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KinderCare Learning Center #1232
11875 Lake Newport Road
Reston, VA 20194
(703) 742-0494

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Nov. 20, 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.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance today included physical environment, record keeping, medication and USDA requirements for the menu. Consultation included a checklist of expiration dates for medications and authorizations.

Comments:
An unannounced monitoring inspection was conducted today from 11 am - 1:45 pm. There were 33 children present in five classes, with more expected later. I observed children riding bikes on the playground; building with blocks; engaged in role play; coloring and eating lunch. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-140-A
Description: A review of a sample of children's files today found that one was missing a physical exam. Evidence: There was no physical exam available today for Child # 3, who began care over 30 days ago.

Plan of Correction: We will locate the physical exam or contact the parent for another copy.

Standard #: 22VAC40-185-270-A
Description: During today's inspection, some areas of the center were observed to not be maintained in a safe and operable condition. Evidence: Outdoors: A heavy metal window screen was observed to be detached from a window, making sharp edges accessible. A broken table was near the basketball area, with broken areas in the surface. The outdoor storage closet had a door that was open and could not close. A mat was torn at the edge, posing a tripping hazard. A garden hose was accessible at child height. A metal brace was protruding from a gate, posing a scratching hazard. Indoors: Moulding at the bottom of the school-aged sink and children's sink near the kitchen was coming apart at foot level, posing a tripping hazard. There was badly peeling paint on the door of the pre-K room. A children's couch was badly torn.

Plan of Correction: Outdoors: An emergency work order will be put in for the window screen and the open closet. The table and mat will be thrown away. The hose was put away during the inspection. Indoors: A work order was put in for the sink. The door will be painted but will be covered with pictures to block the peeling paint until it is painted. The children's couch will be replaced.

Standard #: 22VAC40-185-280-B
Description: During today's inspection, hazardous substances such as cleaning materials were observed not to be kept locked as required. Evidence: In the pre-K room, the laundry room was unlocked where cleaning chemicals are mixed and stored. The door was unlocked. Later, a table was observed to be placed in front of the door. In the same classroom, spray bottles of cleaning materials were observed in an unlocked cabinet above the sink.

Plan of Correction: The key to the laundry room is missing, so we blocked it with a table today. An emergency work order will be put in. Staff will be reminded to keep all cleaners locked in all cabinets when they are not being used.

Standard #: 22VAC40-185-510-A
Description: A review of medications today found that not all medications met the center's written medication policies regarding authorizations and manufacturers' expiration dates. Evidence: 1. The long term emergency medication and the over-the-counter medication for Child # 1 had no physician's authorization as required or renewal by the parent after two weeks. The over-the-counter long term medication for Child # 1 also had no name and dosage on the label. 2. The long-term emergency medication had a manufacturer's expiration date of 4/15, six months ago. 3. The authorization for long term emergency medication and over-the-counter medication for Child # 2 expired 7/15. 4. The long-term emergency medication for Child # 2 had a manufacturer's expiration date of 8/15.

Plan of Correction: These will be returned to the parent today.

Standard #: 22VAC40-185-510-G
Description: A review of children's medications today found that a prescription medication was present to be administered without meeting the requirements for prescription medications. Evidence: The prescription for Child # 1 had no prescription label with name and dosage as required.

Plan of Correction: We will contact the parent today.

Standard #: 22VAC40-185-510-N
Description: A review of medications today found that a medication was present past the time it was authorized to be given. Evidence: An over-the-counter colic medication was present for Child # 4 although that child has not been attending for over two weeks.

Plan of Correction: Disposed of during the inspection.

Standard #: 22VAC40-185-560-F
Description: During today's inspection, a lunch was served that was observed not to meet the age-appropriate USDA nutritional requirements for a meat or meat alternative protein. Evidence: Children were observed to be eating half of a homemade bagel pizza, but the bagels were covered with mostly sauce, with approximately 1/4 - 1/2 of the bagel half lightly sprinkled with cheese, less than the required 1 1/2 ounces for age 3 - 5 years olds.

Plan of Correction: When this was pointed out, the staff gave the children more cheese.

Standard #: 22VAC40-185-560-F-4
Description: During today's inspection, the menu listing foods to be served did not list any substituted food. Evidence: The posted menu indicated that today's lunch was tuna casserole with green beans, but the children were observed to be eating bagel pizzas with broccoli.

Plan of Correction: We will make sure the accurate menu is posted.

Standard #: 22VAC40-191-40-D-1-B
Description: A review of a sample of staff records found that one staff member did not have a Search of the Central Registry available within 30 days of employment. Evidence: Staff # 1, hired 11/14, did not have any results of a Search of the Central Registry ired.. A note indicated that it was sent again on 9/28/15, but it still is not present.

Plan of Correction: It will be checked on.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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