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KinderCare Learning Center #1029
4216 Stringfellow Road
Chantilly, VA 20151
(703) 817-0430

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: March 24, 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.

Comments:
The Inspector was on site today after receiving a report from center management personnel regarding a recent children's medication error. Violations regarding this medication error were cited. In addition, other physical plant and administrative violations were cited. During this inspection there were 65 children in care, with a total of 10 staff members assigned to their direct supervision. The children were observed eating lunch and preparing for their afternoon nap. The children were served fish sticks, green beans, rice, peaches/apricots, and milk for lunch today. The Inspector was on site for this inspection between approximately 10:00 am and 1:00 pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-50-A
Description: Based on observations, it was determined that one piece of children's identifying information was not maintained in a confidential manner. Evidence: In the 2's classroom, the list of children's allergies/food restrictions was posted on the bulletin board.

Plan of Correction: The list will be covered today.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, it was determined that one record does not include a current shot record. Evidence: Child A is currently 16 months old. The most recent shot record included in her record was completed at age 3 months.

Plan of Correction: I will ask the parent for a new shot record.

Standard #: 22VAC40-185-350-F
Description: Based on observations and staff interviews, it was determined that one child has repeatedly been reassigned to a different classroom in order to maintain required staff:child ratios. Evidence: Upon entering the Infant classroom, the Inspector observed 4 children in care but the documented attendance indicated a total of 5 children present. It was reported to the Inspector that one child was moved to the Toddler classroom in order to maintain the required 4:1 child to staff ratio in the Infant classroom. It was further reported to the Inspector that over the past 2 - 3 weeks this child has been moved to the Toddler classroom routinely, approximately 3 days/week, in order to maintain ratios.

Plan of Correction: I am in the process of hiring additional staff so that we are over-staffed. I will make the Infant classroom a hiring priority. Until that person is hired, I will make sure staff are moved where needed rather than children moved to different classrooms.

Standard #: 22VAC40-185-510-C
Description: Based on a review of medication authorization forms, it was determined that two forms were not completed as required. Evidence: 1. The authorization form for one child's long-term emergency prescription medication does not include a start and stop date for which the physician authorizes the form to be effective. 2. The authorization form for one child's prescription medication does not include the parent's signature and a start and stop date for which the authorization is effective.

Plan of Correction: The parent will be asked for a correctly completed medication authorization form.

Standard #: 22VAC40-185-510-G
Description: Based on staff interviews and a review of medication logs, it was determined that one child's required prescription medication was not administered on 8 different occasions. Evidence: It was reported to the Inspector that one child, age 16 months, did not receive her required twice daily dose of emergency prescription medication on the following dates: 2/28/17; 3/1-3/3/17; 3/6/17; 3/9-3/10/17; and 3/15/17. In total, this child did not receive 16 required doses of the emergency prescription medication. This medication error was reported to the Inspector and was verified during a review of all required medication logs.

Plan of Correction: I discovered this error when I assumed management responsibilities earlier this month. I immediately addressed the staff member responsible for medication administration and this medication error. This staff member is no longer employed at this center. Going forward, we will have a large number of staff who are MAT trained and able to administer medication. I have also named a new Health and Safety Coordinator, whose job it is to be the primary staff member responsible for medication administration. In addition, all medication logs will be reviewed by a member of the management team at the end of each day in order to verify that all required medications were administered and administered correctly.

Standard #: 22VAC40-185-560-M
Description: Based on observations, it was determined that staff did not sit with children during lunch today. Evidence: The Inspector entered each classroom during lunch service today, for a total of 6 classrooms. In each of the classrooms, the staff members were not seated at the tables while the children ate lunch.

Plan of Correction: This will be addressed at our upcoming staff meeting. All staff will be reminded to sit with the children during lunch.

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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