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YMCA/METRO - Arlington Branch
3422 North 13th Street
Arlington, VA 22201
(703) 525-5420

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Dec. 5, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
YMCA Administration needs to develop a system to maintain and address repeat violation for staff records: TB, Background Checks and reference checks.

Comments:
An unannounced monitoring visit was conducted today. Upon arrival 5 after school children were dropped off from the first bus run. Additional school-age kids came into the program from 2 other school bus runs. Observed children transition into the program, drop off and transportation procedures, snack and hand washing as well as free play until the other kids arrived. Reviewed staff and children records, emergency preparation, physical plant, trainings and nutrition. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, TB documentation was not submitted. Evidence: Staff #3 was hired 6/2018 and did not submit documentation of a TB screening no later than 21 days after employment.

Plan of Correction: Staff provided document for negative TB test for 7/2017.

Standard #: 22VAC40-185-70-A
Description: Based on record review, 4 of 5 staff records reviewed were missing reference checks prior to hire Evidence: Staff #2 was missing 2 references-date of hire 5/2016 Staff #3 was missing 2 references-date of hire 6/2018 Staff #4 was missing 1 reference-date of hire 10/2017 Staff #5 was missing 2 references-date of hire 5/2018

Plan of Correction: References input into reference check database checkster, awaiting response.

Standard #: 22VAC40-185-270-A
Description: Based on observation, an area of the center was not maintained in clean, safe or operable condition. Evidence: Wall board above the radiator had a hole and the board around it was warping.

Plan of Correction: Maintenance ticket places to be repaired.

Standard #: 22VAC40-185-280-B
Description: Based on observation, cleaning materials were not kept in a locked place using a safe locking method to prevent access by children. Evidence: Germicidal wipes were stored in the cabinet in the child care room and was unlocked during the inspection.

Plan of Correction: Remind staff the cabinet needs to be locked.

Standard #: 22VAC40-185-510-A
Description: Based on medication review, 1 of 3 children's authorization for medication was not signed by a parent. Evidence: Child #3's authorization was not signed by a parent.

Plan of Correction: Obtain parent signature

Standard #: 22VAC40-185-510-C
Description: Based on medication authorization review, a child's authorization was not completed to authorize YMCA staff to administer medication. Evidence: The authorization gave another program (FunBot) authorization rather than the YMCA to administer medication if needed.

Plan of Correction: New authorization form given to parent for physician signature

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review, one of five records was missing an out of state central registry check. Evidence: Staff #2 documented on her sworn disclosure statement that she lived in a different state within the past five years. A central registry check was sent 1/2018 but the results were not returned and the center did not follow up to file results.

Plan of Correction: New MD check form complete and turned in.

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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