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KinderCare Learning Center 301030 A, Franklin Farm Campus
13228 Franklin Farms Road
Herndon, VA 20171
(703) 860-2800

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Aug. 27, 2015

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.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
1. Emergency contact information should include the last name of the individual being listed. 2. Staff should not be counted in the staffing ratios in two groups at one time. When this is done it appears that there are more staff present that in actuality. 3. Documentation needed to verify compliance should be on-site and available for review during the inspection versus submitting it post-inspection.

Comments:
Conducted an unannounced renewal inspection. Observed 53 children + 8 direct-care staff. Ratios were not maintained. Children were observed painting, reading books, playing with blocks, having outdoor play time, washing hands, eating lunch, and taking naps. The infants were being held, fed, were having playtime on the floor, and taking naps. Earlier in the morning the infants finger painted. Classrooms were found to be clean and supplied sufficiently with toys and equipment. Three (3) classrooms were not in-use today, as preparations were underway to supply and set them up to be open soon. The kitchen area was found to be much cleaner than in previous inspections. Lunch served: hamburgers, roll, corn, oranges, and milk. Required documents were posted. Record keeping violations found. Inspection completed 10:35am-1:25pm. Questions may be directed to pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on three (3) children's records requested for review and interviews conducted, it was determined that one (1) child did not have a record of enrollment. The child was observed to be present at the center today. Evidence: 1. Child #3 did not have an enrollment record at the center. 2. The Director reported that she was not aware that the parent had not returned the enrollment paperwork. 3. The missing information included: child's name, date of birth, date of enrollment, parent home and work addresses and phone numbers, emergency contacts, medical insurance information and emergency medical authorization, known allergies or special needs, physical exam, physician information, authorized pick-up information, written agreement signed by parent, and proof of identity.

Plan of Correction: 1) Management will verify Enrollment record is obtained prior to parent leaving child. 2) Center Director + center management will review files frequently and obtain enrollment docs. 3) Center management will verify enrollment documents are complete.

Standard #: 22VAC40-185-70-A
Description: Based on five (5) staff records reviewed, it was determined that two (2) records did not include required information. Evidence: 1. Staff #7 - There was no documentation of education and experience needed to qualify her for the Lead Teacher position she was hired and working today. Date of hire was in May 2015. 2. Staff #10 - There was no documentation of orientation training. Date of hire was in March 2015.

Plan of Correction: Staff #7 no longer works w/us. Moving forward management will ensure all new teaching staff will attend new hire training and obtain all educational docs prior to 1st day in classroom.

Standard #: 22VAC40-185-240-D-5
Description: Based on records reviewed and observations made, it was determined that there was no staff working today that was trained in Daily Health Observations. Evidence: The two (2) trained staff were not working today.

Plan of Correction: Will have 3 more staff trained on 10/7/15

Standard #: 22VAC40-185-270-A
Description: Based on observations made, it was determined that areas and equipment of the center were not maintained in a clean, safe or operable condition. Evidence: 1. The frame from a sensory table was broken and lying on the toddler playground. 2. A plastic toy shark was broken and lying on the toddler playground. The toy had sharp edges around the cracks and a hole that a child could place their finger, and a 2" piece of the toy (the shark fin) had broken off and was lying on the ground. 3. A moldy plastic throwing disc was lying on the toddler playground. 4. The top of a bookshelf in the 2's room had surface cracks and peeling laminate causing the pressed wood to become exposed. The bookshelf was approximately 24" in height, and the top surface was accessible to the children. 5. Three (3) floor tiles in the 2's room were missing, and the concrete underneath was exposed. 6. Low level air vents in the 2's room and school-age classes were dirty with dust and grime. 7. Paint was peeling on the window ledge in the school-age room. 8. Forty one (41) bolts on the large playground climber were rusted and unsafe, as they posed as a potential integrity hazard. Additionally, many of the bolts were within reach of the children playing on and around the equipment.

