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Freedom Aquatic and Fitness Center Preschool/Summer Camps
9100 Freedom Center Boulevard
Manassas, VA 20110
(703) 993-8444

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: June 20, 2024

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.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements.

The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/.

Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

An electronic copy of the Standards was provided to the program in addition to a link to a free, online daily health observation course.

Comments:
An unannounced monitoring inspection was conducted on 6/20/24 from 9:25am to 12:10pm with program staff. There were 67 children in care, ranging in age from five to 12-years-old, supervised by 26 staff. The children were observed transitioning to and playing group games outside and eating a snack from home. Six child records and six staff records were reviewed. The program has all staff current in CPR and First Aid certification, as well as multiple staff trained in Daily Health Observation. Eight medications and corresponding authorization forms were reviewed, and the center has multiple staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, allergy list, and emergency drill log were reviewed. The most recent Fire Inspection on file was dated 4/15/24 and the most recent Health Inspection on file was dated 6/12/24. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 6/28/24. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:
Standard #: 22.1-289.035-B-2
Description: (Systemic Violation) Based on review of six staff records, the program did not obtain documentation of the results of a national, fingerprint-based criminal history record check for staff prior to employment. Evidence: The records for Staff #2 and Staff #3, with an employment date of 6/12/23, did not contain fingerprint results. The records for Staff #4, Staff #5, and Staff #6, with an employment date of 6/10/24, did not contain fingerprint results.

Plan of Correction: Staff made TB appointments & updated file.

Future- staff will complete prior to orientation.

Standard #: 8VAC20-770-60-B
Description: (Systemic Violation) Based on review of six staff records, the program did not obtain a sworn statement from staff prior to employment. Evidence: The sworn statements on record for Staff #1, Staff #4, Staff #5, and Staff #6, with an employment date of 6/10/24, were dated 6/13/24. The sworn statement on record for Staff #3, with an employment date of 6/12/23, was dated 6/13/23.

Plan of Correction: Counselor was reminded of policy when new camper was dropped off for communicating headcounts.

Future- staff will continue to improve on communication when campers dropped off into group.

Standard #: 8VAC20-770-60-C-2
Description: (Systemic Violation) Based on review of six staff records, the program did not obtain documentation of the results of a search of the central registry for staff within 30 days of employment. Evidence: The records for Staff #2 and Staff #3, with an employment date of 6/12/23, did not contain documentation of the results of a central registry search.

Plan of Correction: Staff updated policy for ages 9 & younger.

Future- camp handbook updated for future programs.

Standard #: 8VAC20-780-130-A
Description: (Systemic Violation) Based on review of six child records, the program did not obtain documentation that each child had received the immunizations required before the child attended the program. Evidence: The record for Child #4, with a start date of 6/17/24, did not contain documentation of immunizations.

Plan of Correction: Parents/guardians notified to update.

Future campers, continue to contact parents prior to 1st day of camp when missing documents.

Standard #: 8VAC20-780-160-A
Description: (Systemic Violation) Based on review of six staff records, the program did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: There was no TB screening on record for Staff #6, with an employment date of 6/10/24. The TB screening on record for Staff #2, with an employment date of 6/12/23, was dated 6/19/23. The TB screening on record for Staff #3, with an employment date of 6/12/23, was dated 6/15/23.

Plan of Correction: Staff made TB appointments & updated file.

Future- staff will complete prior to orientation.

Standard #: 8VAC20-780-60-A
Description: (Systemic Violation) Based on review of six child records, the program did not obtain all of the required documentation for child records. Evidence: 1. The records for Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 did not contain documentation of the work phone number of each parent. 2. The record for Child #4 did not contain documentation of the name and phone number of the child?s physician or the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

Plan of Correction: Parents/guardians were contacted to update forms with missing information.

In the future- designated staff member will continue to check files for errors. Also, will make field required on the GMU required online form.

Standard #: 8VAC20-780-60-A-8
Description: (Systemic Violation) Based on review of documentation, the program did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: There was no allergy care plan on record for Child #2 with a diagnosed allergy to peanuts and emergency medication on site.

Plan of Correction: Parent notified and file updated.

Standard #: 8VAC20-780-70
Description: (Systemic Violation) Based on review of six staff records, the program did not obtain all of the required documentation for staff records. Evidence: 1. The record for Staff #2 did not contain documentation of two references as to character and reputation as well as competency that were checked before employment. The records for Staff #1, Staff #4, and Staff #6 contained documentation of only one reference.

Plan of Correction: Working with GMU HR to recover older documents from the previous hiring platform. If not employee will resubmit. 2nd documents were filed for other staff.

Future- documents required at interview.

Standard #: 8VAC20-780-80-A
Description: (Systemic Violation) Based on observation and review of documentation, the program did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: At approximately 9:35am on 6/20/24, 13 children were observed with the ?A-1 Group? of children. The attendance contained documentation of 12 children present at the time.

Plan of Correction: Counselor was reminded of policy when new camper was dropped off for communicating headcounts.

Future- staff will continue to improve on communication when campers dropped off into group.

Standard #: 8VAC20-780-240-A
Description: Based on review of six staff records, the program did not ensure that staff completed the Virginia Department of Education-sponsored orientation course (Preservice) within 90 calendar days of employment. Evidence: The records for Staff #2 and Staff #2, with an employment date of 6/12/23, did not contain documentation of completing the Preservice training.

Plan of Correction: Staff completed training and filed certificate.

Future- staff will complete during orientation.

Standard #: 8VAC20-780-510-I
Description: Based on review of medication and medication authorizations, the program did not obtain written authorization from a parent or guardian to administer prescription medication. Evidence: Child #1 had two emergency medications on site. There were no written authorizations from a parent or guardian for the medications for Child #1.

Plan of Correction: Parents notified that 1 plan was missing and will bring to the facility.

Future- parents continued to be notified prior to camp date by email and phone for updates. Will not be able to drop off camper without medicine forms on file.

Standard #: 8VAC20-780-520-B
Description: Based on interview, the center did not ensure that sunscreen requirements were met. Evidence: Staff reported that children of all ages were required by program policy to apply their own sunscreen. The requirement states that children nine years of age and older may administer their own sunscreen if supervised.

Plan of Correction: Staff updated policy for ages 9 & younger.

Future- camp handbook updated for future programs.

Standard #: 8VAC20-780-550-H
Description: Based on review of documentation and interview, the program did not maintain a record of the dates of the practice drills for one year. Evidence: The drill log on site contained documentation of drills conducted since September 2023. Staff reported that the previous log had been shredded and was no longer available.

Plan of Correction: Will be sure to archive documents onsite.

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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