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Knights of Columbus Summer Day Camp
5115 Little Falls Road
Arlington, VA 22207
(703) 536-9656 (324)

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Aug. 10, 2022

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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Technical assistance was provided regarding ratios, 10 hour training annual requirements, reference letters, medication authorizations forms and FARE forms.

Comments:
An unannounced monitoring inspection was conducted today from 11:10am-1:00pm. There were 133 children (School-age) directly supervised by 22 staff. The physical plant, 4 staff records, 5 children?s records, lifeguard certifications, medications, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in group play, eating lunch and swimming. There was an adequate supply of materials for the children. The program was clean and organized. Areas of non-compliance are identified on the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Soto at maria.soto@doe.virginia.gov or (571) 835-5058.

Violations:
Standard #: 8VAC20-780-60-A
Description: Based on record review, children's records did not contain all required information.

Evidence:
Child #4's record did not contain a complete address for one of two required emergency contacts. The address was missing the house number and the street name.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on record review, the program did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence:
Child #1 and Child #5's records contain physical forms that indicate that both children have diagnosed food allergies, their records did not contain written allergy care plans.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on record review, the program did not obtain two required references for all staff members.

Evidence:
Staff #1 and Staff #2's records contain one of two required references.

Plan of Correction: Not available online. Contact Inspector for more information.

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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