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Camp Achva - Pozez Jewish Community Center of Northern Virginia
4800 Mattie Moore Court
Fairfax, VA 22030
(703) 323-0880

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: July 21, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
Discussion of out-of-state background checks and if this standard applies to a college student who maintain a permanent residency in Virginia but attends school out of state.

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 monitoring inspection was initiated and concluded on 07/21/2021. The Director was contacted by telephone and a virtual inspection was conducted. There were 128 children present, ranging from 4 years to 12 years of age, with 42 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 5 children records, and 5 staff records were reviewed.

Information gathered during the inspection determined that there were non-compliances to the applicable standards or law. These violations were documented on the Violation Notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review, 1 of 5 staff files indicated that not all TB test results on file were current.

Evidence -
1. On the date of inspection (07/21/2021), the most current TB documentation on file for Staff #2 was dated - 05/06/2019.
2. Staff #2 was on site on the date of inspection.

Plan of Correction: Updated TB documentation shall be obtained for Staff #2 and placed on file.

Standard #: 22VAC40-185-60-A
Description: Based on review and interview, 5 of 5 children files were not complete with all of the required information to be contained within each child record.

Evidence -
1. On the date of inspection (07/21/2021), the place of employment of each parent who has custody was not available for review for: Child #1, Child #2, Child #3, Child #4, and Child #5.
2. The Director stated (during an interview conducted on the date of inspection) that this information is not part of their online application, and therefore is not requested.

Plan of Correction: A separate form will be constructed in order to obtain this information from the custodial parent. This information will then go on file within each child record.

Standard #: 22VAC40-185-70-A
Description: Based on review, 1 of 5 staff files reviewed did not contain all of the required documentation.

Evidence -
1. On the date of inspection (07/21/2021), a total of at least two references for Staff #1 were not available for review.
2. The start date for Staff #1 was listed as 06/14/2021.

Plan of Correction: It is believed that these references for Staff #1 were completed. They will now be found and placed on file, or new references shall be completed for her record.

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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