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Life Time Fitness - Centreville
5900 Trinity Parkway
Centreville, VA 20120
(703) 266-6200

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: July 9, 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.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted today. There were 73 children in care, with a total of 8 staff members assigned to their direct supervision. Children's records, staff records, children's medications, background checks, staff training, the physical plant, and administrative documents were inspected today. The children were observed attending swim lessons, playing group gym games, playing basketball, riding indoor floor scooters, creating art projects, and playing with Legos. This inspection was completed between approximately 10:00am and 12:10pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, it was determined that two records were not complete. Evidence: Staff record B and record C do not include documentation of two completed reference checks.

Plan of Correction: All reference checks will be completed.

Standard #: 22VAC40-185-80-A
Description: Based on staff interviews, it was determined that although the written attendance was completed, three staff members were not aware of how many children were in their direct care. Evidence: When asked by the Inspector how many children were in their group, three group leaders were not aware of how many children were present and in their care today.

Plan of Correction: All staff will be reminded the importance of always knowing how many kids are in their group.

Standard #: 22VAC40-185-480-B
Description: Based on a review of swim permission forms, it was determined that one parent has not granted written authorization as required. Evidence: Child record D does not include the parent's signed permission allowing their child to participate in swimming activities. This child has already attended swimming activities during summer camp.

Plan of Correction: I will ask the parent to sign the form today.

Standard #: 22VAC40-185-510-C
Description: Based on a review of children's medications, it was determined that medications were on site without all required information. Evidence: 1 - One prescription medication did not include the prescription label. 2 - One medication authorization form does not include the written dosage and administration instructions. 3 - One long term medication authorization form does not include the physician's signature.

Plan of Correction: Each parent will be asked for the missing information.

Standard #: 22VAC40-185-510-J
Description: Based on observations, it was determined that the children's medications were not stored in a locked manner. Evidence: The children's medications were stored inside a floor level cabinet in the children's camp area. The door to this cabinet was not locked.

Plan of Correction: I have ordered a locking box for the medications. I will make sure all medications are put in there as soon the box arrives.

Standard #: 63.2(17)-1720.1-A
Description: Based on a review of administrative documents, it was determined that all required background checks have not been completed. Evidence: Through staff interviews, it was determined that gym employees who are not summer camp employees take the children to and from the pool for swim lessons daily. The employees who take these children to the pool are not within the supervision of summer camp employees, and have not completed all required background checks. These employees have not completed: signed Sworn Disclosure Statement (SDS); Fingerprint search; Child Protective Services Registry (CPS) search.

Plan of Correction: Three main gym employees take the children to and from the pool. I will ask each of them to complete the required background checks.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on a review of staff background checks, it was determined that two required out of state CPS searches have not been completed. Evidence: Staff person A has lived in two states other than VA within the past 5 years. There is no documentation showing that each out of state CPS search request has been submitted.

Plan of Correction: I did one of the searches but didn't maintain the documentation. I will submit both search requests this week.

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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