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The Compass School of Ashburn
44128 Navajo Drive
Ashburn, VA 20147
(571) 223-1900

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Oct. 27, 2021

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 Child Abuse & Neglect
63.2(17) License & Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was initiated and concluded on October 27, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 88 children present, ranging in ages from 8 months to 6 years, with 27 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and seven staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Thank you for your cooperation today. If there are any questions, please contact karen.dickens@doe.virginia.gov.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, children?s records did not contain required information.
Evidence:
1. Child #5?s record (Start date-04/26/2021) did not contain documentation of proof of birth.

Plan of Correction: The center will follow up with the parents today to view the birth certificate and document the record.

Standard #: 22VAC40-185-70-A
Description: Based on record review, required records were not kept for each staff person.
Evidence:
1.Staff #4?s record (Date of hire-06/14/2021) is missing a second reference check prior to the first date of employment.

Plan of Correction: The center will contact a second reference for the staff member and document the record.

Standard #: 22VAC40-185-510-A
Description: Based on medication review, one of five medications was missing parent authorization.
Evidence:
1. Child #6 has emergency medication on site. Child # 5 did not have a parent signature on the medication authorization form authorizing the center to administer an emergency medication.

Plan of Correction: The center will have the parent to sign the medication authorization form today.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview, two of seven staff records did not contain documentation of a completed Central Registry Search (CPS) within 30 days of employment.
Evidence:
1. Staff #1?s record (Date of hire-07/29/2019) did not have documentation of a CPS search on file. Staff #8 confirmed that a CPS search was not obtained by the center.
2. Staff # 3?s record (Date of hire-05/11/2021) did not have documentation of a CPS search on file. Staff #8 stated that a CPS search was mailed, but the Staff #3 put a personal email address on the form to return results to.

Plan of Correction: The center will mail the two Central Registry Searches today and once the results are returned, the results will be sent to the licensing inspector.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on record review and interview, the center did not obtain an out of state Central Registry (CPS) background check, out of state Criminal History name check, and out of state Sex Offender registry check for individuals that lived outside the state of Virginia within the last five years.
Evidence:
1.Staff #2?s record (Date of hire-04/26/2021) did not have documentation of an out of state CPS background check, out of state Criminal history name check and sex offender registry check. Staff #2?s Sworn Disclosure Statement confirms that they have lived in Washington DC within the last five years. Staff #8 confirmed that Staff #2 is currently working at the center, but an out of state CPS Search, Criminal, and Sex Offender check have not been conducted.
2.Staff #4 (Date of hire-06/14/2021) lived in the state of California within the past five years per Sworn Disclosure Statement. An out of state criminal history name check was not completed prior to the first day of employment. Results for the state of California were obtained on 09/29/2021.
3.Staff #7?s record (Date of hire-09/23/2021) did not have documentation of an out of state Central Registry background check. Staff #7?s Sworn Disclosure Statement confirms that they lived in the state of New York within the last five years. Staff #8 confirmed that an out of state CPS check was mailed on 10/13/2021.

Plan of Correction: The center will conduct out of state background checks prior to employment and will not allow staff to begin without the out of state criminal and sex offender checks. The center will also develop a better system to track Central Registry checks and follow up as necessary. The missing out of state background checks will be conducted and sent to the licensing inspector when the results return.

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. To find programs participating in Virginia Quality, click here.

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