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Life Time Fitness - Sterling

Inspection · 2024-08-06

Date
2024-08-06
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was conducted on 08/06/2024. The inspector reviewed compliance in the areas listed above. There were 57 children present and 8 staff.
The inspector reviewed 4 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, and interviews.
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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within 5 business days from today, which will be the close of business on 08/19/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-2
*REPEAT VIOLATION*
Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for two staff.
Evidence:
1) The records for Staff #1 and Staff #2 did not contain a current fingerprint test result.
Plan of Correction: Department of Social Services has been contacted with dates for completion of fingerprinting. Will continue to reach out until letters are received.
Standard 8VAC20-780-130-A
*REPEAT VIOLATION*
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child can attend the center.
Evidence:
1) The record for Child #1 (start date 07/19/2024) did not contain an immunization report.
Plan of Correction: Will contact parent for another copy of immunizations.
Standard 8VAC20-780-260-A
Based on documentation review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence:
1) On the date of inspection, the most recent inspection report available for review was dated 06/20/2023.
Plan of Correction: Fire inspection was already completed. Still waiting on report. Will reach out for an update.
Standard 8VAC20-780-40-H
Based on documentation review, the center did not maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate.
Evidence:
1) On the date of inspection, the most recent policy available for review was dated 12/15/2022-2023.
Plan of Correction: Will reach out to licensing team again to obtain an updated copy of insurance.
Standard 8VAC20-780-50-A
Based on observation, staff and children's information were not always treated confidentially.
Evidence:
1) On the date of inspection, the Supplemental page of the inspection report dated 06/21/2024 was posted in the program's facility. This page contains confidential information and shall not be posted.
Plan of Correction: Supplemental page was taken off on day of inspection.
Standard 8VAC20-780-60-A
*REPEAT VIOLATION*
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #3 did not contain the name address and phone number of a second emergency contact, and documentation of viewing proof of the child's identity and age.
Plan of Correction: Obtained emergency contact.
View original record on Virginia Department of Social Services