Plan of Correction: 1) Sensory table has been removed and discarded. 9/10/15 2) Toy shark has been discarded. 8/27/15 3) Flying disc discarded. 8/27/15 4) Bookshelf was removed and a new shelf was ordered to replace it. New shelf will arrive 10/2/15. 5) A work order was placed to install missing tiles. To be completed 9/25/15 6) Vent has been cleaned and repainted 9/10/15 7) Window ledge repainted 9/10/15 8) The 41 rusty bolts will be replaced by 9/25/15 To ensure all areas of center are clean, safe, + operable center management will walk the building + outside areas daily. See daily playground safety inspection form. 9/14/15

Standard #: 22VAC40-185-330-B
Description: Based on observations made, it was determined that playground equipment did not have resilient surfacing. Evidence: A climber with a slide approximately 36" in height on the toddler playground was placed on grass.

Plan of Correction: The climber has been moved to resilent [sic] surface. Management will explain to staff the requirements for this to avoid future occurences [sic] 9/14/15

Standard #: 22VAC40-185-340-A
Description: Based on observations made, it was determined that Staff #6 did not ensure the care and protection of the children while playing on the playground. Evidence: 1. A hazard free fall zone was not maintained, as two riding trykes were inches from the bottom of the large slide on the preschool-age playground. 2. A child was observed sliding down the slide and into the trykes.

Plan of Correction: 1) A playground safety training will be conducted for all teachers. The children will be reminded of playground rules to help prevent future occurances. [sic] 9/16/15 2) Spoke to teaching staff at the time of inspection about safety precautions. 8/27/15 The playground training will include item #2. 9/17/15

Standard #: 22VAC40-185-340-D
Description: Based on records reviewed and interviews conducted, it was determined that a group of children was not supervised by a Lead qualified teacher today. Evidence: 1. Staff #7 was reported by the Director to be a Lead Teacher, and was observed working alone with a group of children. 2. There was no documentation of the minimum high school education required for the position. 3. There was no evidence of the staff person having a minimum of 6 months work related experience, as the documentation on-file reflected unrelated work experience. 4. The Director stated that she did not hire the staff person, but thought Staff #7 had a high school diploma. Upon reviewing the work experience record with the inspector, the Director agreed that Staff #7 had no previous work related experience, but believed that the staff person would qualify based on training obtained since being hired.

Plan of Correction: Management will review all files and ensure that lead qualified teachers are working alone in classroom.

Standard #: 22VAC40-185-350-E-3
Description: Based on records reviewed, it was determined that a 1:8 staff to child ratio for the 2 year-old group was not maintained on 8/24/15. Evidence: 1. According to the Child Supervision Record (CSR), at 10:30am the ratio was 1 staff person with 9 children. 2. According to the CSR, at 10:57am the ratio was 1 staff person with 10 children. 3. Classroom staff had completed and initialed each entry on the CSR.

Plan of Correction: 1) Ratio count sheets will be improved by walking the building every 30 mins to ensure ratio compliance. During high volume times ratio counts will be done every 15 minutes. 9/14/15 2) Ratios will be in compliance. 8/28/15 3) CSR training will be conducted 9/18/15

Standard #: 22VAC40-185-350-E-4
Description: Based on records reviewed and observations made, it was determined that on 8/24/15 a 1:8 staff to child ratio was not maintained in the 3's group when a 2 year-old child was moved into the group. Evidence: 1. According to the Child Supervision Record (CSR), at 10:55am, Child #3 was moved from the 2's group into the 3's group, where he remained until returning to the 2's at 1:00pm. 2. According to the CSR, the ratio was 2 staff to 10 children however, it was determined that staff were being accounted for on the 3's and 4's CSR's at the same time, thus not being an accurate staffing report. For example: Staff #11 was counted in the staffing ratios in both the 3's and 4's groups at the same time. 3. According to the CSR, the ratio in the 3's group during outside play time from 11:15-11:51am was 1 staff to 10 children. 4. The inspector observed the 3's group outside during this time and there was 1 staff with 10 children. 5. Classroom staff had completed and initialed each entry on the CSR.

