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YMCA Fairfax County Reston
12196 Sunset Hills Road
Reston, VA 20190
(703) 742-8800

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Dec. 23, 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)
63.2(17) License & Registration Procedures

Technical Assistance:
Discussed recordkeeping.

Comments:
An unannounced monitoring inspection was conducted from 9:00 am-2:00 pm. At the time of entrance, 64 children were in care. Children were observed during story time, and engaged in toy play. Diapering and handwashing was also observed. A selection of staff and children records, the physical space, emergency supplies, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years.

Evidence:
The most recent documentation of immunizations available for review in the record for Child #2 was dated 1/9/19. An updated record of immunizations was due on 7/19/19.

Plan of Correction: I will do a complete file audit with our checklist and find all missing documentation.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the center did not obtain documentation of a negative tuberculosis screening for 4 staff within 21 days of employment.

Evidence:
1. Staff #3 began employment on 11/18/19. There is no documentation of a negative tuberculosis screening in the record for Staff #3.
2. Staff #4 began employment on 8/28/19. There is no documentation of a negative tuberculosis screening in the record for Staff #4.
3. Staff #8 began employment on 5/23/19. There is no documentation of a negative tuberculosis screening in the record for Staff #8.
4. Staff #7 began employment on 2/11/19. The documentation of a tuberculosis screening available for review in the record is blurry, making the date of the screening and the results unable to be read.

Plan of Correction: I will do a complete file audit with our checklist and find all missing documentation. Staff who have not gotten their screening will be given a deadline to be completed.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 3 children's records did not contain all required information.

Evidence:
The record for Child #1 did not contain the work phone number for Child #1's father.
The record for Child #3 and Child #4 did not contain documentation of viewing proof of the child's identity.

Plan of Correction: We will get the information from the parents.

Standard #: 22VAC40-185-70-A
Description: Based on record review, 9 of 10 staff records did not contain all required information.

Evidence:
1. The records for Staff #1, Staff #3, Staff #5, Staff #6, Staff #7, Staff #8,and Staff #9 did not contain documentation of the address of a person to be notified in an emergency which shall be kept at the center.
2. The records for Staff #2 and Staff #4 did not contain the name, address, and phone number of a person to be notified in an emergency which shall be kept at the center.

Plan of Correction: I will do a complete file audit with our checklist and find all missing documentation.

Standard #: 22VAC40-185-240-A
Description: Based on record review and staff interview, the center did not ensure staff received all required training by the end of their first day of assuming job responsibilities.

Evidence:
1. Documentation of orientation training was not available for review for Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, Staff #8, and Staff #9. Staff stated Staff #4 (start date 11/25/19) has not received orientation training.
2. Documentation of orientation training in the records for Staff #1 and Staff #10 did not contain a the date the orientation training was completed.
3. There was no documentation of training regarding recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by the Code of Virginia in the records for Staff #2 and Staff #4.
4. Staff #3 (start date 8/28/19) received training regarding recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by the Code of Virginia on 10/12/19, after the first day of employment.

Plan of Correction: I will do a complete file audit with our checklist and find all missing documentation.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas and equipment of the center, inside, were not maintained in a safe condition.

Evidence:
A metal hinge was observed protruding from a shelving unit accessible to children, in the green classroom.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-500-A
Description: Based on observation, a child's hands were not washed after their diaper was changed.

Evidence: Staff did not wash the hands of a child in the Green Room after their diaper was changed.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the center does not have a central registry finding within 30 days of employment or volunteer service.

Evidence:
1. Staff # 2 began employment on 11/18/19. Documentation of a central registry finding was not available for review for Staff #2.
2. Staff #3 began employment on 8/28/19. Documentation of a central registry finding was not available for review for Staff #3.
3. Staff #9 began employment on 9/30/19. Documentation of a central registry finding was not available for review for Staff #9.
4. Staff #8 began employment on 5/23/19. Documentation in the record for Staff #8 indicates the central registry documents were returned due to the middle name missing on the form. No other central registry findings were documented in the record.

Plan of Correction: The center will provide documentation of results of missing central registry checks, or documentation that the request was sent within 10 business days.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the center did not obtain fingerprint results prior to the first day of employment for 1 staff.

Evidence:
Staff #4 began employment on 11/25/19. There was no documentation of fingerprint results for Staff #4 available for review.

Plan of Correction: The Center will provide documentation of fingerprint results within 10 business days.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review, the center did not obtain an out of state child abuse and neglect search before the end of the 30th day of employment.

Evidence:
Staff #2 began employment on 11/18/19. Staff #2 resided outside of the state of Virginia in the past 5 years. An out of state child abuse and neglect finding was not available for review.

Plan of Correction: The center will provide documentation that the out of state child abuse and neglect request was sent within 10 business days.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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