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Kiddie Academy of Alexandria
1000 Bernard Street
Alexandria, VA 22314
(703) 497-2500

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Sept. 12, 2018

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.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Center staff management are considering making changes to the physical layout of the infant classroom. The Inspector reviewed how these proposed changes would impact staffing patterns in order to ensure that the classroom operates within the required staff:child ratios at all times. The Inspector further discussed strategies to improve active supervision in the classroom.

Comments:
Following a self-reported incident that took place in the infant classroom, the Inspector was on site today to investigate the report involving supervision, medications, and the care of children. The Inspector also conducted a monitoring inspection of the facility today. Children's records, classroom programming, children's nutrition, staff records, background checks, the physical plant, administrative documents, and children's medications were inspected today. There were 82 children in care today with a total of 21 staff members assigned to their direct supervision. The children were actively engaged on the playground, eating lunch, enjoying circle time discussions, and interacting with caregivers today. The children were served cheese/chicken quesadillas, green beans, pineapple, and milk for lunch today. This inspection was completed between approximately 10:30am and 12:45pm. The administrative portion of this inspection was completed later in the day. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, it was determined that one record was not complete. Evidence: Staff record A does not include documentation showing that at least 2 reference checks were completed. This staff person began employment 8/18.

Plan of Correction: Complete telephone reference check on staff members. [sic]

Standard #: 22VAC40-185-340-A
Description: Based on staff interviews and classroom observations, it was determined that on September 7, 2018 staff in the Goldfish classroom did not adequately ensure each child's full care, protection, and guidance. Evidence: On 9/7/18, child A was seated on the floor drinking from his bottle of formula. At the same time, child B was crawling around the area where child A was seated. Before finishing his bottle, child A dropped it on the floor and crawled away to play. When child A dropped his bottle, child B proceeded to pick it up and drink from it, ingesting formula to which he was allergic. As a result, child B displayed physical signs of an allergic reaction, including vomiting and the appearance of hives on his face and body. At the time of this incident, there were 15 infants in care with a total of 4 staff members assigned to their direct supervision. When this incident took place, staff person X was seated on the floor very close to where child A was seated with his bottle. This staff person was actively engaged in the process of spoon feeding another infant. In doing so, staff person X focused her attention on the child she was feeding rather than engaging in active supervision of all children in care in the classroom. Her focused attention prevented her from noticing that child A had dropped his bottle. The remaining 3 staff members in the classroom also did not notice the bottle had been dropped. This lack of active supervision created an environment that did not ensure the full care, protection, and guidance of child B.

Plan of Correction: 1. Reinforcement of child supervision and focus on assigning primary teachers to children. 2. Train teachers on observation techniques to ensure safety of all children. [sic] 3. Name to face to bottle to face account. [sic] 4. If a teacher is not readily available, management will be called with in a timely manner to come and assist. [sic] 5. Teachers will complete feeding task be removing empty bottle from area. [sic]

Standard #: 22VAC40-185-510-C
Description: Based on a review of children's medications, it was determined that two authorization forms were not completed as required. Evidence: 1 - The authorization form for one child's long term non-prescription medication did not include the physician's start and stop date for which the authorization is effective. 2 - The authorization form for one child's long term prescription medication expired on 7/1/18.

Plan of Correction: Have parent's complete medication for children needing EpiPen's, or any oral medications. [sic]

Standard #: 22VAC40-80-120-E-2
Description: Based on observations, it was determined that the findings from the most recent inspection of the facility were not clearly posted. Evidence: The most recently issued Violation Notice was not clearly posted. It was hanging beneath other inspection paperwork, and placed in the corner of the front desk behind a notebook binder.

Plan of Correction: Clearly post inspection certificate. [sic]

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.

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