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KinderCare Learning Center #874
5680 Oak Leather Drive
Burke, VA 22015
(703) 250-4344

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Jan. 20, 2016

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. Rugs should be replaced when stains are not removed by steam cleaning. [3rd consult] 2. Outlets, regardless of height or location, are to have protective safety covers. 3. Remind staff to report and promptly remove broken items in classrooms. 4. Recommend a checklist be used to help with child record compliance.

Comments:
Conducted an unannounced renewal inspection. Observed 51 children + 9 direct-care staff. Ratios were not maintained in 2 rooms. Supervision maintained. Staff were actively engaged with children in all rooms. Children were observed in a variety of activities, to include: coloring, reading a story, playing with blocks, dolls/dollhouse, a table game about nutrition, phonics, washing hands, eating lunch, and taking naps. Infants were being held, fed, rocked, napping, and having play time on the floor. Artwork and photos of the children making their art were displayed throughout the center, and given to parents monthly. The facility was found to be clean, though routine preventative maintenance needed. Lunch served: sunflower butter + jelly sandwiches (each child made their own), oranges/apple sauce, green beans, and milk. Bus clean and inspections current. Medications on-site. Required documents posted. Record keeping violations found. Inspection completed 10:30am-1:35pm. Questions about this inspection may be directed to: pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on 5 children's records reviewed, it was determined that 2 immunizations records were not updated every 6 months for children under the age of 2 years old. Evidence: 1. Child #4 - Date of birth 3/4/14, most recent immunizations on-file were dated May 2014. 2. Child #7 - Date of birth 9/18/13, most recent immunizations on-file were dated December 2014.

Plan of Correction: Parents were notified via email , as well as, in person get all immunizations faxed or brought into me by 2/05/2016 Using child checklist for all child files before enrollment to ensure we have all appropriate documents.

Standard #: 22VAC40-185-140-A
Description: Based on 5 children's records reviewed, it was determined that records for 2 children did not include physical exams. The 30-day grace period for each has expired. Evidence: 1. Child #4 - Date of enrollment was May 2014. [Cited previously] 2. Child #7 - Date of enrollment was January 2015.

Plan of Correction: parents were notified via email and in person that physical forms are due by 2/5/2016 Using child checklist for all child files before enrollment to ensure we have all appropriate documents. [sic]

Standard #: 22VAC40-185-160-A
Description: Based on 5 staff records reviewed, it was determined that 1 staff did not have documentation of a negative TB screening within 12 months prior to being hired, or 21 days after employment. Evidence: Staff #4 - Date of hire was September 2015, and the TB screening on-file was completed in December 2013.

Plan of Correction: Staff went to renew TB test on 1/29/2016 ( due to snow it was a later date.) Have obtained the TB results on 2/1/2016 Center will continue to_use the staff file checklist to mark renewal dates for each staff member. [sic]

Standard #: 22VAC40-185-60-A
Description: Based on 5 children's records reviewed, it was determined that 2 records did not include documentation that the child's proof of identity was verified by staff. The 7-day grace period has expired. Evidence: 1. Child #6 - Enrolled October 2015. 2. Child #7 - Enrolled January 2015.

Plan of Correction: Obtained verification of birth for student on 1/20/2016 after notifying the parent. The center has implemented a child checklist for all child files before enrollment to ensure we have all appropriate documents.

Standard #: 22VAC40-185-70-A
Description: Based on 5 staff records reviewed, it was determined that 1 record did not include verification of education needed to qualify for the Lead Teacher position she has been working. Evidence: Staff #5 - Date of hire September 2014. The Director reported that the staff person does not have documentation of education.

Plan of Correction: Staff member brought in her High School diploma on 1/26/16 and has contacted her college for her transcripts. All educational background will be received within the first week of employment. We will be using our staff audit list to ensure all documentation is available.

Standard #: 22VAC40-185-80-A
Description: Based on records reviewed, it was determined that a written record of children in attendance was not accurate today. Evidence: Child #6 was observed by the inspector in a preschool-age room, yet was not accounted for on the classroom attendance record (CSR). Additionally, the child was not signed into the main attendance record in the lobby. Prior to this discovery, there was no record of this child being in attendance today.

Plan of Correction: Staff member received retraining of the CSR and the importance of making sure each child is written in at the time of arrival so it is not missed. Also the LA teacher will be sure to sign each child herself as appose to the lead teacher in classroom. CSR checks and retraining for all staff members are done during orientation upon hire, as well, as quarterly....January. April.....August....December [sic]

Standard #: 22VAC40-185-90--A
Description: Based on 5 children's records reviewed, it was determined that 2 records did not include a written agreement signed by the parent by the first day of the child's attendance. Agreements on-file were not signed by the parent. Evidence: 1. Child #6 - First attendance was in October 2015. 2. Child #8 - First attendance was in August 2015.

