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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: Feb. 8, 2017

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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
1. Reviewed cot spacing requirements. 2. Discussed definition of "lying down" as it relates to children when drinking/eating. 3. Recommend any health/medical procedures staff are expected to do be in writing and on-file in child's record. 4. Emergency medical procedures should be in writing and understood by staff. Special MAT training is required for rectal medications, and there is to be at least one trained staff person when the child is in attendance. 5. Recommend Center Director and Assistant Director attend Child Day Center Phase II Training.

Comments:
Conducted an unannounced monitoring inspection 10:30am-2:30pm. Observed 55 children + 10 direct-care staff + 2 administrative staff. Ratios were not maintained in one group today. Children were having outdoor active play, eating lunch, and taking naps during the inspection. Staff were talking and playing with the children. Infants were being held, fed, having play time on the floor, and napping. The center was found to be clean and sufficiently supplied with toys and equipment for the children. Required documents were posted. Medication and record keeping violations found. Questions about this inspection may be directed to: pamela.sneed@dss.virginia.gov Note: A review of the Intensive Plan of Correction submitted by the center in 2016 was completed today, and the following determined: (1) 1 of 3 staff trainings had not been implemented as stated in the plan. A training date of 1/7/17 was documented in the plan, and staff stated that the training is to be done on 2/20/17. (2) Bi-weekly visits by the District Manager were recorded for 12/2/16, 12/29/16, and 1/18/17.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on records reviewed, it was determined that 2 of 6 staff records did not include documentation of a negative TB screening within 21-days of employment. Evidence: 1. Staff #3 - Date of hire was 10/4/16, and TB screening was completed 11/18/16. 2. Staff #7 - Date of hire was 8/8/16, and TB screening was completed 10/3/16.

Plan of Correction: Going forward before they start we will ask them to get it and not allow them to come back if we don't have it by 21 days.

Standard #: 22VAC40-185-60-A
Description: Based on records reviewed, it was determiend that 1 of 3 children's records did not include required information. Evidence: The record for Child #11 did not include emergency contact addresses for 2 of 2 contacts listed.

Plan of Correction: Audit all child records looking for complete info. Follow-up w/ parents if we are missing anything

Standard #: 22VAC40-185-270-A
Description: Based on observations made, the following areas and equipment of the center were not maintained in a clean, safe, and operable condition. Evidence: An area of the metal door frame approximately 12" in length had peeling paint in the 2's room.

Plan of Correction: Place a work order for all areas needing attention. Follow-up until done.

Standard #: 22VAC40-185-350-E-4
Description: Based on observations made and interviews conducted, it was determined that ratios in the 3's group exceeded the maximum allowed of 1 staff to 10 children for a period of time today. Evidence: 1. Staff #9 was observed supervising 11 children in the 3's group on the playground today. 2. When asked by the inspector, Staff #9 stated that she was supervising 10 children however, the actual count was 11 children. 3. Staff #9 stated that the second staff person in the group went into the building to assist another child with a toileting accident approximately 5 minutes prior.

Plan of Correction: Retrain staff on constant name to face checks and having all teachers participate in counting of children. Particularly when splitting a group up

Standard #: 22VAC40-185-510-C
Description: Based on observations made and interviews conducted, it was determined that the center was not implementing medication procedures for 2 of 3 medications on-site today, as follows: Evidence: 1. Child #1 - The medication authorization signed by the physician and parent in December 2016 did not provide clear instructions for administration of the emergency medication. Written instructions varied from year-to-year, and from what staff stated there understanding of what should be done. 2. Child #11 - The medication authorization signed by the parent on 8/16/16 expired 10 days later, and there was no physician authorization on-file. Also, the medication expired in November 2016.

Plan of Correction: Discuss w/ each parent to get clear direction and proper paperwork completed. Going forward, check all medications + paperwork every month-by different people CD, AD + health + safety coordinator each month.

Standard #: 22VAC40-185-550-M
Description: Based on records reviewed, it was determined that 5 of 10 written injury reports did not include required information. Evidence: 5 reports did not include "how" the parent was notified, or the "time" the parent was notified, and 1 report did not include a minimum of 2 signatures.

Plan of Correction: Retrain staff that time notified must be completed when parent signs.

Standard #: 22VAC40-191-60-B
Description: Based on records reviewed, it was determined that 1 of 6 staff records did not include a completed Sworn Disclosure Statement prior to employment. Evidence: Staff #6 was hired 1/24/17, and to-date does not have a completed SDS on-file.

Plan of Correction: Day 1 have new staff sign Sworn Disclosure

Standard #: 22VAC40-191-60-C-1
Description: Based on records reviewed, it was determined that 1 of 6 staff records did not include a completed Criminal Record Check (CRC) within first 30-days of employment, and has not been denied continued employment until such time a satisfactory CRC is obtained. . Evidence: The CRC on-file for Staff #7 was done in August 2016 with an inaccurate date of birth.

Plan of Correction: Throughly [sic] look through all documentation on a regular basis to identify opportunities

Standard #: 22VAC40-191-60-C-2
Description: Based on records reviewed, it was determined that 2 of 6 staff records did not include a completed Central Registry Check (CPS) within the first 30-days of employment, and have not been denied continued employment until such time a satisfactory CPS check is obtained. Evidence: 1. Staff #3 was hired on 10/4/16, and to-date does not have a completed CPS check. 2. Staff #12 transferred to this center on 8/8/16, and to-date does not have a completed CPS check.

Plan of Correction: Immediately have these completed. With new staff going forward if we don't receive it w/ in 21 days send a new one out. Before anyone transfers their file must be complete.

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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