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Ashburn Village Sports Pavilion
20585 Ashburn Village Blvd.
Ashburn, VA 20147
(703) 729-0581 (209)

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Nov. 1, 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
Today an unannounced Monitoring Inspection took place between the hours of 12:00pm and 2:30pm. There were 1 classrooms observed with a total of 47 children with 4 staff within the supervision guidelines; the pool area and locker rooms were also observed. The children were observed watching a movie, eating lunch and swimming. A complete inspection of the physical plant, children and staff records, fire drill log and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.

Thank you for your cooperation during the inspection. If you have any questions, please e-mail me at whitney.mcgrath@doe.virginia.gov.

Violations:
Standard #: 8VAC20-780-40-M
Description: Based on interview, the center does not maintain a written list of all children?s allergies, sensitivities and dietary restrictions.
Evidence: Staff #1 stated that Child #16 has a peanut allergy and confirmed that there was no written list of children?s allergies or sensitivities in the center.

Plan of Correction: Updated allergy list on the sign in and out sheet as well as bulletin board in classroom.

Standard #: 8VAC20-780-40-N
Description: Based on interview, the center does not have written playground safety procedures.
Evidence: When requested, staff #1 stated that the playground safety procedures are in the process of being written. This was previously cited on 12/13/2021, 3/28/2022 and 8/22/2022.

Plan of Correction: Already addressed via playground policy and staff training.

Standard #: 8VAC20-780-60-A
Description: Based on record review and interview, the center did not maintain a record for each child, and records did not contain all required information.
Evidence:
1. Child #1?s record did not contain the address of their first emergency contact, or a second emergency contact.
2. Child #2 and Child #3?s records did not contain the children?s date of enrollment.
3. Records were not maintained for Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15.
4. Staff #1 stated that Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15 were not enrolled in the program full-time and they were drop-ins.
5. Staff #1 stated that they were unaware that they needed to obtain records for children that were dropped in for ?camp days?.

Plan of Correction: All children's records will be complete and up to date by 11/10/2022 or they will be removed from the program.

Standard #: 8VAC20-780-70
Description: Based on record review and interview, staff records did not contain all required information.
Evidence:
1. Staff #4?s record did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff #1 stated that they had not completed the reference checks because the staff was already working for the gym and they had asked them to work for the after school program.
2. Staff #4?s record did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #1 stated that they had not asked for the staff?s documentation of education.

Plan of Correction: Staff #4's file is up to date and contains the necessary files.

Standard #: 8VAC20-780-80-A
Description: Based on record review and interview, the center has not maintained a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. There were 45 children documented in attendance.
2. There were 47 children counted in attendance.
3. There were 2 children present that were not documented on the daily attendance.
4. The attendance sheet for the day did not document children?s arrival or departure.

Plan of Correction: Already addressed via the sight and sound policy as well as staff training.

Standard #: 8VAC20-780-340-A
Description: Based on record review, observation and interview, staff did not ensure care, protection and guidance when supervising children.
1. When asked how many children were present during the inspection, staff #1 stated there were 46 children; however, 47 children were counted as present, and 45 children documented as present on the daily attendance.
2. When staff #3 was asked the name of a child that was observed walking with a juice pouch, the staff stated that they did not know the child?s name.
3. When staff #4 was asked how many children were in the pool, the staff did not know how many children they were responsible for and counted the children?s heads in the water.
4. Staff #2 did not know the name of child #5 (5 years old) who was found in the bathroom alone.

Plan of Correction: Already addressed via the sight and sound policy as well as staff training.

Standard #: 8VAC20-780-340-F
Description: Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff.
Evidence:
1. A group of 25 children were observed leaving the women?s locker room and entering the pool area. Two of the children (both 8 years old) were observed leaving the group and walking down a separate hall to pick out goggles to wear. Staff #4 did not notice the two children leave the group. The two children were alone and unsupervised for approximately 3 minutes.
2. One child (6 years old) was observed leaving the pool area and entering the locker room. The child was alone and unsupervised for approximately 5 minutes.
3. One child (5 years old) was observed leaving the pool area alone, looking distraught, and entering the locker room.
4. There is no system to ensure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children.
This was previously cited on 3/28/2022, 6/22/2022 and 8/22/2022.

Plan of Correction: Already addressed via the sight and sound policy as well as staff training.

Standard #: 8VAC20-780-340-G
Description: Based on observation, children 10 years of age or older were not always within actual sound supervision of staff.
Evidence: Child #3 (10 years old) was observed in the hallway, wet, in swimwear and without shoes at their locker near the gymnasium, alone and unsupervised, while all staff and children were in the pool area.

Plan of Correction: Already addressed via the sight and sound policy as well as staff training.

