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NOVA KinderCare Learning Center
1227 North Ivy Street
Arlington, VA 22201
(703) 527-2288

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Nov. 1, 2018 , Nov. 2, 2018 , Nov. 5, 2018 and Nov. 6, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures

Comments:
The Licensing Inspector conducted an unannounced monitoring visit in response to a self report of a serious injury filed on-line by KinderCare management. Interviews were conducted on 11/1/2018 and 11/2/2018 with staff and the parent relating to the incident of a child needing an Epi-pen administered following an allergen exposure. Based on the preponderance of evidence, violations were cited for failing to protect a child in care. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-40-E
Description: Based on staff interviews, orientation documentation and observation of classroom information, multiple staff did not comply with the center food policy which does not allow for any outside food or drinks in the classroom. Evidence: 1. Orientation signatures by the staff acknowledge the "Food Policies (Handbook and Professional Participant Manual, Licensing/USDA Requirements" A signed and dated orientation sheet for each staff is documented as follows: a. Staff #1- 6/11/2018. b. Staff #2- 2/02/2018 c. Staff #3 -2/13/2018 d. Staff #4 -5/17/2018 e. Staff #5 -01/21/2013 f. Staff #6 - 08/06/2018 2. 5 of the 6 teachers (#1, 2, 3, 4 and 5) stated during interviews with on 11/1/2018 and 11/2/2018 that they knew the food policy for the center and the classroom. 3. Staff #7 stated during the interviews on 11/1/2018 that she regularly sent out e-mail reminders to staff about the food policy prohibiting any outside food or drink in the classroom. 4. The Center has a "No Nuts Please" information flyer posted in all classrooms. It states that "This center is making efforts to provide a safe environment for children with food allergies. Please do not bring any of the following items into the center: Peanuts, Peanut Butter, Baked goods containing peanuts, any item that contains or may contain traces of peanuts, any food that was processed on shared equipment with peanuts, any tree nuts.? 5. Staff #1 was observed by staff #7 and staff #8 in the Toddler classroom eating outside food on 10/29/2018.

Plan of Correction: The entire center's team was reminded the food policy and that fact that we have severe allergies in the building. The employees signed a memo on 12/03/2018 about this matter. E-mails and individual training will continue to take place each month.

Standard #: 22VAC40-185-340-A
Description: Based on staff interviews, observations and record review, the staff supervising children in the Toddler classroom did not ensure their care, protection and guidance. Evidence: 1. Staff #2 stated on 11/1/2018 that she knew what allergies child #1 had (peanuts and pistachios). Staff #2 acknowledged on 11/1/2018 that she had "chocolate with peanuts and chocolate with peanuts and almond candy in her bag" which was located in a cabinet in the classroom. She handed out candy to multiple staff at approximately 11:15 when she needed "some energy". Staff #2 gave 4 of the 5 teachers (1, 3, 4, 5) several pieces of bite size candy with chocolate and peanuts. In addition, Staff #2 was seen by 2 teachers in the Toddler classroom with a bag of pistachios in her pocket. Staff #2 confirmed that she did have a bag of pistachios in her pocket. Staff #4 reminded Staff #2 that they were not to have them in the classroom and Staff #2 responded that "it was too late as she had already eaten some? 2. Child #1 has allergies to cashews, peanuts, pistachio nuts, eggs and sesame according to the center "Allergy and Dietary Preference" list. The additional allergy action form also states that Child #1 is allergic to egg, peanuts, cashews and pistachio (signed 12/8/2017 by the parent). 3. During staff interviews, staff #1, Staff #3, Staff #4, Staff #5 and Staff #6 stated that they did not remind Staff #2 that Child #1 has the documented allergy. Staff stated that they put the candy in their pockets. Staff #1 and Staff #6 stated they saw Staff #5 eat the candy in the classroom. 4. At 11:10, Staff #3 stated she changed Child #1's diaper and did not observe hives. However, at approximately 11:30, children were sitting at the classroom table eating lunch and Staff # 3 noticed Child #1 had splotches around his eye area. During this time, the staff was trying to reach the parent and spoke to Child #1's father. He stated that Child #1's Mom was on the way. She arrived within 2-4 minutes. As she came into the classroom, Child #1 started vomiting. The parent called the allergist but was on hold. Child #1 then started coughing and Staff #8 determined based the allergy action plan description, that the Epi-pen should be administered as the child had multiple symptoms of a major allergic reaction and was possible going into an anaphylaxis reaction. 5. Later in the day, Staff #3 found 2 open candy wrappers buried in the puzzle bin. 6. Staff #8 stated that the parent called the following day. The parent stated that the clothes she was getting ready to wash for her son from the day before had a candy wrapper mixed into the vomit. Mom took a picture and sent it to the center showing a piece of wrapper from a candy wrapper that has peanuts. 7. When Staff #8 questioned the teachers in the classroom on 10/26/2018, they admitted to seeing the candy being handed out by staff #2 which contained the peanut allergen.

Plan of Correction: Staff #1 and Staff#2 were terminated due to failure to follow the center's rules and policies. All the other teachers involved in the situation received a verbal warning for not complying with Center regulations and not notifying management about the situation.

Standard #: 22VAC40-185-340-D
Description: Based on center management interview statement, a program leader is supervising more than 2 aides. Evidence: During interviews on 11/1/2018, staff #7 stated that the two's classroom has 1 lead qualified staff member and 3 assistant staff members.

Plan of Correction: The classroom enrollment was reduced from 21 to 18 children with 6 teachers: 2 leads and 4 assistants.

Standard #: 22VAC40-185-350-F
Description: Based on staff interview, a center did not acquire the necessary written assessments to permanently assign a child to a different age group. Evidence: Child #1 was moved on 10/29/2018 from the Toddler classroom into the Two's classroom. The center obtained written permission from the parent but a written assessment for the Center Director and Program Lead was not obtained which outlines that the new age group is more appropriate for the child's developmental level.

Plan of Correction: Assessments were done on 11/3/2018

Standard #: 63.2(17)-1720.1-B-2
Description: Based on staff interviews, observations and record review, a staff member did not have the required fingerprint search prior to working. Evidence: On 11/1/2018 it was determined that Staff #9 did not have the required fingerprints for working in a Virginia licensed site. Staff #9 was called from a DC KinderCare to cover a vacant position.

Plan of Correction: No DC staff will be used to fill in the center's needs. We will use only help from VA centers. Staff with fingerprinting done.

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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