VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KinderCare Learning Center - Chester
4021 West Hundred Road
Chester, VA 23831
(804) 796-1464

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: March 18, 2021 , March 19, 2021 and March 22, 2021

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) 20 Access to minor?s records 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

The licensing inspector and administration discussed the requirements of Standard 22VAC40-185-420-A-5; for parents to receive a written copy of the center's policy regarding medication. Also discussed was Standard 22V AC40-185-510-C; which lists the requirements for the center's written medication policies. Part 3 of this standard requires that written policies include information on the duration of parent authorizations; provided that they shall expire or be renewed after 10 work days. Part 3 also states that medication policies shall include information that long-term medication authorizations (over 10 work days in length) may be allowed with written authorization from the child's physician and parent.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 3/18/2021 and concluded on 3/22/2021. The director was contacted by telephone to initiate the inspection. There were 51 children present and 11 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed four children?s records, one medication record, and four staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. The provider?s response for the plan of correction was not received as of March 29, 2021 and will not appear on the Violation Notice.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of four children's records, one record did not contain the required documentation. Evidence: The record for Child #4 (start date 11/8/2020) did not contain the addresses for two designated people to call in an emergency if the parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-A
Description:	Based on documentation review and a staff interview, the center did not ensure prescription and nonprescription medication shall be given only with written authorization from the parent. Evidence: 1) The licensing inspector observed the medication log indicated that Albuterol was administered to Child #5 on 11/2/2020, 11/18/2020, 11/23/2020, 12/1/2020, 1/15/2021, 1/19/2021, 1/20/2021, and 1/12/2021. 2) No written authorization was observed in the record for Child #5. 3) Administration was unable to locate written authorization to administer medication in the record for Child #5.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of emergency documentation, the center did not implement a monthly practice evacuation drill. Evidence: The licensing inspector observed the emergency drill records did not list evacuation drills in October 2020, December 2020, or February 2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-E
Description:	Based on a review of emergency documentation and a staff interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1)The licensing inspector observed the fire/evacuation drill for January 2021 did not include documentation of the date the drill was conducted. 2) Administration reported the drill had been completed on 1/29/2020 but agreed the date had not been included on the emergency drill log.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of five injury records, the center did not ensure that all of the required written components were included in four records. Evidence: 1) Injury record #2 did not include information about future action to prevent recurrence of the injury; and either a parent signature or a second staff signature. 2) Injury records #3 and #4 did not include the date and time parents were notified; or information on how parents were notified. 3) Injury record #5 did not include either a parent signature or a second staff signature.
Plan of Correction:	Not available online. Contact Inspector for more information.