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Loudoun P&R - Algonkian CASA and Camp
20196 Carter Ct.
Sterling, VA 20165
(571) 233-0265

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Jan. 11, 2016

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFFING AND SUPERVISION.

Technical Assistance:
1. Recommend supervision policies and procedures be reviewed, and staff be re-trained accordingly.

Comments:
Conducted an investigation into allegations of a lack of supervision, a lack of structured activities, and a lack of confidentiality. Interviews conducted, records reviewed, and observations made. There was a preponderance of evidence to support the allegations of a lack of supervision; there was insufficient evidence of a lack of structured activities; and there was no evidence of a breach in confidentiality. This complaint has been deemed to be valid/founded. Questions about this investigation may be directed to pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Complaint related: No
Description: Based on 3 staff records reviewed, it was determined that 1 staff did not have documentation of a negative TB screening submitted no later than 21 days after employment. Evidence: There was no TB screening documentation on file for Staff #2. Date of hire was in May 2015.

Plan of Correction: Staff files have been properly updated and accounted for.

Standard #: 22VAC40-185-70-A
Complaint related: No
Description: Based on 3 staff records reviewed, it was determined that 2 records did not include required information. Evidence: 1. Staff #1 - The emergency contact information on-file did not include an address. 2. Staff #2 - Documentation of 1 of 2 reference checks was not on-file, and there was no documentation of orientation training.

Plan of Correction: Staff files have been properly updated and accounted for.

Standard #: 22VAC40-185-340-A
Complaint related: Yes
Description: Based on interviews conducted, it was determined that staff did not ensure the care, protection, and guidance of children. Evidence: 1. In October 2015, Staff #1 was observed sleeping while alone with a group of children. a. The staff person was reported to have been sleeping while sitting on a bench and supervising a group of children playing on the playground. b. The staff person did not respond to multiple verbal greetings by a parent. c. As the parent was standing beside them, the staff person responded in a startled manner when they awoke. d. It is not known how long the staff person was sleeping before the parent arrived. e. Staff #4 was inside the building with another group of children at the time. f. The playground is a large open area with no surrounding fence. 2. In January 2016, children were permitted to play roughly with hula-hoops. a. A child was observed by a parent being dragged down the hallway by another child with a hula-hoop between her legs. b. Afterwards, the child had bruising on her inner thighs. c. Staff stated, children were "used to misusing equipment." d. Staff were not in the hallway at the time, and did not see this rough play. They were reportedly in the gym at the time.

Plan of Correction: Staff will be retrained regarding proper supervision and proper use of sports' equipment in the gym. An organized schedule/calendar of approved games and activities for the gym will be posted at site and followed by staff.

Standard #: 22VAC40-185-340-F
Complaint related: Yes
Description: Based on interviews conducted and observations made, it was determined that children under the age of 10 years old were not within hearing when using the rest room, and the staff failed to implement required provisions for the rest room exception. Evidence: 1. In recent months, staff stated that children have been permitted to go to the rest room on their own without staff permission, knowledge, and supervision. 2. The rest rooms are located beside a custodial office/storage area, just inside exterior exit doors. The CASA activity areas are located in the cafeteria which is approximately 54' from the rest rooms, and the gym which is located approximately 100' from the rest rooms. The distance combined with activity noise level prevents sound supervision. 3. There was no system in place to ensure that individuals who were not staff or individuals authorized to pick-up children did not enter the rest room while in use by the children. 4. Staff did not check on children who had not returned from the rest room within 5 minutes, or provide intermittent sight supervision to assure the safety of the children.

Plan of Correction: Staff will be retrained regarding proper bathroom supervision. While remaining in ratio, staff will take students down to the restroom as a group before and after snack time. Staff will allow for sound supervision by ensuring the volume level is appropriate when they supervise students using restroom from the cafeteria door. Children will be retrained/informed that they must ask permission to use the restroom. Staff will check on students that have been in the restroom more than 5 minutes.

Standard #: 22VAC40-185-340-G
Complaint related: Yes
Description: Based on interviews conducted, it was determined that children over the age of 10 years old were not within sight and sound supervision when using the rest room, and the staff failed to implement required provisions for the direct supervision exception. Evidence: 1. In recent months, staff stated that children have been permitted to go to the rest room on their own without staff permission, knowledge, and supervision. 2. The rest rooms are located beside a custodial office/storage area, just inside exterior exit doors. The CASA activity areas are located in the cafeteria which is approximately 54' from the rest rooms, and the gym which is located approximately 100' from the rest rooms. The distance combined with activity noise level prevents sound supervision. 3. Staff could not hear or see the children while in the rest room area and therefore not able to immediately intervene if needed. 4. There was no system in place to ensure that staff knew where the children were and what they were doing, or to ensure that individuals who were not staff or authorized to pick-up the children did not enter the rest room while in use by children. 5. Staff did not provide sight and sound supervision of the children at variable or unpredictable intervals not to exceed 15 minutes.

Plan of Correction: Staff will be retrained regarding proper bathroom supervision. While remaining in ratio, staff will take students down to the restroom as a group before and after snack time. Staff will allow for sound supervision by ensuring the volume level is appropriate when they supervise students using the restroom from the cafeteria door. Children will be retrained/informed that they must ask permission to use the restroom. Staff will check on students that have been in the restroom more than 5 mintues.

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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