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Ashburn Village Sports Pavilion
20585 Ashburn Village Blvd.
Ashburn, VA 20147
(703) 478-8901

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Dec. 10, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Today an unannounced Monitoring Inspection took place between the hours of 2:45pm and 5:05pm. At the start of the inspection there were a total of 60 children with 6 staff; all ratios were incompliance. A total of 7 children?s files and 6 staff files were reviewed. The children were observed arriving from school, greeting staff, eating snack (cheese crackers), playing in the gym and other organized activities. There were 10 medications and authorizations reviewed. If you have any questions or concerns, please feel free to contact me at whitney.mcgrath@dss.virginia.gov. Thank you for your cooperation during this inspection.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center has not obtained documentation of immunizations before each child could attend the center.
Evidence: Child #3 file does not contain documentation of immunizations.

Plan of Correction: I'll email the parents about this missing form and I'll ask for it within a week.

Standard #: 22VAC40-185-160-A
Description: Based on record review and interview, staff have not submitted a negative tuberculosis (TB) screening within 21 days of employment.
Evidence: Staff #6 file does not contain a TB screening. Management confirmed that this staff member has not yet provided TB screening results.

Plan of Correction: This employee had an appointment to get his TB test completed last week. I will follow-up with the staff to see if the staff received the results.

Standard #: 22VAC40-185-160-C
Description: Based on interview, staff did not submit the results of a follow-up tuberculosis (TB) screening every two years.
Evidence: Staff #2 most recent documented TB screening is dated 6/28/17. Management confirmed that this staff member has not completed a repeat TB screening.

Plan of Correction: I'll request for him to do this.

Standard #: 22VAC40-185-60-A
Description: Based on record review, children's records do not contain all required information.
Evidence: Child #5 file does not contain addresses for both emergency contacts.

Plan of Correction: I've emailed the parents to obtain this information.

Standard #: 22VAC40-185-510-E
Description: Based on a review of medications, medications were not labeled with the children's names.
Evidence: Child #6 and Child #7's medications were not labeled with their names.

Plan of Correction: This was corrected during the inspection.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medications, medications were not returned to parents or disposed of within 14 days of an authorization expiring.
Evidence: Child #6 and Child #7's medication authorizations expired 4/29/2019. The children's medications were observed on-site.

Plan of Correction: I'll attach a new medication authorization to the parents to have a new form completed.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview, the center has not obtained a central registry background check for one employee within the first 30 days of employment.
Evidence: Staff #6 (date of hire: 11/8/2019) file does not contain the results of a central registry background check.

Plan of Correction: The central registry background check was mailed out approximately a month ago.I'll call the appropriate age to see if they received the background check and where the results might be.

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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