Plan of Correction: When children are moved into another class during transition we will ensure the transition letter + progress reports are complete. In the event a younger child is being moved to an older age group (for example 1st hour + last hour if dat) we will maintain the youngest child in the groups ratio. To eliminate confusion we will use 1 CSR and split the CSR when the children move to their appropriate classroom.

Standard #: 22VAC40-185-350-F
Description: Based on records reviewed and interviews conducted, it was determined that one (1) child was moved to a different age group without documentation of written parent permission. [Note: The inspector limited the review of CSR's to a one-week period, 8/21/15-8/27/15.] Evidence: 1. Child #2 - Is a 2 year old, and is currently assigned to the 2's group. There was no written assessment completed by the teacher and/or director, nor was there written permission for the child to move to another age group. 2. According to the CSR on 8/27/15 (today), the child was moved to the 3's group at 10:55am where he remained until 1:00pm when returning to the 2's group. 3. The Director stated that the child was being transitioned to the older age group, and that the written parental permission had been obtained, though the whereabouts of that documentation was not known. 4. On 8/28/15, documentation of written parental permission was submitted to the inspector. The parent had signed the document on 8/28/15.

Plan of Correction: 1) A written assessment and written permission from parent will be obtained before any transition is made. 2) Will consider the benefit to the child in the future when transitioning during these times. Will find a better time for the child to visit the group when in transition 3) Management will obtain written permission for transitions + immediately file document to ensure they are readily available for inspector. 4) Will obtain transition letter prior to transitioning a child.

Standard #: 22VAC40-185-400-B
Description: Based on observations made, it was determined that a staff person did not provide behavior guidance that was constructive in nature, appropriate, or redirective in nature. Evidence: Staff #11 was heard speaking to a child in the 3-4 year old group with words that were not reflective of positive behavior guidance. She was heard saying "...stop...that's it...I'm done..."

Plan of Correction: Teacher #1 will be re-trained on positive behavior guidance and will also have a written warning placed on file.

Standard #: 22VAC40-185-550-M
Description: Based on ten (10) written injury reports reviewed, it was determined that seven (7) reports did not include required documentation. Evidence: 1. Seven (7) of ten (10) reports did not document the time the parent was notified. 2. One (1) report did not document how the parent was notified. 3. One (1) report did not include two (2) signatures, it had one (1) staff signature.

Plan of Correction: Management team will retrain all teaching staff on how to properly fill out accident reports.

Standard #: 22VAC40-185-560-G
Description: Based on observations made, it was determined that three (3) of three (3) food items in the infant room were not labeled properly. Evidence: One (1) item was not labeled with the child's name and date; while two (2) items were not labeled with the date.

Plan of Correction: Will retrain infant staff on managing labels for every bottle and speak to all infant parents about filling every line item.

Standard #: 22VAC40-185-570-E
Description: Based on observations made, it was determined that four (4) of thirteen (13) infant bottles were not labeled with the date.

Plan of Correction: Management will verify daily all bottles + food one labeled appropriately [sic]

Standard #: 22VAC40-191-60-C-1
Description: Based on staff records reviewed, it was determined that Staff #7 did not have a Criminal Record Check (CRC) submitted within the first 7 days of employment, and completed within the first 30 days of employment. Evidence: Date of hire was 5/21/15, Staff #7 signed the report to ready it for submission on 6/4/15, and it was completed on 6/22/15.

Plan of Correction: All management will put a new system in place to ensure all CRC's are submitted within the first 7 days of all new hires.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff records reviewed, it was determined that Staff #7 did not have a Central Registry Check (CPS) submitted within the first 7 days of employment, and completed within the first 30 days of employment. Evidence: Date of hire was 5/21/15, Staff #7 signed the report to ready it for submission on 6/26/15, and it was completed on 7/8/15.

Plan of Correction: All management will put a new system in place to ensure all CPS checks are submitted within the first 7 days of all new hires.

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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