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Life Time Fitness - Reston
1757 Business Center Drive
Reston, VA 20190
(571) 512-3500

Current Inspector: Derek Acosta (703) 554-4995

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.
22VAC40-191 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.
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including
telephone contacts, documents review, interview and a virtual tour of the
program.
A monitoring inspection was initiated on 7/20/2021 and concluded on 7/21/2021.
The Director was contacted by telephone and a virtual inspection was conducted. There
were 51 children present, ranging in ages from 4 years to 12 years with 9 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
4 child records and 4 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. If you have any questions, please contact me at shahana.green@doe.virginia.gov.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of children's records, 1 out of 4 children did not have a physical examination under the direction of a physician within one month after attendance.

Evidence:
1. Child #2 (doe: 6/14/2021) did not have a physical examination on file during the inspection.

Plan of Correction: The facility has contacted the parents to submit a phyical examination as soon as possible.

Standard #: 22VAC40-191-60-B
Description: Based on a review of staff records, an employee was employed prior to completing a sworn statement or affirmation.

Evidence:

1. Staff #4 (doh: 6/22/2021) had a sworn statement dated 7/11/2021.

Plan of Correction: Moving forward, employees will sign the sworn statement by their first day of employment.

Standard #: 22VAC40-665-540-B
Description: Based on a review of staff records, 1 out of 4 staff did not have the required subsequent TB screenings at least two years from the date of the initial screening.

Evidence:
1. Staff #2's (doh: 10/5/2020) last TB screening is dated 5/13/2019.

Plan of Correction: The staff member will get an updated TB as soon as possible.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on a review of staff records, 1 out of 4 employees did not submit to fingerprinting by the first day of employment.

1. Staff #4 (doh: 6/22/2021) had fingerprints results dated 6/27/2021.

Plan of Correction: Moving forward, all employees will have fingerprints conducted by day of employment.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on a review of staff records, 1 out of 4 staff did not obtain a sex offender registry check and a search of the child abuse and neglect registry search from any state in which the individual has resided in the preceding five years.

Evidence:
1. Staff #4 (doh: 6/22/2021) did not have a sex offender registry check on file for a state in which they resided in the preceding five years.
2. Staff #4 did not have a child abuse and neglect registry search for a state in which they resided in the preceding five years.

Plan of Correction: We will obtain the out-of-state checks asap. The sex offender search has already been obtained.

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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