Standard #: 8VAC20-780-350-B-5
Description: Based on observation, staff to child ratios were not followed whenever children were in care.
Evidence:
1. At the start of the inspection, a group of 47 children (ages 5 years through 12 years) was observed in one classroom with staff #3. The observed ratio was 1 staff to 47 children; the required ratio is 1:18.
2. Staff #2 was in the hallway outside of the classroom at the start of the inspection, and then was observed entering the classroom making the classroom ratio 2 staff to 47 children; the required ratio is 1:18.
3. Staff #1 arrived at the center approximately 5 minutes later with staff #4. Staff #1 stated that they had taken staff #4 with them to help pick up pizzas for lunch.
This was previously cited on 8/22/2022.

Plan of Correction: Already addressed via adequate staffing to ensure that we are always within ratio.

Standard #: 8VAC20-780-480-B
Description: Based on record review and interview, the center has not maintained (i) written permission from the parent of each child who participates in swimming or wading and (ii) a statement from the parent advising of a child's swimming skills before the child is allowed in water above the child's shoulder height.
Evidence:
1. The center does not have documentation of written permission to participate in swimming and a statement of the child?s swimming skills for Child #5, Child #6, Child #7, Child #8, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14, Child #15.
2. The program director confirmed that the center has not obtained swimming permission and documentation of swimming skills for the above children.
3. The deepest end of the pool where children were observed swimming is 5 feet deep.

Plan of Correction: Discontinue swimming for the meantime. Have also ensured that we have a swimming release for all children in our care.

Standard #: 8VAC20-780-480-C
Description: Based on interview, the staff do not have a system for accounting for all children in water (pool).
Evidence:
1. When staff #1 was asked how many children were in the pool, they stated 46, however there were 47 children present.
2. When staff #4 was asked how many children were in the pool, the staff counted the heads of children in the water.

Plan of Correction: Already addressed via adequate staffing to ensure that we are always within ratio.

Standard #: 8VAC20-780-500-A
Description: Based on observation, handwashing requirements were not followed.
Evidence:
1. The children were observed in a room watching a movie when lunch was served. The children were served immediately. The children?s hands were not washed with soap and running water or disposable wipes before eating.
2. Staff #1 and Staff #4 were observed bringing pizza into the room of children. All staff began serving the children pizza immediately. All staff did not wash their hands with soap and running water before serving the food.

Plan of Correction: Already addressed via the EAP policy and staff training.

Standard #: 8VAC20-780-550-A
Description: Based on interview, the center does not have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown.
Evidence: When requested, the program director stated that their corporate office is working on establishing the emergency plan. This was previously cited on 8/22/2022.

Plan of Correction: Already addressed via the snack policy and staff training.

Standard #: 8VAC20-780-550-P
Description: Based on record review, written records of children?s injuries did not include all required information.
Evidence: Child #3?s injury report was signed by the parent only, and did not include any future action to prevent recurrence of the injury.

Plan of Correction: Already addressed via the child injury report and staff training. All parents will sign off and include how we can mitigate in the future.

Standard #: 8VAC20-780-560-F
Description: Based on observation, requirements for meals and snacks were not followed.
Evidence:
1. The children were observed being served cheese pizza for lunch. The children were not served milk, a fruit or a vegetable. The centers did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when food was served.
2. Children were not allowed to have second helpings of food. A child asked staff #2 if they could have more pizza. The staff stated that they could only have two slices of pizza, and that they couldn?t have more.
3. A food menu listing foods to be served for meals and snacks during the current one- week period was not available when food was served. The children were observed being served cheese pizza for lunch. Staff #1 stated that the children would be served a pre-packaged snack. Staff #1 confirmed that there was no food menu posted in the program. This was previously cited on 3/28/2022.

Plan of Correction: Already addressed via the snack policy and training. We will be discontinuing pizza moving forward.

Standard #: 8VAC20-780-560-J
Description: Based on observation, tables were not sanitized before and after each use for feeding.
Evidence: At the start of the inspection, the children were observed in one room watching a movie. The children were sitting in chairs, and on top of the tables. Staff #1 and Staff #4 delivered pizza to the classroom and the children were immediately served the food that the children had been sitting on top of. The tables were not clean and sanitized before the children ate. The tables were not sanitized after the children finished eating before the children and staff left the room to go swimming.

Plan of Correction: Already addressed via snack policy and staff training.

Standard #: 8VAC20-780-560-M
Description: Based on observation, children were allowed to walk while eating and drinking.
Evidence: Child #4 was observed walking around the classroom and into the hall to their locker while sipping on a juice pouch with the straw in their mouth.

Plan of Correction: Already addressed via snack policy and staff training.

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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