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KinderCare Learning Center - Parham
2240 East Parham Road
Henrico, VA 23228
(804) 264-8729

Current Inspector: Lynn Powers (804) 662-9790

Inspection Date: Jan. 25, 2019 , Jan. 30, 2019 and Feb. 11, 2019

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Technical Assistance:
N/A

Comments:
The licensing inspector completed an inspection in response to a complaint regarding a child?s injury. The Department was notified on 01/16/19. The licensing inspector was on site at the center on 01/25/19 from approximately 9:45 AM until 10:45 AM, on 01/30/19 from approximately 9:20 AM to 10:45 AM and 02/11/19 from approximately 12:00 PM to 12:25 PM. During the inspection, interviews with staff were completed, documentation was reviewed and classroom observations were conducted. The preponderance of the evidence gathered during the investigation supports the allegation and therefore the complaint regarding a child?s injury is determined valid. See the violation notice for additional details. Please complete the 'plan of correction' and 'date to be corrected' for each violation cited on the violation notice and return it to me within 5 business days from date of receipt. You will need to specify how the deficient practice will be or has been corrected. Just writing the word 'corrected' is not acceptable. Your plan of correction should contain: 1) steps to correct the noncompliance with the standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). If you have any questions about this inspection, please contact the Licensing Inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: 22VAC40-185-280-B
Complaint related: Yes
Description: Based on documentation review and staff interviews, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children on 01/14/19. Evidence: During the 01/25/19, 01/30/19 and 02/11/19 inspections, the licensing inspector interviewed five staff members and reviewed documentation and the following was determined: 1. Staff #1 stated that on 01/14/19, right before lunch, she saw Child A (two years of age) spray Child B (two years of age) in the face with a can of air freshener in the Twos classroom. Staff #1 stated ?I did not see Child A pull out the air freshener from underneath the changing table but knew for sure that?s where it was?. Staff #1 stated Child A knew how to unlock the changing table and that several of the children in the class had opened the locked changing table before. Staff #1 said Child B covered her eyes and cried. Staff #1 stated she took Child B to Staff #2 (also in the Twos classroom) and Staff #2 ? rinsed out the eyes of Child A really good.? 2. Staff #2 stated she was changing diapers and did not see Child A take out the air freshener from the changing table. Staff #2 stated ?I heard Child B scream and Child B seemed to be in severe discomfort?. Staff #2 stated she laid Child B down on the changing table and took paper towels and lot of water and rinsed out the eyes and face of Child B. Staff #2 stated the children in the classroom knew how to unlock the lock on the changing table. 3. Staff #3 stated on 01/14/19, Staff #1 had Child B in her arms and Staff #1 stated ?Child A got the spray and I think she might have sprayed some in the eyes of Child B?. Staff #3 stated she asked Staff #1 if she thought she flushed Child B?s eyes well enough. Staff #3 stated she then went back to the office and told Staff #4 that Child B got the air freshener in the Twos classroom. Staff #3 and Staff #4 stated they discussed how Child A got access to the air freshener. 3. The can of air freshener stated ?Caution: Keep out of the reach of children. Do not spray toward face. If eye contact occurs, rinse well with water. If irritation persists, get medical attention?.

Plan of Correction: The Center Director and Assistant Director are conducting routine classroom checks to ensure that all chemicals are locked and stored properly and complety out of the reach of the children. We will create a spreadsheet that will be used as a way to log these checks and updated on a daily basis. If any chemical are found not stored properly, management will file a formally documented write up and plan of correction for all staff members present in the classroom at the time of the improper storage.

Standard #: 22VAC40-185-550-L
Complaint related: Yes
Description: Based on staff interviews, the center did not ensure parents were notified by the end of the day of any known minor injuries. Evidence: During the 01/25/19, 01/30/19 and 02/11/19 inspections, the licensing inspector interviewed five staff members and the following was determined: 1. Staff #1 stated that on 01/14/19, right before lunch, she saw Child A spray Child B in the face with a can of air freshener in the Twos classroom. 2. Staff #1 and Staff #2 stated the eyes of Child B were flushed with water. 3. Staff #1 stated she completed an incident report. 4. Staff #5 stated on 01/14/19 she helped comfort Child B after being sprayed in the face with an air freshener. Staff #5 stated on 01/16/19, she asked the parent of Child B how she was doing and how are her eyes. Staff #5 stated the parent said ?What are you talking about??. Staff #5 stated she told the parent about the air freshener incident and the parent stated that this is the first time the parent had heard about it. 5. Staff stated the parent of Child B took the child to the doctor on 01/17/19 to ensure the child was okay. 6. Parent of Child B stated she was made aware of the incident on 01/16/19, two days after is occurred during a phone interview with the licensing inspector on 02/20/19.

Plan of Correction: The Center Director and Assistant Director will work together closely with staff to ensure that all parents are notified of any major or minor injuries that occur at the center by the end of the business day. We will follow up with staff members regarding these incidents and communicate clearly and coherently before as well as after we communicate with parents. We will provide accurate documentation of this communication on the appropriate incident / accident reports.

Standard #: 22VAC40-185-550-M
Complaint related: Yes
Description: Based on documentation review and interview, the written record of a child's injury with all required information was not completed the day of the injury.

Evidence:
During the 01/25/19, 01/30/19 and 02/11/19 inspections, the licensing inspector interviewed five staff members and reviewed documentation. The following was determined:
1. Staff #1 stated that on 01/14/19, right before lunch, she saw Child A spray Child B in the face with a can of air freshener in the Twos classroom.
2. Staff #1 and Staff #2 stated the eyes of Child B were flushed with water.
3. Staff #1 stated she completed an incident report.
4. The licensing inspector viewed the injury report on 01/25/19 and the report did not include date and time when parents were notified; documentation on how parent was notified and staff and parent signatures or two staff signatures.

Plan of Correction: As briefly aforementioned in (3.) the importance of accuracy and timeliness is essential to properly completing the appropriate incident/accident reports after an injury is sustained. The Center Director and Assistant Director have reinforced the necessity of completing the appropriate incident reporting paperwork to all staff member the day of the injury, acquiring signatures from center management and parents on the same day the injury and documentation occurred. The Center Director and Assistant Director will be conducting routine checks with teachers to ensure we are not missing any incident/accident reports.

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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