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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: April 27, 2018

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.
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:
Consultation was given on the new background requirements for finger printing, a revised Sworn Statement (SDS) for new staff hired after 7/1/2017 and requesting out-of-state Central Registry checks for staff who have lived outside of Virginia within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out-of-state central registry forms. VA DSS will be paying for initial child care finger print checks until 9/30/2018. Each facility must establish a point of contact with VA DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligibility letters will be sent out by e-mail and staff may not be hired until the completed letter is received. Please read, review, and respond to all correspondences regarding the fingerprint roll out. Discussed with center director maintenance, handwashing, staff records, cleaning of children's toys.

Comments:
An unannounced monitoring inspection was conducted today between 9:30am to 3:00pm. There 69 children in direct care of 13 staff members. The children were observed playing with their show and share toys, playing animal bingo, being bottle fed, napping in cribs, doing circle time activities and learning about their weekly themes. The lunch menu included chicken soup, broccoli, mixed berries and milk. A selection of staff/children records and injury reports were reviewed. Emergency drill records and medications were reviewed. Staff to children interactions were observed to be positive. Areas of non compliance are listed in the violation notice. For any questions regarding this inspection please contact me at 571-835-4718.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review, center did not obtain additional immunization records once every six months for children under the age of two. 1. Child #1's most recent immunization records were obtained for 9/14/16. Additional immunization records were not obtained every six months. 2. Child # 2's most recent immunization records were obtained for 1/2017. Additional immunization records were not obtained every six months.

Plan of Correction: We will remind parents to bring us the additional shot records.

Standard #: 22VAC40-185-160-A
Description: Based on record review, center did not obtain documentation of a negative Tuberculosis (TB) Screening from employee within 21 days of hire. Evidence: Staff # 2 was hired on 3/26/18. Staff # 2 has not obtained a TB screening within 21 days of hire.

Plan of Correction: I will get the TB test done

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas inside the center were not maintained in a safe and operable condition. Evidence: 1. In the three's classroom, the door to for the home living fridge is broken causing the wood to splinter. 2. In the three's classroom, The lock for the teacher's closet is broken and opens when the door is pulled. 3. In the three's and Transitional KG classroom, the home living sink is missing the sink and there are two open holes next to the faucets posing an entrapment hazard. 4. The soft chairs in the three's and transitional KG classroom have tears and rips. 4. The soft mat in the toddler room has tears in the corners.

Plan of Correction: We will replace the items.

Standard #: 22VAC40-185-350-F
Description: Based on record review and staff interviews, center did not obtain written parental permission and a written assessment by the program leader and director, before assigning a child to a different age group. In addition to that children were being reassigned from their regular group repeatedly disrupting the child's schedule and attachment to thier staff members and group. Evidence: 1. The child supervision record (CSR) for the toddler room showed that Child # 2 was transitioning to the toddler room from the Infant B room in the morning. 2. Staff stated that Child # 2 has been transitioning to the toddler room as she will be moving to the toddler room. 3. Written parental permission and assessments were not found in her record to support this transition. 4. The CSR from the three's classroom indicated that Child # 3 was moved from the preschool class to the Pre-K classroom. Child # 3 was first sent from 9:05am to 9:25am. Child # 3 was sent again at 10:05am. 5. Staff interviews indicated that they are being asked to bump children to maintain ratio in the classrooms. Staff interviews indicated that this is common practice at the center and is done frequently.

Plan of Correction: I will make sure that we obtain the required documentation to move forward with the transition. We will talk to upper management to resolve the issue with bumping children.

Standard #: 22VAC40-185-510-E
Description: Based on observation, medications were not maintained in the original packaging. Evidence: 1. Three allergy medications were found to be stored in ziploc bags without the original container being available.

Plan of Correction: We will make sure that the original packaging is obtained in the future.

Standard #: 22VAC40-185-510-G
Description: Based on observation, center was administering medication without having the accurate authorization from the physician. Evidence: 1. Child # 4 requires medication on a daily basis for a diagnosed condition. 2. The medication listed on the physician's authorization form did not match the medication that was being recorded as being administered on the medication log. 3. Staff # 4 stated that the medication being administered was the generic form but the prescription label did not indicate that it was generic for the medication that was listed in the medication administration log.

Plan of Correction: We will ask the parents to get the forms updated.

Standard #: 22VAC40-185-550-D
Description: Based on record review, center did not practice an evacuation drill once every month. Evidence: The evacuation drill records indicated that an evacuation drill was not conducted for the month of February 2017.

Plan of Correction: We will make sure the drills are practiced once a month.

Standard #: 22VAC40-185-550-M
Description: Based on record review, center did not maintain complete record of children's injuries. Evidence: 1. 6 injury reports were reviewed. 2. 3 of the 6 reports were not completed accurately. 3. They were missing information such as date and time supervisor notified, date and time parent notified and staff/ parent signatures.

Plan of Correction: We will retrain the staff about completing injury reports accurately.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review, center did not obtain the criminal record check results for employees within 30 days of employment. Evidence: 1. Staff # 3 was hired on 1/3/18, before fingerprinting requirements went into effect. 2. Staff # 3's records did not have a criminal record result within 30 days of employment. 3. The center had a fingerprinting card for staff 3 #, but there were no results to indicate whether or not staff # 3 had a criminal record.

Plan of Correction: We will obtain fingerprinting through field print for staff # 3 as soon as possible.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, center did not obtain the central registry results for employees within 30 days of employment. Evidence: 1. Staff # 1 was hired on 2/28/18. 2. Staff # 1's record had a copy of the central registry that was mailed for her. There were no documentation of when the form was mailed out. Staff # 1's central registry results were not available for review during this inspection. 3. Staff # 3 was hired on 1/3/18. 4. Staff # 3's record did not have any documentation to show that a Virginia central registry was completed and sent out within 30 of employment.

Plan of Correction: We will get the central registries mailed out.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, center did not obtain the out of state central registry for staff that has lived outside of Virginia in the last five years. Evidence: 1. Staff # 2 was hired on 3/26/18. Her records indicated that she has lived outside of Virginia in the last five years. 2. Staff # 2 stated that the out of state central registry was not mailed out for her.

Plan of Correction: I will make sure that the form is mailed out.

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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