VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KinderCare Education at Work, LLC - Earhart
408 Earhart Street
Charlottesville, VA 22903
(434) 465-2529

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 29, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

A supplemental page was provided.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including a zoom meeting, documents review, interviews and a virtual tour of the program. A renewal inspection was conducted on September 29, 2021. A zoom meeting was initiated with the director and a virtual inspection was conducted. There were 39 children present, ranging in age from 2 months to 2 years and in the care of 12 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of 3 children's records and 4 new staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and the violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-40-E
Description:	Based on review of the center's medication policy, the review of two children's medications and authorization paperwork, and discussion with the director, the center failed to follow their own medication policies and procedures when they did not have authorization from a physician to administer medications for two children under the age of two years. Evidence: 1. Under the section called Physician's Signature or Note in the center's Medication Guide Book, it states, "A physician?s signature or note is needed to give medication to a child under two, including over-the-counter medications, such as pain relievers, cough syrup, and teething gel." 2. The long-term prescription emergency medication for Child #1 did not contain a physician's authorization giving permission for the center to administer the medication to the child. Date of birth for Child #1 was 08/28//2020. 3. The over-the-counter medication for Child #2 did not contain a physician's authorization giving permission for the center to administer the medication to the child. The date of birth for Child #2 was 10/09/2020. 4. The director confirmed that there was no physician authorization on file to allow the center to administer the medications for Child #1 and Child #2.
Plan of Correction:	The director will speak with the parent of Child #1 immediately and ensure that physician's authorization is received. She will speak with the parent of Child #2 and send that medication home.
Standard #:	22VAC40-185-240-D-1
Description:	Based on the documentation received by the director, review of staff records, review of a prescription emergency medication, and confirmation from the director, there was time each morning when not one staff member on-site held certification in Medication Administration while the center had an emergency medication for one child. Evidence: 1. The director reported that three staff members (Staff Member #1, Staff Member #2 and Staff Member #3) opened the center each morning at 6:30 a.m. The documentation showed that none of these three staff members had completed Medication Administration Training. The first staff member with certification in Medication Administration was scheduled to arrive at 8:00 a.m. which leaves 1.5 hours each morning when no Medication Administration trained staff is on-site. 2. The center had agreed to administer a prescription emergency medication to Child #1, if needed. 3. The director confirmed that there is time each morning when no staff member trained in Medication Administration is scheduled to work.
Plan of Correction:	During the inspection, the director agreed to change the work schedule of staff so that there is always at least one staff member on-site who is certified to administer medication.
Standard #:	22VAC40-185-550-D
Description:	Based on discussion with the director, the center failed to implement practice evacuation drills for two months. Evidence: 1. The director reported that she was unable to locate the previous director's log showing the evacuation drills. The first date of employment for the director was 07/26/2021. 2. The director stated that she did not complete a practice evacuation drill for the months of July and August.
Plan of Correction:	The director had completed an evacuation drill on 09/28/2021. In the future, she is aware that she must complete and document a practice evacuation drill every month.