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Douglass Community Center
705-H E. Market Street
Leesburg, VA 20176
(703) 771-5913

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Aug. 16, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
20 Access to minor?s records

Comments:
An unannounced monitoring inspection was conducted on 8/16/2022. There were a total of 25 children observed with 3 staff members. The children were observed participating in a gaming camp. Multiple different games were being played by different groups of children. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, medication, emergencies and nutrition. A total of 3 child records were reviewed. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

During this monitoring inspection, a self-reported incident received by the department involving the area of care and protection was investigated. Interviews were conducted with staff, documents were reviewed and child records were reviewed. The information gathered during the self-report inspection determined violations with applicable standards or law. A violation notice was given to the center along with this summary. Violations were issued in regards to the self-reported incident.

Please contact me if you have any questions at ariel.hayes@doe.virginia.gov or 804-629-7124.

Violations:
Standard #: 8VAC20-780-60-A
Description: Based on a review of child records, there was no work phone number and place of employment kept on file for each child.
Evidence:
Child #1 and child #2 did not have the parent's work place or address on file during the inspection.

Plan of Correction: Staff meeting held to discuss process of approving and reviewing documents. Checklist developed to make sure all fields are completed before approving and uploading.

Standard #: 8VAC20-780-340-A
Description: Based on staff interviews, staff failed to ensure care, protection, and guidance when a child was rescued by the public at the pool.
Evidence:
On 08/08/2022 child #1 had to be removed from the water by a public attendee at the pool. The child was calling for help, floating on their back in the pool in an area where the water was too deep. The child's paperwork for pool use indicates that the child is a beginner. The child should not leave the shallow end and should not be in water above their shoulders. After the child was helped to the side of the pool by the community member that first heard him calling for help and the camp counselor that was closest to him, local emergency personnel were called to assist with care and transported the child to the hospital. At the time of the incident 3 camp staff members were present at the pool, but not watching the child.

Plan of Correction: Meet with staff to discuss supervision policy and ensure they understand the importance of keeping track of the swim ability of each child. Staff have been trained and have been assigned specific areas of the pool to ensure all areas are supervised. Extra staff will be provided on pool days for extra supervision. Color coded swim shirts will be used to easily indicate each child's swim level. All staff will use radios to communicate with each other without leaving their post.

Standard #: 8VAC20-780-340-F
Description: Based on staff interviews, children aged 10 and younger were not in actual sight and sound supervision at all times during the pool field trip.
Evidence:
There were 3 staff members supervising at the pool. During the incident the 3 staff members did not have child #1 in sight and sound supervision. Staff #1 stated "they were checking in with a counselor who was on the slide side of the pool. They jumped in the pool to cool off and then came up to finish their conversation. Staff #2 was "helping another child at the time of the incident." and staff #3 was "walking over to that side of the pool because they saw counselor #1 gathered with a group of children." Staff #1 stated that "the child was out of supervision for at least 5 minutes."

Plan of Correction: Meet with staff to discuss supervision policy and ensure they understand the importance of keeping track of the swim ability of each child. Staff have been trained and have been assigned specific areas of the pool to ensure all areas are supervised. Extra staff will be provided on pool days for extra supervision. Color coded swim shirts will be used to easily indicate each child's swim level. All staff will use radios to communicate with each other without leaving their post.

Standard #: 8VAC20-780-550-E
Description: Based on a review of the emergency drill log, shelter in place procedures were not practiced a minimum of twice per year.
Evidence:
One shelter in place drill was practiced in 2021.

Plan of Correction: Staff meeting to discuss a new process for reminders at the beginning of each month to check logs to assure the task of shelter in place drill was completed and recorded.

Standard #: 8VAC20-780-550-G
Description: Based on a review of the emergency drill log, documentation was not maintained for lockdown drills.
Evidence:
There was no documentation of a lock down drill for 2021.

Plan of Correction: Staff meeting to discuss a new process for reminders at the beginning of each month to check logs to assure the task of lock down drill was completed and recorded.

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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