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Ashburn Village Sports Pavilion
20585 Ashburn Village Blvd.
Ashburn, VA 20147
(703) 478-8901

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: July 29, 2016

Complaint Related: No

Areas Reviewed:
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and modifying the center license in order to reflect the change in location of the summer camp program to the Mills Recreation Center. Documentation has been submitted. Discussion of having a copy of each child's Medical Authorization form on site at "The Mills."

The following inspection took place between the hours of 11 am through 2 pm. Today, I met with the Staff of the Ashburn Village Sports Pavilion located in Ashburn, Virginia. At the start of this unannounced monitoring inspection there were a total of 40 children with 6 staff; good ratios for this one large group. A total of 5 children?s files and 6 staff files were reviewed. The children were engaged in the following: outdoor play, games, use of the playground, basketball, use of the pool, lunch, bathroom breaks, hand washing, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Standard #: 22VAC40-185-160-A
Description: Based on review, 1 of 6 staff files reviewed indicated that each staff member did not submit documentation of a negative tuberculosis (TB) screening no later than 21 days after employment. Evidence - 1. On the date of inspection (07/29/2016), TB documentation was not available for review for Staff #4. 2. The start date for Staff #4 was listed as 02/17/2016.

Plan of Correction: TB documentation shall be obtained for Staff #4 and placed in the applicable file.

Standard #: 22VAC40-185-160-C
Description: Based on review, 1 of 6 staff files reviewed indicated that it has been more than two years from the date of the most recent tuberculosis (TB) screening documentation on site at the center. Evidence - 1. On the date of inspection (07/29/2016), the most recent TB documentation on file for Staff #2 was dated - 09/27/2013. 2. That documentation would have expired on 09/28/2015.

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

Standard #: 22VAC40-185-60-A
Description: Based on review, 2 of 5 children's files reviewed indicated that the center did not maintain all of the required information within each child's record. Evidence - 1. On the date of inspection (07/29/2016), the Health Forms were unavailable for review for Child #4. 2. On the date of inspection, two emergency contacts were unavailable for review for Child #5.

Plan of Correction: All missing information shall be completed and placed in the applicable child's file.

Standard #: 22VAC40-185-240-D-1
Description: Based on interview and review, there was not a staff member on site who has satisfactorily completed a training program for the purpose of administrating medication that was approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine, or pharmacist. Evidence - 1. On the date of inspection (07/29/2016), there was not a staff member that had obtained a Medication Administration Training (MAT) certification. 2. On the date of inspection there was medication observed on site to be given on an "as needed" basis for a child in attendance.

Plan of Correction: A MAT certified staff person will be scheduled at all applicable times.

Standard #: 22VAC40-185-510-C
Description: Based on review, some of the center's procedures for administering medication were not in compliance. Evidence - 1. On the date of inspection (07/29/2016), the specific date of duration of the parent's authorization for medication was not included for Child #1, and Child #2. For Child #1 the duration was listed as "indefinitely" and for Child #2 the duration was not listed at all. 2. For Child #1, a short term (10 days) authorization was completed on 06/14/2016. On the date of inspection, this medication was still observed on site.

Plan of Correction: The durations will be completed on both forms. A new long term form shall replace the short term form for Child #1.

Standard #: 22VAC40-185-510-G
Description: Based on review, 1 of 2 medications observed on site was without written authorization from a parent or guardian. Evidence - 1. On the date of inspection (07/29/2016), a written authorization was not available for review for medication belonging to Child #2. 2. This authorization was later found (the following camp day), but the staff was originally unaware of its location.

Plan of Correction: Corrected the next program day.

Standard #: 22VAC40-185-550-A
Description: Based on interview, the center did not have an emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and shelter-in-place. Evidence - 1. On the date of inspection (07/29/2016), an emergency preparedness plan was not available for review. The site has temporarily moved its location to "The Mills Recreation Center" while construction is being performed at the Sports Pavilion. While there is a plan in place for the old location, there is not a plan in plan for this new, temporary location. 2. Staff #1 stated (during an interview conducted on the date of inspection) that she was unaware of a plan in place.

Plan of Correction: A plan will be created for this new location.

Standard #: 22VAC40-185-550-C
Description: Based on observation, the emergency evacuation and shelter-in-place procedures/maps were not posted in a location conspicuous to staff and children. Evidence - 1. On the date of inspection (07/29/2016), it was determined that an emergency evacuation and shelter-in-place plan had not been created for the new location. 2. Therefore, neither the procedures or maps were posted for the staff and children.

Plan of Correction: Once the plan is drafted, both the procedures and maps shall be posted.

Standard #: 22VAC40-185-550-D
Description: Based on review and interview, the center did not implement a monthly practice evacuation drill and a a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence - 1. On the date of inspection (07/29/2016), the drill log was not available for review. 2. Staff #1 stated (during an interview conducted on the date of inspection) that since the beginning of camp, no drills for either evacuation or shelter-in-place have been taught, reviewed, and/or practiced for the children in care.

Plan of Correction: Practice evacuation drills and shelter-in-place drills shall be conducted for each new group of children or as needed with regards of compliance.


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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.