Plan of Correction: Parents of both students signed enrollment agreement upon arrival on 1/20/2016 Carefully look over all enrollment papers before enrollment and obtain all signatures necessary. All enrollment forms requiring a signature will indicate the space by highlighting with a yellow marker [sic]

Standard #: 22VAC40-185-270-A
Description: Based on observations made, it was determined that areas of the center were not maintained in a clean or safe condition. Evidence: 1. Peeling paint was observed on the inside of an exterior exit door located in the toddler-age room. The peeling paint was on the lower half of the door and within reach of the children. 2. Peeling paint was observed on a corner wall trim piece in a preschool-age room. The peeling paint was at a mid-low wall level and within reach of the children. 3. Dirt and dust build up was observed on the AC unit located in the school-age room. A swipe by the inspector resulted in gray/black dirt on the finger. The unit is located within reach of children.

Plan of Correction: a work order has been placed for the peeling paint to our facilities department on 1/29/2016 AC unit was cleaned and dusted on 1/20/2016 Oversee any necessary peeling paint areas that need touch up right away. All ac units will be wiped down nightly and added to our cleaning checklist [sic]

Standard #: 22VAC40-185-350-E-1
Description: Based on observations made, it was determined that a ratio of 1 staff to 4 children (1:4) in the infant room, ages 6 weeks-16 months, was not maintained. Evidence: 1. A ratio of 1 staff to 5 children (1:5) was observed. 2. Staff #2, who was the 2nd staff person assigned to work in that room, was observed in the office talking with the Director when the inspector arrived. 3. When questioned, staff stated that Staff #2 had been out of the room for approximately 10 minutes and that when she left the room she took one child with her however, the child fell asleep in her arms so she returned the child to the room/crib before returning to the office. 4. Staff recollections of the amount of time the infant room was out of ratio varied and so an exact time could not be determined, though it was likely not more than 10 minutes.

Plan of Correction: Staff immediately went back to classroom to maintain ratio. Staff will be retrained in maintaining ratio at all times. Staff has signed off on retraining of maintaining ratios. In which we will review each [sic]

Standard #: 22VAC40-185-350-E-4
Description: Based on observations made, it was determined that a ratio of 1 staff to 10 children (1:10) in a preschool-age room, ages 3 - 4 years, was not maintained. Evidence: 1. A ratio of 1 staff to 11 children (1:11) was observed. 2. When questioned, Staff #4, the Lead Teacher in the group, stated that she had 10 children however, upon counting realized that she in fact had 11 children. 3. Staff #4 reported that Child #6 was the last to arrive. 4. The classroom attendance sheet (CSR) listed 10 children being present, and did not include Child #6.

Plan of Correction: Staff member immediately spoken to; and, retraining was conducted with this staff member during nap time to ensure management knows if she is ever out of ratio, as well as conducted CSR retraining. Keeping CSR close by and as LA student are being taken out, the LA teacher will sign them out. [sic]

Standard #: 22VAC40-185-420-E-3
Description: Based on 5 children's records reviewed, it was determined that 1 record did not include documentation of being updated annually. Evidence: Child #5 - Date of enrollment January 2012, date of last record update (when the parent signed the record) 1/20/14.

Plan of Correction: Obtained updated enrollment on 1/20/2016 after notifying the parent via email. Using child checklist for all child files before enrollment to ensure we have all appropriate documents. Ensuring documents have been updated annually in September.

Standard #: 22VAC40-185-510-C
Description: Based on observations made and records reviewed, it was determined that the center did not follow procedures for preventing expired medications from being used or on-site. Evidence: Child #1 - A long-term medication on site had expired in October 2015.

Plan of Correction: Expired medication was held in office until given to parents at pick up as they brought in a new unexpired medication on 1/20/2016 Checking medication each month to ensure they have not expired. Center Director developed a chart with the expiration dates.....this is kept in a binder in the office.

Standard #: 22VAC40-191-60-C-1
Description: Based on 5 staff records reviewed, it was determined that 1 record did not include a Criminal Record Check (CRC). The 30-day grace period has expired, and the staff person has been permitted to continue work providing direct-care to children. Evidence: Staff #4 - Date of hire September 2015.

Plan of Correction: Criminal department was contacted on 1/21/2016 to verify if they received and post dated back to us. A checklist has been developed that will be attached to each staff member's file to ensure completeness and correctness All backgrounds will be obtained at the first day of employment.. This checklist will be completed upon hire [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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