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Life Time Fitness - Sterling

Inspection · 2023-08-16

Date
2023-08-16
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was conducted on 08/16/2023 between the hours of approximately 12:oo pm and 2:30 pm. There were 60 children present, ranging in ages from4 years to 12 years, with 13 staff supervising. Children and staff were observed different group of children while eating lunch, playing in the pool, transitioning out of the pool and engaged in a group activity with their counselors.
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 child records and 6 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 regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations

9
Standard 22.1-289.035-B-2
Based on record review, the program did not ensure to obtain a fingerprint-based criminal history check determination letter prior to the first day of employment for one staff person.
Evidence:
1) The record for Staff #5 (start date 05/22/2023) did not contain the results of a criminal history check or documentation that a criminal history check had been requested.
Plan of Correction: Both background checks have been obtained and are in her file.
Standard 8VAC20-770-60-C-2
Based on record review, it was determined that the center did not ensure that Central Registry search results were obtained by the end of the 30th day of employment.
Evidence:
1) On the date of inspection, the record for Staff #1 (start date 05/22/2023) did not contain the results of a Central Registry search request. A search request was sent on 05/30/2023 but no follow up attempts were documented in the record.
Plan of Correction: Email to follow up with DSS was sent on 08/23/2023.
Standard 8VAC20-780-130-A
Based on record review, the program did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1) The records for Child #4 (start date 06/12/2023) and Child #5 (start date 08/07/2023) did not contain documentation of the immunizations required.
Plan of Correction: Children will not be allowed to attend camp until correct forms are provided. Email has been sent to parents.
Standard 8VAC20-780-140-A
Based on record review, the program did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
Evidence:
1) The record for Child #4 (start date 06/12/2023) did not contain the results of a physical examination.
Plan of Correction: Child will not be able to attend camp until physical is provided.
Standard 8VAC20-780-160-C
Based on record review, the program did not ensure that employees obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years.
Evidence:
1) A current Tb screening was due for Staff #6. The Tb screening form in the record for Staff
#6 was dated 06/04/2021.
Plan of Correction: Team member will not work camp until provided. Physical and TB have been scheduled
Standard 8VAC20-780-510-F
Based on medication and documentation review, the program did not ensure that medication authorization shall be available to
staff during the entire time it is effective.
Evidence:
1) There was no medication authorization form available for review for the medications for Child #6, Child #7 and Child #8.
Plan of Correction: Medications have been returned and proper paperwork will be filled before return of campers.
Standard 8VAC20-780-510-G
Based on medication review, medication was not labeled with the child's name, the dosage amount, and the time or times to be given.
Evidence:
1) Medication for Child #6 was not labeled with the required information.
Plan of Correction: Medication has been sent home with the child.
Standard 8VAC20-780-510-P
Based on medication review, the program did not ensure that when a medication expires, the parent be notified that the medication
needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the
parent within 14 days shall be disposed of by the center.
Evidence:
1) There were 2 containers of medication in the center for Child #6 with an expiration date of 05/2023 and 3 containers of medication for Child #7 with an expiration date of 07/2023.
Plan of Correction: Medications have been picked up by parents.
Standard 8VAC20-780-60-A
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #5 did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction: Campers will be unable to return to camp until correct forms are provided.
View original record on Virginia Department of Social Services