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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: Oct. 18, 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.
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 medication, background checks, physical environment, record keeping.

Comments:
An unannounced monitoring inspection was conducted today from 9:30 am - 1:00 pm. There were 47 children present with 9 staff. I observed children busy in routines: circle time, center time, outdoor time and lunch. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of staff records today, there was no documentation of TB screenings for some staff within 21 days of employment as required. Evidence: There was no documentation of tuberculosis screenings within 21 days of first working for Staff # 1 (8/21/17) and Staff # 3 (8/23/17.)

Plan of Correction: They are getting it done right now and going forward we will ensure this is completed within 21 days.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records today, some required information was not accessible. Evidence: There was only one reference documented for Staff # 3 and no references available for Staff # 2; and no documentation of qualifications for lead staff for Staff # 1, 2 and 3.

Plan of Correction: Going forward we will ensure that all files are complete with all required documentation.

Standard #: 22VAC40-185-240-A
Description: Based on a review of records today, there was no documentation of orientation training to licensing standards for Staff # 1 and 2.

Plan of Correction: Going forward, we will ensure that this is done by the end of their first day.

Standard #: 22VAC40-185-240-D-3
Description: Based on a review of medications and staff trainings, no staff present today had documentation of training to administer a specific type of medication. Evidence: There was no one with training in rectal administration of medications, although a child's medication was present and authorized.

Plan of Correction: I will look for a class and we will have it done within two weeks.

Standard #: 22VAC40-185-270-A
Description: Based on today's inspection, some areas of the center were observed not to be maintained in a clean and safe environment. Evidence: In the school age room, a rug was upturned at the corner, posing a tripping hazard; and cables from hanging wires were dangling where they were accessible. Outdoors, some sharp areas were noted on the wooden fence surrounding the air conditioning unit, and a protruding nail was observed.

Plan of Correction: For the school-age -- items were corrected. For outdoors, facilities work order will be order today and interim actions will be taken with a hammer and other material.

Standard #: 22VAC40-185-280-B
Description: Based on today's inspection, a bottle of cleaner was observed to be stored in an unlocked cabinet in one classroom today. Evidence: Under the sink in the toddler class, a spray bottle of Scrub-Free was observed in an unlocked cabinet.

Plan of Correction: It was removed during inspection.

Standard #: 22VAC40-185-510-A
Description: Based on a review of medications and medication authorizations today at the center, some requirements were not met. Evidence: 1. No authorization was available for three medications for Child # 1 and Child #2, although the medications were present. 2. There was no parent signature on the authorization for medication (Epi-pen) for Child # 3.

Plan of Correction: We will talk to parents and get new physician orders for specific children and determine plan of action for allergies.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medications today, some medications were still present when no longer used. Evidence: A bottle of antibiotic for Child # 5 was present although the authorization expired 9/13/17.

Plan of Correction: It will be given back to the parent.

Standard #: 22VAC40-185-550-M
Description: Based on a review of injury/accident reports today, some required items were missing. Evidence: Of five recent reports; four did not have the time and method that the parent was notified.

Plan of Correction: We will review with staff the procedures for completing injury reports.

Standard #: 22VAC40-191-40-D-3-D
Description: Based on a review of records today, the sworn statement forms signed by new staff hired after 7/1/17 did not meet the requirements. Evidence: The sworn statement form for Staff # 1, 2, 3 does not ask all required questions.

Plan of Correction: I will print out new sworn statements and have staff complete it today.

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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