentation of a a central registry finding within 30 days of employment or volunteer service.
Plan of Correction:	Central registry forms were already submitted for these staff members. A follow up email has been sent to OBI to check the status of these background checks. See attached documents.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each enrolled child. Evidence: The records for Child 1 and Child 2 did not contain documentation of a physical examination by or under the direction of a physician for each enrolled child.
Plan of Correction:	Child 1 and 2 are no longer in our center. All other children's files are correct and up to date.
Standard #:	8VAC20-780-40-G
Description:	Based on record review, the center failed to meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: Child 1 and Child 2's records did not contain documentation that the center had verified proof of the child's identity.
Plan of Correction:	Child 1 and 2 are no longer in our center. All other children files are correct and up to date.
Standard #:	8VAC20-780-40-M
Description:	Based on record review, the center failed to keep the current written list of all children's allergies, sensitivities, and dietary restrictions confidential. Evidence: Allergy lists were observed to be posted on public bulletin boards in the Yellow and Red classrooms.
Plan of Correction:	Rosters that included allergies have been removed from the walls and placed inside the cabinets. Rosters on the bulletin boards do not include allergies.
Standard #:	8VAC20-780-240-B
Description:	Based on record review, staff did not complete an orientation of all required topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 2, 3, and 6, were hired after the orientation requirements changed in October 2021. The orientation the staff members received did not contain all required topics.
Plan of Correction:	All staff will receive updated orientation over the next 14 days.
Standard #:	8VAC20-780-510-N
Description:	Based on a review of medication and medication documentation, the center failed to keep a record of medication given to children. Evidence: Child 17 had a medication authorization for a prescription medication to be administered daily between 5/18/2023-5/28/2023. Attendance records document the child was in attendance on 5/19, 5/22, 5/24, and 5/25. There is no documentation to support that the child received his medication on these dates.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-P
Description:	Based on a review of medication and medication documentation, the center failed to obtain a new authorization or dispose of medication not picked up by the parent within fourteen days of the medication authorization. Evidence: 1. Child 10 had medication present in the center on the date of inspection. The authorization for the medication expired 8/30/2022. 2. Child 17 had medication present in the center on the date of inspection. The authorization for the medication expired 5/28/2023.
Plan of Correction:	We have implemented a new process for administering medication, In which the administrative staff will administer medication and ensure all administration is being logged. The log book will be checked on a weekly basis to ensure protocol is being followed. IN the case that another non administrative staff member administers medication, the administrative staff will verify that it was logged at time of medication distribution
Standard #:	8VAC20-780-550-D
Description:	Based on record review and staff statement, the center failed to implement a monthly practice evacuation drill. Evidence: Evacuation drills were not conducted during March, April, or June of 2023.
Plan of Correction:	Fire drills will be implemented on a monthly basis, effective immediately. A schedule has been put together and is attached.