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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: April 17, 2019

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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Facilities & Programs.

Technical Assistance:
N/A

Comments:
A licensing inspector and the licensing administrator conducted an unannounced monitoring inspection Wednesday, April 17, 2019 from approximately 1:30 PM until 4:00 PM to monitor the provider's provisional license status. The following ratios were observed with a total of 97 children present during the inspection:
Infants - 9 children with 4 staff
Toddlers - 9 children with 2 staff
Twos - 16 children with 2 staff
Preschool -16 children with 2 staff
Pre-K - 16 children with 2 staff
School Age - 31 children with 2 staff

During the inspection, children were resting at naptime, playing with toys, having books read to them, having their diapers changed and taking bathroom breaks, washing hands, eating snack and playing outside. During the inspection, five children's records were reviewed.

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. Please specify how the deficient practice will be or has been corrected. 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 #: 22VAC40-185-130-A
Description: Based on review of five children's records, the center did not ensure documentation of immunizations was obtained before one child began attending the center. Evidence: During the inspection, the licensing inspector and the licensing administrator observed the record for Child #2 (start date 03/03/19) did not contain documentation of immunizations. Child #2 was present during the 04/17/19 inspection. Members of management confirmed this information during the inspection.

Plan of Correction: 1. Parents will be notified and asked to bring missing documents. 2. Children will not be allowed to start without all the correct documents. 3. The director and assistant director will be implementing and updating files throughout the year.

Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records and interview, the center did not obtain documentation of a physical exam for one child within the required time frame. Evidence: During the inspection, the licensing inspector observed the records for Child #5 (start date 08/01/18) did not contain documentation of a physical exam. A member of management confirmed this information during the inspection. Each child is required to have documentation of a physical exam prior to or within the first 30 days of attending the center.

Plan of Correction: 1. Parents will be notified and asked to bring missing documents. 2. Children will not be allowed to start without all the correct documents. 3. The director and assistant director will be implementing and updating files throughout the year.

Standard #: 22VAC40-185-150-B
Description: Based on record review, the center did not ensure that one of five children's records contained current immunization documentation that was dated and signed by a physician, his designee, or an official of a local health department. Evidence: During the inspection, the licensing inspector and the licensing administrator observed the record of Child #5 (start date: 08/01/2018) contained documentation of an immunization record that was not signed by a physician, designee, or an official of a local health department. Management confirmed this information during the inspection.

Plan of Correction: 1. Parents will be notified and asked to bring missing documents. 2. Children will not be allowed to start without all the correct documents. 3. The director and assistant director will be implementing and updating files throughout the year.

Standard #: 22VAC40-185-440-J
Description: Based on observation, the center did not ensure when cribs are occupied there is at least 30 inches of space on the service side of the crib for staff to gain access to the crib. Evidence: During the inspection, the licensing inspector and the licensing administrator observed Child #5 sleeping in a crib in the Infant room. The crib was positioned between two unoccupied cribs. The two unoccupied cribs were flush against the left and right sides of the crib Child #5 was sleeping in. The two unoccupied cribs prevented staff to gain access on the service side of the crib.

Plan of Correction: 1. The teacher will be arranging the cribs to meet the standard. 2. Teachers will arrange the classroom as the children take their naps. 3. The Assistant Director and Director will check and implement this.

Standard #: 22VAC40-185-450-A
Description: Based upon observation, the center did not ensured that during the designated rest period, cots have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: During the inspection, the licensing inspector and the licensing administrator observed two children resting on cots that did not contain a bottom cover.

Plan of Correction: 1. The director and assistant director will continue to order cot sheets as needed. 2. If a cot sheet is broken, the teacher will make sure the child is laying on a clanked. 3. The assistant director and I will walk around during nap time to ensure this.

Standard #: 22VAC40-185-550-M
Description: Based on review of seven injury records, the center did not ensure two of the injury reports contained the required information. Evidence: During the inspection, the licensing inspector and the licensing administrator reviewed seven injury reports from February 2019. Two injury reports did not contain information regarding when the parent was notified of the injury.

Plan of Correction: 1. A retraining of the injury reports will be given/ 2. Incidents will be checks after / before parent signed to make sure it is correctly filled out. 3. The assistant director and director will correct this action.

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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