VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karter School of Cascades
21290 Springlake Court
Sterling, VA 20166
(703) 430-8657

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: May 13, 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. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed current Fire Codes regarding emergency egresses, Licensing Process, application process and Program Leader qualifications

Comments:

An unannounced non-mandated monitoring inspection was conducted 5/13/19 from 2:00pm to 3:15pm, and 6/11/19 from 9:00am to 11:00am. There were 54 children present with 10 staff on 5/13/19 and 83 children 22 staff on 6/11/19. Children were observed napping, having snack (pita chips and dried cherries), having tummy time, reading books, and coloring, making fairy gardens, learning about time, making lines, and dancing and having gross motor activities in the gym. Reviewed 2 staff files, 2 children's files, attendance, medications and authorizations, and physical plant. Violations of the Standards are recorded on the Violation Notice. Should you have any questions regarding this inspection, please contact Licensing Inspector, Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on record review, staff files were incomplete. Evidence: Staff#1 (hire date 5/28/19) was missing documentation of completed Orientation training within one week of hire.
Plan of Correction:	We will do that with her tomorrow
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interview with Director, areas and equipment of the center, inside and outside, are not being maintained in a clean, safe and operable condition. Evidence: 1. Wet and stained ceiling tiles were observed in the Creative Movement room, Music Room, Venice, Vienna, Paris, Art Room, Florence, Computer Lab, Imagination Room, and Hong Kong. 2. Water was observed inside electrical lights in Florence and Hong Kong 3. Wet carpets were observed in the Staff Lounge/Kitchen wing of the building and Paris room. 4. Rusted pipes, peeling paint and a black substance resembling mold was observed on the white rocks in the Splash Park 5. Slides on the Splash Park have pinch points and other components that could entangle clothing or snag skin 6. Pour and play holes in fall zones on the Splash Park
Plan of Correction:	1. 90% of stained ceiling tiles were replace and remaining will be completed by 6/25/19 2. Corrected by 6/11/19 3. Serve-Pro was called and a roofing company were called to complete a full service. 4. We will contact the Landlord to get it fixed. 5. We will contact the Landlord to get it fixed. 6. We will contact the Landlord to get it fixed.
Standard #:	22VAC40-185-340-A
Description:	Based on observation and staff interview, staff were not ensuring children's care, protection, and guidance. Evidence: At 2:45pm Infants were observed in Paris room with an active ceiling water leak. Staff stated the drop ceiling caved in and fell to the floor in the morning. Wet and hanging ceiling tiles and dripping water were observed on one half of the Paris room. Children were housed on the other. Fans that were brought in to dry the area were observed blowing debris and other potential contaminants around the room. Licensing Inspector requested the Infants be moved to another room immediately.
Plan of Correction:	Children were moved immediately to an unoccupied classroom. Children remained there until all repairs were completed and safety inspections were concluded and approved.
Standard #:	22VAC40-185-510-A
Description:	Based on record review and interview with staff, emergency medication can only be administered with parental authorization. Evidence: Child#1 ' emergency medication (Epi Pen) did not have documentation of parent permission to administer.
Plan of Correction:	We will send an e-mail to the parent right now, as well as follow up during pick up.
Standard #:	22VAC40-185-580-D
Description:	Based on observation, children shall enter and leave the vehicle from the curb side of the vehicle or in a protected parking area or driveway. Evidence: Staff#2 was observed parking the van in the parking lot, and allowing children to exit and walk through the parking lot to the front door. Staff stated she did not see anyone in the front lobby, so she did what she thought was best.
Plan of Correction:	We had a re-training session regarding how children should enter and exit the vehicle under the covered car port, and a staff member called out to assist.