VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Culpeper KinderCare Learning Center
673 Sunset Lane
Culpeper, VA 22701
(540) 825-6333

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 23, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site September 23, 2022. The director was available during the inspection. There were 130 children present, ranging in ages from 2 months to 4 years, with 24 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 10 child records and 10 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. 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 today. 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 standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of records and interview on September 23, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #3, hired 8/1/22, contained documentation of fingerprints dated 8/22/22. 2. The record of staff #10, hired 9/19/22, did not contain documentation of fingerprints. 3. Staff #12 confirmed the fingerprints were late and missing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records and interview on September 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record staff #2, hired 7/25/22, did not contain central registry results. 2. The record of staff #3, hired 8/1/22, did not contain central registry results. 3. The record of staff #8, hired 6/5/22, did not contain central registry results. 4. Staff #12 confirmed the central registry checks haven?t been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of staff records, observation and interview on September 23, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 8/1/22, did not contain documentation of a negative tuberculosis screening. Staff #3 was observed working with children during the inspection. Staff #12 confirmed staff #3 did not have a negative TB screening. 2. The record of staff #8, hired 6/5/22, contained documentation of a TB screening dated 7/1/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on a review of staff records and interview on September 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #8, hired 6/5/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #12 confirmed the orientation was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on a review of records and interview on September 23, 2022, the provider failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: 1. The health inspection is dated 8/13/21. 2. Staff #12 stated the center has not reached out to the health department for their inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The Two?s B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The infant B classroom contained a soft climbing block with several rips and a hole exposing the foam inside. 3. The Two?s A classroom contained several walls with chipped and peeling paint. 4. The Three?s classroom contained several walls with chipped and peeling paint. 5. The playground swing chains contain rust.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation on September 23, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bathroom in the hallway across from the infant room and used by children contained cleaner on a shelf. The label on the cleaner stated ?keep out of reach of children? and ?warning.? 2. A bathroom in the hallway on the lower floor contained a large container of bleach and Mr. Clean on the floor. The label on the bleach stated ?keep out of reach of children? and ?danger.? The label on the Mr. Clean stated ?keep out of reach of children? and ?caution.? 3. The three year old bathroom contained a bottle of cleaner on a shelf. The label on the cleaner stated ?keep out of the reach of children? and ?warning.?
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-320-B
Description:	Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the infant room was 122.8?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on staff interview on September 23, 2022, the center failed to ensure that the diapering surface shall be sanitized after each use. Evidence: 1. Staff in the infant room stated the diapering surface is wiped with disinfectant wipes after each use. 2. Disinfect wipes were observed next to the diapering surface. 3. The use of disinfectant wipes does not meet the definition of sanitized per the standards for licensed child day centers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	Based on observation and interview on September 23, 2022, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child?s name, prescriber?s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #11 has an Auvi-Q injector at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #12 confirmed the center did not have the container.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-1
Description:	Based on observation, a review of documentation and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of CPR certifications, it was determined staff #11 had an expired CPR certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a CPR certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in CPR.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-2
Description:	Based on observation, a review of documentation, and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in first aid. Evidence: Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of first aid certifications, it was determined staff #11 had an expired first aid certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a first aid certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.