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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: Oct. 12, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, 1 of 2 children's records did not contain documentation tat the child has received required immunizations prior to the child attending the center. Evidence: Child #1 was attending as of 9/5/2017 and the center does not have an immunization record.

Plan of Correction: Request copy of Child #1's immunization record from parent.

Standard #: 22VAC40-185-140-A
Description: Based on record review, 1 of 2 children's records did not contain documentation that the child has had a physical examination within one month of attendance. Evidence: Child #1 has been attending as of 9/5/2017 and the center does not have documentation of a physical record by 10/5/2017.

Plan of Correction: Request copy of Child #1's physical examination from parent.

Standard #: 22VAC40-185-40-E
Description: Based on staff interview, the center did not follow the terms of its license. Evidence: The current license is for children ages 3-12 and staff stated that a child was attending from 9/5/17-10/10/17 who was under three years of age.

Plan of Correction: Moving forward, no child under the age of three will be admitted into the program.

Standard #: 22VAC40-185-70-A
Description: Based on record review, 2 of 3 staff records do not have two references checked prior to employment. Evidence: Staff #1 (date of hire 9/5/2017) and Staff #3 (date of hire 7/2017) did not have documentation of two reference checks before employment.

Plan of Correction: Check references for Staff #1 and Staff #3

Standard #: 22VAC40-185-190-A
Description: Based on record review, documentation of a college degree or transcripts for a Program Director is not on-site to verify educational qualifications. Evidence: Staff #3's personnel record has neither transcripts or a copy of the staff's diploma to verify educational requirements.

Plan of Correction: Obtain copies of Staff #3's diploma and transcripts.

Standard #: 22VAC40-185-240-A
Description: Based on record review, no written orientation documentation is present to verify that training was received prior to the end of the first day of assuming job responsibilities. Evidence: Staff #1 did not have an orientation checklist, signed by the employee, to verify that orientation training was received by the end of the first day of assuming job responsibilities (Date of Hire 9/5/2017).

Plan of Correction: Orientation was completed but not documented. Give orientation checklist to Staff #1 to sign.

Standard #: 22VAC40-185-550-D
Description: Based on staff interview, an evacuation drill was not conducted monthly. Evidence: No evacuatin was conducted for the month of September 2017.

Plan of Correction: Two evacuation drills will be conducted in October 2017.

Standard #: 22VAC40-185-560-G
Description: Based on observation and staff statement, food from home is not properly labeled. Evidence: Lunchboxes from home were labeled with the child's name but did not have a date.

Plan of Correction: Have staff label food with child's name and current date moving forward.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on record review, a staff member does not have a Criminal Record Check (CRC) or Central Registry Check (CPS) search before 30 days of employment ends. Evidence: Staff #1, hired 9/5/2017, does not have a CRC or CPS.

Plan of Correction: Submit Criminal Record Check and Central Registry for staff #1.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and staff interview, a Criminal Record Check finding is not on-site within 30 days for an employee who continues to be employed by the center. Evidence: Staff #1 was hired 9/5/2017 and continues to work without a completed Criminal Record Check finding.

Plan of Correction: As of 10/13/2017, staff #1 will not work until results from the Criminal REcord Check are received.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and staff interview, a Central Registry finding is not on-site within 30 days for an employee who continues to be employed by the center. Evidence: Staff #1 was hired 9/5/2017 and continues to work without a completed Central REgistry finding.

Plan of Correction: As of 10/13/2017, staff #1 will not work until results from the Central Registry Check are received.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, 1 of 3 staff records is missing a Central Registry Report maintained by an other state that the individual has resided in the preceding five years. Evidence: Staff #3's current Sworn Disclosure Statement documents the individual has resided in another state within the last five years and the center has not obtained a Central Registry Check from that state as required by September 1, 2017.

Plan of Correction: Submit Central Registry Check for the states that Staff #3 previously lived 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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