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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: Jan. 12, 2017

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.
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 and current staffing.

Comments:
The following inspection took place between the hours of 11:30 am through 3:30 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 10 children with 2 staff, later in the day, the children in the after school program arrived; good ratios for both groups. A total of 4 children?s files and 7 staff files were reviewed. The children were engaged in the following: games, learning activities, bathroom breaks, hand washing, lunch, pick up, arrival, outside play, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review, 1 of 7 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 (01/12/2017), TB documentation was unavailable for review for Staff #7. 2. The start date for Staff #7 was listed as - 11/01/2016.

Plan of Correction: TB documentation shall be obtained and placed on file for Staff #7.

Standard #: 22VAC40-185-160-C
Description: Based on review, 1 of 7 staff files reviewed indicated that it has been more than 2 years since the date of the most recent tuberculosis (TB) documentation on file. Evidence - 1. On the date of inspection (01/12/2017), the most recent TB documentation on file for Staff #2 was dated - 10/10/2014. 2. This review was confirmed on the date of inspection by Staff #3.

Plan of Correction: Updated TB documentation shall be obtained and placed on file.

Standard #: 22VAC40-185-70-A
Description: Based on review, 4 of 7 staff files reviewed indicated that not all of the required information was on file. Evidence - 1. On the date of inspection (01/12/2017), the emergency contacts for Staff #5, Staff #6, and Staff #7 was not available for review. 2. On the date of inspection, the educational documentation for Staff #3 was not available for review.

Plan of Correction: All missing information shall be obtained and placed in the applicable staff file.

Standard #: 22VAC40-185-240-A
Description: Based on review, 4 of 7 staff files reviewed indicated that the orientation training conducted prior to assuming each staff person's job responsibilities was not documented. Evidence - 1. On the date of inspection (01/12/2017), orientation documentation was not available for review for: Staff #3, Staff #5, Staff #6, and Staff #7. 2. This was confirmed on the date of inspection by Staff #3.

Plan of Correction: All applicable orientations shall be documented and placed on file.

Standard #: 22VAC40-185-240-C
Description: Based on review, 3 of 7 staff files reviewed indicated that staff who work directly with children did not annually attend 16 hours of staff development activities that shall be related to child safety and development and the function of the center. Evidence - 1. On the date of inspection (01/12/2017) the following staff did not have a total of 16 hours for the last training year: Staff #1 (only 5 hours), Staff #2 (only 11.5 hours), and Staff #4 (only 6.5 hours). 2. All other staff have been employed for less than a year.

Plan of Correction: All applicable staff shall have accrued at least a total of 16 hours of annual training by the end of this current training year.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on review, 1 of 7 staff files reviewed indicated that a sworn statement or affirmation (SDS) was not obtained prior to the first day of employment at the facility. Evidence - 1. On the date of inspection, a SDS was not available for review for Staff #5. 2. A copy of the form was on file within the file of Staff #5, but this form was blank.

Plan of Correction: A SDS shall be completed and placed on file for Staff #5.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review, 2 of 7 staff files reviewed indicated that it has been more than three years since the dates of the last sworn statement or affirmation (SDS), most recent central registry finding (CPS), and most recent criminal history record check report (CRC). Evidence - 1. On the date of inspection (01/12/2017), outdated SDS documentation was on file for the following staff: Staff #1 (06/01/2013), Staff #4 (10/21/2013). 2. Outdated CPS documentation was on file for the following staff: Staff #4 (01/06/2014). 3. Outdated CRC documentation was on file for the following staff: Staff #1 (08/08/2013), Staff #4 (11/14/2013).

Plan of Correction: All outdated documentation shall be updated and placed on file.

Standard #: 22VAC40-191-60-C-1
Description: Based on review and interview, 1 of 7 staff files reviewed indicated that the center does not have an original criminal history record report (CRC) within 30 days of employment. Evidence - 1. On the date of inspection (01/12/2017), an original CRC report was not available for review for Staff #7. 2. The start date for Staff #7 was listed as - 11/01/2016. 3. Staff #3 stated (during an interview on the date of inspection) that Staff #7 was given this documentation, but had not completed and returned them.

Plan of Correction: A CRC request shall be completed and sent for Staff #7. Further employment of Staff #7 shall be denied until the acceptable documentation (a report) has been issued by the Virginia State Police.

Standard #: 22VAC40-191-60-C-2
Description: Based on review and interview, 1 of 7 staff files reviewed indicated that the center does not have a central registry finding (CPS) within 30 days of employment. Evidence - 1. On the date of inspection (01/12/2017), an original CPS finding was not available for review for Staff #7. 2. The start date for Staff #7 was listed as - 11/01/2016. 3. Staff #3 stated (during an interview on the date of inspection) that this documentation was sent and returned to the center as incomplete. The date of birth for Staff #7 was not filled out. The receipt date was stamped - 11/01/2016. 4. This documentation, still on file, was completed with the missing date of birth, but was never sent back to obtain the finding.

Plan of Correction: A CPS request shall be completed and sent for Staff #7. Further employment of Staff #7 shall be denied until the acceptable documentation (a finding) has been issued by the central registry.

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. 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.

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