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YMCA of Metropolitan Washington - Reston

Inspection · 2025-02-27

Date
2025-02-27
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on February 27, 2025 and completed on February 27, 2025. The on-site inspection began at 9:40am and ended at 11:45am. The inspector reviewed compliance in the areas listed above. There were 61 children present and 15 staff. The inspector reviewed 6 children?s records and 6 staff records [on-site].
This inspection included: document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on March 10, 2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.035-B-4
The licensee is to obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Staff 4 does not have a sex offender registry check or the results of a child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Plan of Correction: The registry check process has commenced, and results will be shared upon completion by the state of Utah.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

Staff 1's subsequent Tuberculosis screening was conducted 27 months after the initial screening.
Plan of Correction: Staff 1 has already taken care of her TB test. In the future we will ensure TB tests are renewed prior to the expiration date.
Standard 8VAC20-780-245-I
Training on the center's emergency preparedness plan shall be completed annually and each time the plan is updated.

Staff 1, 2, and 3's records show that they were last trained on the emergency preparedness plan over two years ago.
Plan of Correction: Staff will be trained on our latest emergency preparedness plan in our next staff meeting and will be trained annually moving forward.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: Water supply, sewage disposal system, and
food service, if applicable.

The most recent health and sanitation inspection was conducted 20 months ago.
Plan of Correction: Email was sent to the representative who conducted the last inspection in attempts to schedule the next one. In times past, we did not have to schedule this on our own - the inspector showed up at their convenience. Moving forward, we will reach out if the inspector does not show up annually.
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

Exposed landscape fabric was observed in open areas and under the play structure on the large playground creating a tripping hazard.
Plan of Correction: Fabric has been cut and process for replacing mulch has begun.
Standard 8VAC20-780-40-J
Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

Injury prevention procedures based on documentation of injuries and a review of the activities and services was not available for review on the date of inspection.
Plan of Correction: Our injury prevention plan has been updated based on this years injuries and incidents. We will update this annually, moving forward.
Standard 8VAC20-780-40-M
REPEAT VIOLATION

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions This list shall be dated and kept confidential in each room or area where children are present.

The allergy list was observed posted in accessible areas in Classrooms A and B.
None of the posted allergy lists were dated.
Two allergy lists were observed to be outdated and did not match the allergies included on the most current allergy list.
Plan of Correction: Non-confidential allergy lists have been removed and dates have been added to the confidential allergy lists.
Standard 8VAC20-780-430-B
Materials and equipment available shall be age and stage appropriate for the children.

A group of children, aged 2, were observed playing with kinetic sand that is not approved for use for children under the age of 3.
Plan of Correction: Kinetic sand removed from classroom.
Standard 8VAC20-780-50-A
Staff and children's records shall be treated confidentially.

The supplemental page from the most recent licensing inspection was posted in the facility. The page contains identifying information of students in the center.
Plan of Correction: Supplemental page has been removed.
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

The posted emergency maps did not contain information about evacuation routes or shelter in place locations for Classroom F.
Plan of Correction: Emergency evacuation maps have been posted for classroom F.
Standard 8VAC20-780-550-F
Lockdown procedures shall be practiced at least annually.

The last documented lockdown drill was practiced over two years prior to the date of inspection.
Plan of Correction: A lockdown drill was conducted